diff --git a/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs b/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
index e25cee1..dc75d78 100644
--- a/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
+++ b/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
@@ -1183,7 +1183,10 @@ namespace Shentun.WebPeis.AppointPatientRegisters
                     {
                         if (personDiseaseRiskLevel.Asbitems.Where(o => o.AsbitemId == personDiseaseRiskLevel2.Asbitems[i].AsbitemId).Any())
                         {
-                            personDiseaseRiskLevel.DiseaseRiskName += "," + personDiseaseRiskLevel2.DiseaseRiskName;
+                            if(!personDiseaseRiskLevel.DiseaseRiskName.Contains(personDiseaseRiskLevel2.DiseaseRiskName))
+                            {
+                                personDiseaseRiskLevel.DiseaseRiskName += "," + personDiseaseRiskLevel2.DiseaseRiskName;
+                            }
                             personDiseaseRiskLevel2.Asbitems.Remove(personDiseaseRiskLevel2.Asbitems[i]);
                             i--;
                         }
diff --git a/test/Shentun.WebPeis.Application.Tests/AppointPatientRegisterAppServiceTest.cs b/test/Shentun.WebPeis.Application.Tests/AppointPatientRegisterAppServiceTest.cs
index ad01e21..6e382d1 100644
--- a/test/Shentun.WebPeis.Application.Tests/AppointPatientRegisterAppServiceTest.cs
+++ b/test/Shentun.WebPeis.Application.Tests/AppointPatientRegisterAppServiceTest.cs
@@ -135,7 +135,7 @@ namespace Shentun.WebPeis
                     _output.WriteLine("--加做项目");
                     foreach (var item2 in item.DiseaseRiskLevelAsbitems)
                     {
-                        _output.WriteLine("---" + item2.DiseaseRiskName + "-" + item2.DiseaseRiskLevelName + "---");
+                        _output.WriteLine("---" + item2.DiseaseRiskName  + "---");
                         foreach (var item3 in item2.Asbitems)
                         {
                             _output.WriteLine(item3.AsbitemName);