diff --git a/platform-operate-api/src/main/java/com/lyms/hospitalapi/llfy/LlfyHisService.java b/platform-operate-api/src/main/java/com/lyms/hospitalapi/llfy/LlfyHisService.java
index 12013ea..3e2df97 100644
--- a/platform-operate-api/src/main/java/com/lyms/hospitalapi/llfy/LlfyHisService.java
+++ b/platform-operate-api/src/main/java/com/lyms/hospitalapi/llfy/LlfyHisService.java
@@ -20,11 +20,11 @@ import java.util.Map;
  */
 @Service("llfyHisService")
 public class LlfyHisService {
-    public List<Map<String,Object>> getPatientInfo(Patients ps,String startDate,String endDate) {
+    public List<Map<String,String>> getPatientInfo(Patients ps,String startDate,String endDate) {
             Connection conn = com.lyms.hospitalapi.llfy.ConnTools.makeHisConnection();
             QueryRunner queryRunner = new QueryRunner();
-            List<Map<String,Object>> resultList = new ArrayList<>();
-            Map<String,Object> map = new HashedMap();
+            List<Map<String,String>> resultList = new ArrayList<>();
+            Map<String,String> map = new HashedMap();
             try {
                 List<LcfyPatient> list = queryRunner.query(conn, "select 入院日期 as inHospDate,入院诊断 as inHospDiagn from fvw_住院病人档案 where (姓名= '"+ps.getUsername()+"' and 证件号 ='"+ps.getCardNo()+"') or (姓名='"+ps.getUsername()+"' and 手机号 ='"+ps.getPhone()+"')  or (姓名='"+ps.getUsername()+"' and 就诊卡='"+ps.getVcCardNo()+"') and 入院日期 is not null and 入院日期 between '"+startDate+"' and '"+endDate+"'", new BeanListHandler<LcfyPatient>(LcfyPatient.class));
                 if(CollectionUtils.isNotEmpty(list)){
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
index a212aeb..8ad06c8 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
@@ -334,14 +334,29 @@ public class PatientMarkHospServiceFacade {
     public void synUpdateHisData(PatientMarkHospital ps){
         Patients patients = patientsService.findOnePatientById(ps.getPatientId());
         if (null != patients) {
-            List<Map<String,Object>> makePatients = llfyHisService.getPatientInfo(patients,DateUtil.getyyyy_MM_dd(ps.getMakeDate()),DateUtil.getyyyy_MM_dd(new Date()));
-            if(ps.getHospitType()==null){
-
+            List<Map<String,String>> makePatients = llfyHisService.getPatientInfo(patients,DateUtil.getyyyy_MM_dd(ps.getMakeDate()),DateUtil.getyyyy_MM_dd(new Date()));
+            if(CollectionUtils.isNotEmpty(makePatients)){
+                for(Map<String,String> map : makePatients){
+                    String inHospDiagn = map.get("inHospDiagn");
+                    int hospType = getHospitType(inHospDiagn);
+                    ps.setHospitStatus(2);
+                    if(ps.getHospitStatus()==null){
+                        ps.setHospitType(hospType);
+                    }else if(hospType==1){//当住院方式为分娩方式时
+                        ps.setHospitType(hospType);
+                    }
+                }
+                patientMarkHospitalService.updatePatientMarkHospital(ps);
             }
         }
     }
 
-    public static Map<String, Integer> initHospitType() {
+    /**
+     * 根据入院诊断返回入院方式
+     * @param intHospDesc 入院诊断编码
+     * @return
+     */
+    public static int getHospitType(String intHospDesc) {
         Map<String, Integer> map = new HashMap<>();
         map.put("00001", 1);
         map.put("00002", 1);
@@ -426,7 +441,12 @@ public class PatientMarkHospServiceFacade {
         map.put("yswr", 1);
         map.put("ysydwr", 1);
         map.put("zyxye", 1);
-        return map;
+        Integer hospType = map.get(intHospDesc);
+        if(hospType==null){
+            return 2;
+        }else {
+            return 1;
+        }
     }
 
 }