diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
index 3db01b9..6eb5abd 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
@@ -175,7 +175,7 @@ public class PatientsService {
                 sieveApplyOrderQuery.setParentId(sieveModel.getParentId());
                 sieveApplyOrderQuery.setYn(YnEnums.YES.getId());
                 List list1 = sieveApplyOrderDao.queryList(sieveApplyOrderQuery.convertToQuery());
-                if (CollectionUtils.isEmpty(list1)) {
+                if (CollectionUtils.isEmpty(list1)&&StringUtils.isEmpty(sieveModel.getCsRemarkTypeId())) {
                     sieveModel.setYn(YnEnums.NO.getId());
                     sieveDao.updateChanQianSieve(sieveModel);
                 }