diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
index dde181d..e3935e9 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
@@ -206,6 +206,20 @@ public class BabyEyeCheckServiceImpl extends BaseServiceImpl implements BabyEyeC
     public BaseResponse addOrUpdateQhd(Integer userId, BabyEyeCheck babyEyeCheck) {
         String hospitalId = autoMatchFacade.getHospitalId(userId);
 
+        if ("2".equals(babyEyeCheck.getEyeAppearance())
+                || "2".equals(babyEyeCheck.getRedReflexQhd())
+                || "2".equals(babyEyeCheck.getBlinkReflex())
+                || "2".equals(babyEyeCheck.getRedBallTest())
+                || "2".equals(babyEyeCheck.getBehaviorObservation())
+                || "2".equals(babyEyeCheck.getRefractiveScreening())
+                || "2".equals(babyEyeCheck.getEyePositionExamination())
+                || "2".equals(babyEyeCheck.getEyeMovement()) ) {
+            //器械判定阳性
+            babyEyeCheck.setApparatus("2");
+        } else {
+            babyEyeCheck.setApparatus("1");
+        }
+
         //添加眼保健
         if (StringUtils.isEmpty(babyEyeCheck.getId())) {
             if (!mongoUtil.buildArchive(userId, babyEyeCheck.getBabyId())) {