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 6d64110..979c78a 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
@@ -173,6 +173,7 @@ public class AntenatalExaminationFacade {
             String hospitalId = autoMatchFacade.getHospitalId(userId);
             AntExChuQuery antExChuQuery1 = new AntExChuQuery();
             antExChuQuery1.setParentId(excAddRequest.getParentId());
+            antExChuQuery1.setYn(YnEnums.YES.getId());
             List<AntExChuModel> data1 = antenatalExaminationService.queryAntExChu(antExChuQuery1);
             //初诊只能建一次
             if (CollectionUtils.isEmpty(data1)) {