diff --git a/src/components/patientRegister/PatientRegisterEdit.vue b/src/components/patientRegister/PatientRegisterEdit.vue
index 34da91a..6ebc96a 100644
--- a/src/components/patientRegister/PatientRegisterEdit.vue
+++ b/src/components/patientRegister/PatientRegisterEdit.vue
@@ -2527,15 +2527,19 @@ export default {
     // 获取接害因素 + 检查类别 的组合项目 后，刷新当前组合项目 
     changeOccPosionOrCheckType() {
       this.getOccAsbitems().then(res => {
+        let lfind = 0
         for (let i = this.dataTransOpts.tableM.register_check_asbitem.length - 1; i >= 0; i--) {
           let e = this.dataTransOpts.tableM.register_check_asbitem[i];
           if (e.isCharge == 'Y' || e.checkCompleteFlag != '0') {
             continue
-          } else {
-            this.dataTransOpts.tableM.register_check_asbitem.splice(i, 1)
+          } else {    
+            // 已登记的项目 在 this.occAsbitems 中，则不删除
+            lfind = arrayExistObj(this.occAsbitems, 'id', e.asbitemId)
+            if(lfind == -1) this.dataTransOpts.tableM.register_check_asbitem.splice(i, 1)
           }
         }
-        let lfind = 0
+
+        lfind = 0
         let payTypeFlag = '1';  //职业病 默认单位支付
         if (this.form.customerOrgId == this.dict.personOrgId) payTypeFlag = '0'  //个人支付
         this.occAsbitems.forEach(e => {