diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
index 778c374..32da442 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/service/impl/LymsHisInfoServiceImpl.java
@@ -140,9 +140,9 @@ public class LymsHisInfoServiceImpl extends ServiceImpl<LymsHisInfoMapper, LymsH
             }
             //如果有疾病在疾病库中不存在,则都不予上传，如果在映射库中存在可以上传
             if(diagnoses.size()!=diagnoseIds.size()){
-                if(diagnoses.size()==diagnoseOrmIds.size()){
+                if(diagnoses.size()==diagnoseOrmIds.size()+diagnoseIds.size()){
                     //去重赋值
-                    diagnoseIds=diagnoseOrmIds.stream().distinct().collect(Collectors.toList());
+                    diagnoseIds.addAll(diagnoseOrmIds.stream().distinct().collect(Collectors.toList()));
                 }else {
                     return "疾病不存在，请在设置-字典管理中添加疾病或在疾病映射中添加映射关系。";
                 }