diff --git a/src/components/patientRegister/PatientRegisterEdit.vue b/src/components/patientRegister/PatientRegisterEdit.vue
index 6936940..a60a808 100644
--- a/src/components/patientRegister/PatientRegisterEdit.vue
+++ b/src/components/patientRegister/PatientRegisterEdit.vue
@@ -1017,26 +1017,23 @@ export default {
     //选择单位
     async changeCustomerOrgId(v) {
       console.log('changeCustomerOrgId', v, this.form.customerOrgParentId)
-      let customerOrgId = ""
+      let customerOrgId = "", customerOrgParentId = ""
       if (Array.isArray(v) && v.length > 0) {
         customerOrgId = v[v.length - 1]
-        this.form.customerOrgParentId = v[0]
+        customerOrgParentId = v[0]
       } else {
         customerOrgId = v  // 后台顶级单位ID未获取正确（再获取一次）
         let pids = getTreePids(this.patientRegister.customerOrgTreeAll, "treeChildren", "parentId", "id", customerOrgId)
         if (Array.isArray(pids) && pids.length > 0) {
           if (pids.length == 1) {
-            this.form.customerOrgParentId = customerOrgId
+            customerOrgParentId = customerOrgId
           } else {
-            this.form.customerOrgParentId = pids[1]
+            customerOrgParentId = pids[1]
           }
         }
       }
       this.preCustomerOrgId = customerOrgId
       // let customerOrgParentId = await this.getParentCustomerOrgId(customerOrgId)
-      let customerOrgParentId = this.form.customerOrgParentId
-
-
 
       if (customerOrgParentId) {
         if (customerOrgParentId == this.dict.personOrgId) {
@@ -1046,24 +1043,25 @@ export default {
           this.getCustomerOrgRegisterList(customerOrgParentId)
         }
 
-        // 需要触发 修改 分组/套餐        
-        this.form.customerOrgGroupId = null
-        this.form.medicalPackageId = null
-        // 清除套餐分组标识
-        this.dataTransOpts.tableM.register_check_asbitem.forEach(e => {
-          e.isBelongGroupPackage = 'N'
-        });
+        // 需要触发 修改 分组/套餐  顶级ID 没有变时，不改变套餐与分组   
+        if (customerOrgParentId != this.form.customerOrgParentId) {
+          this.form.customerOrgGroupId = null
+          this.form.medicalPackageId = null
+          // 清除套餐分组标识
+          this.dataTransOpts.tableM.register_check_asbitem.forEach(e => {
+            e.isBelongGroupPackage = 'N'
+          });
 
-        if (customerOrgParentId == this.dict.personOrgId) {
-          this.patientRegister.customerOrgGroup = []
-        }
+          if (customerOrgParentId == this.dict.personOrgId) {
+            this.patientRegister.customerOrgGroup = []
+          }
 
-        if (this.form.customerOrgParentId == this.dict.personOrgId) {
-          this.changeMedicalPackageId()
-        } else {
-          this.changeCustomerOrgGroupId()
+          if (this.form.customerOrgParentId == this.dict.personOrgId) {
+            this.changeMedicalPackageId()
+          } else {
+            this.changeCustomerOrgGroupId()
+          }
         }
-
       }
     },
 
@@ -1492,12 +1490,12 @@ export default {
                     this.guidePrint('0001', false)
 
                     this.labelPrint(false)
-                  })                  
+                  })
                   .catch((err) => {
                     // if (err == "cancel") {
                     //   this.$message.info({ showClose: true, message: "已取消操作" });
                     // }
-                  });                
+                  });
               }
             }
           }