diff --git a/platform-operate-api/src/main/java/com/lyms/hospitalapi/qhdfy/QhdfyHisService.java b/platform-operate-api/src/main/java/com/lyms/hospitalapi/qhdfy/QhdfyHisService.java
index 7ba2c23..2b8890d 100644
--- a/platform-operate-api/src/main/java/com/lyms/hospitalapi/qhdfy/QhdfyHisService.java
+++ b/platform-operate-api/src/main/java/com/lyms/hospitalapi/qhdfy/QhdfyHisService.java
@@ -70,13 +70,16 @@ public class QhdfyHisService {
 
                     for (LisReport report:list) {
                         patientsQuery.setVcCardNo(report.getVcCardNo());
-                        List<Patients> patientsList = patientsService.queryPatient(patientsQuery);
-
+                        int count = patientsService.queryPatientCount(patientsQuery);
                         LisReportQuery lisReportQuery = new LisReportQuery();
                         lisReportQuery.setVcCardNo(report.getVcCardNo());
                         lisReportQuery.setHospitalId(""+hospitalId);
                         int reportCount = lisReportService.queryLisReportCount(lisReportQuery);
-                        if (patientsList != null && patientsList.size() > 0 && reportCount == 0) {
+                        if (count > 0 && reportCount == 0) {
+                            patientsQuery.setLimit(1);
+                            patientsQuery.setPage(0);
+                            patientsQuery.setNeed("y");
+                            List<Patients> patientsList = patientsService.queryPatient(patientsQuery);
                             Patients patients = patientsList.get(0);
                             LisCrisisItem crisisItem = new LisCrisisItem();
                             crisisItem.setPhone(patients.getPhone());