diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
index 553cee6..47288db 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
@@ -240,6 +240,22 @@ public class PostReviewFacade {
         //获取数据
         Patients patients1 = patientsService.findOnePatientById(postReviewRequest.getParentId());
 
+
+        PatientsQuery query = new PatientsQuery();
+        query.setYn(YnEnums.YES.getId());
+        query.setPid(patients1.getPid());
+        query.setLastMensesStart(patients1.getLastMenses());
+        List<Patients> patients = patientsService.queryPatient(query);
+        if (CollectionUtils.isNotEmpty(patients))
+        {
+            for(Patients patients2 : patients)
+            {
+                if (patients2.getHospitalId().equals(hospital)) {
+                    return;
+                }
+            }
+        }
+
         //判断是否是同一个医院
         if (!patients1.getHospitalId().equals(hospital)) {