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 625e28b..b4fbaaf 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
@@ -152,19 +152,47 @@ public class AntenatalExaminationFacade {
 
         if (StringUtils.isNotEmpty(patients.getSource())) {
             Patients masterPatients = patientsService.findOnePatientById(patients.getSource());
-            masterPatients.setModified(patients.getModified());
-            masterPatients.setoRiskFactor(patients.getoRiskFactor());
-            masterPatients.setLastCTime(patients.getLastCTime());
-            masterPatients.setPostViewTimes(patients.getPostViewTimes());
-            masterPatients.setLastRhTime(patients.getLastRhTime());
-            masterPatients.setRiskFactorId(patients.getRiskFactorId());
-            masterPatients.setRiskLevelId(patients.getRiskLevelId());
-            masterPatients.setRiskScore(patients.getRiskScore());
-            masterPatients.setNextCheckTime(patients.getNextCheckTime());
-            masterPatients.setFmDate(patients.getFmDate());
-            masterPatients.setServiceStatus(patients.getServiceStatus());
-            masterPatients.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
-            patientsService.updatePatient(masterPatients);
+            Patients p1 = new Patients();
+            p1.setId(masterPatients.getId());
+            p1.setModified(patients.getModified());
+            p1.setoRiskFactor(patients.getoRiskFactor());
+            p1.setLastCTime(patients.getLastCTime());
+            p1.setPostViewTimes(patients.getPostViewTimes());
+            p1.setLastRhTime(patients.getLastRhTime());
+            p1.setRiskFactorId(patients.getRiskFactorId());
+            p1.setRiskLevelId(patients.getRiskLevelId());
+            p1.setRiskScore(patients.getRiskScore());
+            p1.setNextCheckTime(patients.getNextCheckTime());
+            p1.setFmDate(patients.getFmDate());
+            p1.setServiceStatus(patients.getServiceStatus());
+            p1.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
+            patientsService.updatePatient(p1);
+            patientsService.updatePatientOneCol(masterPatients.getId(), patients.getNextCheckTime());
+        }else{
+            PatientsQuery patientsQuery1=new PatientsQuery();
+            patientsQuery1.setSource(parentId);
+            patientsQuery1.setYn(YnEnums.YES.getId());
+            List<Patients> list=  patientsService.queryPatient(patientsQuery1);
+            if(CollectionUtils.isNotEmpty(list)){
+                for(Patients p:list){
+                    Patients p1 = new Patients();
+                    p1.setId(p.getId());
+                    p1.setModified(patients.getModified());
+                    p1.setoRiskFactor(patients.getoRiskFactor());
+                    p1.setLastCTime(patients.getLastCTime());
+                    p1.setPostViewTimes(patients.getPostViewTimes());
+                    p1.setLastRhTime(patients.getLastRhTime());
+                    p1.setRiskFactorId(patients.getRiskFactorId());
+                    p1.setRiskLevelId(patients.getRiskLevelId());
+                    p1.setRiskScore(patients.getRiskScore());
+                    p1.setNextCheckTime(patients.getNextCheckTime());
+                    p1.setFmDate(patients.getFmDate());
+                    p1.setServiceStatus(patients.getServiceStatus());
+                    p1.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
+                    patientsService.updatePatient(p1);
+                    patientsService.updatePatientOneCol(p.getId(), patients.getNextCheckTime());
+                }
+            }
         }
     }