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 2e65ff6..2f76c7e 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
@@ -4261,6 +4261,16 @@ public class AntenatalExaminationFacade {
                 } catch (Exception e) {
                     e.printStackTrace();
                 }
+
+                try {
+                    if (StringUtils.isNotEmpty(antExChuModel.getSecondaryDiagnosisId())) {
+                        List list = JsonUtil.toList(antExChuModel.getSecondaryDiagnosisId(), List.class);
+                        antexChuResult.setSecondaryDiagnosisId(queryRisk(list, false).getHighRisk());
+                    }
+                } catch (Exception e) {
+                }
+
+
                 String doctorId = antExChuModel.getProdDoctor();
                 Map <String, String> map1 = new HashMap <>();
                 if (StringUtils.isNotEmpty(doctorId)) {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexChuResult.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexChuResult.java
index e0f2e23..5e14c1a 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexChuResult.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexChuResult.java
@@ -26,14 +26,24 @@ public class AntexChuResult {
     //该字段是针对聊城东昌区妇幼保健医院保存当天孕妇的lis检查项
     private String lisCheckItems;
     private String vcCardNo;
+    //次要诊断手入
+    private String secondaryDiagnosis;
 
-    private String secondaryDiagnosisId;
 
-    public String getSecondaryDiagnosisId() {
+    public String getSecondaryDiagnosis() {
+        return secondaryDiagnosis;
+    }
+
+    public void setSecondaryDiagnosis(String secondaryDiagnosis) {
+        this.secondaryDiagnosis = secondaryDiagnosis;
+    }
+    private List secondaryDiagnosisId;
+
+    public List getSecondaryDiagnosisId() {
         return secondaryDiagnosisId;
     }
 
-    public void setSecondaryDiagnosisId(String secondaryDiagnosisId) {
+    public void setSecondaryDiagnosisId(List secondaryDiagnosisId) {
         this.secondaryDiagnosisId = secondaryDiagnosisId;
     }
 
@@ -1972,7 +1982,7 @@ public class AntexChuResult {
     }
     public AntexChuResult convertToResult(AntExChuModel antExChuModel) {
         if (null != antExChuModel) {
-            setSecondaryDiagnosisId(antExChuModel.getSecondaryDiagnosisId());
+            setSecondaryDiagnosis(antExChuModel.getSecondaryDiagnosis());
             setZyzlState(antExChuModel.getZyzlState());
             if("no".equals(antExChuModel.getZyzlState())){
                 setZyzlContent(null);