diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index 78a44dc..105c32f 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -3325,12 +3325,12 @@ public class PatientFacade extends BaseServiceImpl {
         patientsQuery.setHighRiskFileCode(patientManagerRequest.getHighRiskFileCode());
        // System.out.println(patientsQuery.convertToQuery().convertToMongoQuery().toString());
         if (StringUtils.isNotEmpty(patientManagerRequest.getLastCheckEmployeeId())){
-            Integer userCheckId = usersService.getUserId(hospitalId,patientManagerRequest.getLastCheckEmployeeId());
+            /*Integer userCheckId = usersService.getUserId(hospitalId,patientManagerRequest.getLastCheckEmployeeId());
             if (userCheckId!=null){
                 patientsQuery.setLastCheckEmployeeId(String.valueOf(userCheckId));
-            }else {
+            }else {*/
                 patientsQuery.setLastCheckEmployeeId(patientManagerRequest.getLastCheckEmployeeId());
-            }
+            //}
         }
 
 
@@ -3452,12 +3452,17 @@ public class PatientFacade extends BaseServiceImpl {
                 //TODO 优化产检医生是汉字的逻辑
                 String lastCheckEmployeeId = "";
                 if (StringUtils.isNotEmpty(patients.getLastCheckEmployeeId())) {
-                    Users user = usersService.getUsers(Integer.valueOf(patients.getLastCheckEmployeeId()));
+                    Integer userCheckId = usersService.getUserId(hospitalId,patientManagerRequest.getLastCheckEmployeeId());
+                    if (userCheckId==null){
+                        userCheckId=Integer.valueOf(patients.getLastCheckEmployeeId());
+                    }
+                    Users user = usersService.getUsers(userCheckId);
                     if (user != null) {
                         lastCheckEmployeeId = user.getName();
                     } else {
                         System.out.println(patients.getId() + ";no user lastCheckEmployeeId" + patients.getLastCheckEmployeeId());
                     }
+
                 }
                 //初诊时间和初诊医生字段展示,作为模块化
                 if (StringUtils.isNotEmpty(patients.getFirstCheckId())) {