diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntExRecordFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntExRecordFacade.java
index bf2e950..2e9a876 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntExRecordFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntExRecordFacade.java
@@ -2370,7 +2370,14 @@ public class AntExRecordFacade {
                return new BaseObjectResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setData(null).setErrormsg("成功");
            }
            List<Map<String,String>> list=new ArrayList<>();
-           String height=antExChuModel.getHeight();
+            Map<String,String> chu=new HashMap<>();
+            chu.put("date",DateUtil.formatYMDDate(antExChuModel.getCheckTime()));
+            chu.put("weight",antExChuModel.getWeight());
+            chu.put("bp",antExChuModel.getBp());
+            chu.put("height",antExChuModel.getHeight());
+            chu.put("bmi",patientWeightService.getBmi(antExChuModel.getWeight(), antExChuModel.getHeight()));
+            list.add(chu);
+            String height=antExChuModel.getHeight();
             for (AntenatalExaminationModel model:examinationModelList) {
                 Map<String,String> params=new HashMap<>();
                 String weight=model.getWeight().toString();
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
index 554dfcd..d8b021f 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
@@ -467,6 +467,10 @@ public class AntenatalExaminationFacade {
         model.setDoctorSign(antExAddRequest.getDoctorSign());
         model.setPatientSign(antExAddRequest.getPatientSign());
 
+        if ("2100002419".equals(hospitalId)){
+            model.setGuide(" ");
+        }
+
         //大同特殊处理
         if (antExAddRequest.getDoctorType()!=null && antExAddRequest.getDoctorType()==0){
             //准备添加数据
@@ -930,6 +934,11 @@ public class AntenatalExaminationFacade {
         }
         antExChuModel.setOperator(userId);
         antExChuModel.setHospitalId(hospitalId);
+
+        if ("2100002419".equals(hospitalId)){
+            antExChuModel.setDirOpinion(" ");
+        }
+
         //大同特殊处理
         if (excAddRequest.getDoctorType()!=null && excAddRequest.getDoctorType()==0){
             //准备添加数据
diff --git a/platform-sync-data/src/main/java/com/lyms/platform/sync/data/service/SyncDataService.java b/platform-sync-data/src/main/java/com/lyms/platform/sync/data/service/SyncDataService.java
index 583f0a4..ae70905 100644
--- a/platform-sync-data/src/main/java/com/lyms/platform/sync/data/service/SyncDataService.java
+++ b/platform-sync-data/src/main/java/com/lyms/platform/sync/data/service/SyncDataService.java
@@ -871,16 +871,19 @@ public class SyncDataService {
                 Date nextDate = DataUtil.getDate(map.get("NEXTCHECKTIME"));
                 antxModel.setcDueWeek(String.valueOf(DateUtil.getDays(lastMenses, nextDate) / 7));
             }
-
-            String content = "";
-            for(Map<String,Object> guide : patientGuides)
-            {
-                if (guide.get("ES_PREGNANCYWEEK") != null && DataUtil.getString(guide.get("ES_PREGNANCYWEEK")).equals(String.valueOf(weeks)) )
+            //大同医院不增加指导 20260127需求
+            if (!"2100002419".equals(antxModel.getHospitalId())){
+                String content = "";
+                for(Map<String,Object> guide : patientGuides)
                 {
-                    content+=guide.get("CONTENT")+"\n";
+                    if (guide.get("ES_PREGNANCYWEEK") != null && DataUtil.getString(guide.get("ES_PREGNANCYWEEK")).equals(String.valueOf(weeks)) )
+                    {
+                        content+=guide.get("CONTENT")+"\n";
+                    }
                 }
+                antxModel.setGuide(content);
             }
-            antxModel.setGuide(content);
+
 
             Patients pat = new Patients();