diff --git a/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs b/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
index b983eac..77f69a9 100644
--- a/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
+++ b/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
@@ -2082,7 +2082,8 @@ namespace Shentun.Pacs.PacsBusiness
                              select new
                              {
                                  oldPatientNo = patientRegister.OldPatientNo,
-                                 asbitemId = registerCheckAsbitem.AsbitemId
+                                 oldAsbitemId = registerCheckAsbitem.OldAsbitemId,
+                                 oldPatientRegisterId = registerCheckAsbitem.OldPatientRegisterId
                              }).ToList();
 
             if (!paraQuery.Any())
@@ -2090,14 +2091,20 @@ namespace Shentun.Pacs.PacsBusiness
                 throw new UserFriendlyException("检查id未找到数据");
             }
 
-            var asbitemId = paraQuery.FirstOrDefault().asbitemId;
+            var oldAsbitemId = paraQuery.FirstOrDefault().oldAsbitemId;
             var oldPatientNo = paraQuery.FirstOrDefault().oldPatientNo;
+            var oldPatientRegisterId = paraQuery.FirstOrDefault().oldPatientRegisterId;
 
             if (string.IsNullOrWhiteSpace(oldPatientNo))
             {
                 throw new UserFriendlyException("当前记录未存体检档案号，无法查询");
             }
 
+            if (string.IsNullOrWhiteSpace(oldPatientRegisterId))
+            {
+                throw new UserFriendlyException("当前记录未存体检人员Id，无法查询");
+            }
+
 
 
             string oldSql = "select b.check_date,b.summary,d.item_name,d.display_order,c.result,e.user_name,a.barcode_no,a.patient_register_id," +
@@ -2106,7 +2113,7 @@ namespace Shentun.Pacs.PacsBusiness
                 " left join register_item as c on b.asbitem_id=c.asbitem_id and a.patient_register_id=c.patient_register_id " +
                 " left join item as d on c.item_id=d.item_id " +
                 " left join users as e on b.check_doctor=e.user_id " +
-                $" where a.patient_id={oldPatientNo} and b.asbitem_id={asbitemId}";
+                $" where a.patient_id={oldPatientNo} and b.asbitem_id={oldAsbitemId} and a.patient_register_id!={oldPatientRegisterId} ";
 
             var oldPeisCheckResultList = oldDb.Ado.SqlQuery<OldPeisCheckResultDto>(oldSql);
 
diff --git a/src/Shentun.Pacs.HttpApi.Host/appsettings.json b/src/Shentun.Pacs.HttpApi.Host/appsettings.json
index 81a65a1..7df7369 100644
--- a/src/Shentun.Pacs.HttpApi.Host/appsettings.json
+++ b/src/Shentun.Pacs.HttpApi.Host/appsettings.json
@@ -63,7 +63,7 @@
     "BaseApiUrl": "http://192.168.2.74:8042"
   },
   "OldPeis": {
-    "ConnectionStrings": "server=192.168.0.3;uid=sa;pwd=;database=reddolphin;Encrypt=false;",
+    "ConnectionStrings": "server=140.143.162.39;uid=sa;pwd=shentun;database=mypeis;Encrypt=false;",
     "AsbitemColumnReferenId": "",
     "ItemColumnReferenId": "",
     "DeviceTypeColumnReferenId": "",