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 ba6778c..fbde131 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
@@ -3507,7 +3507,7 @@ public class AntenatalExaminationFacade {
             patientsQuery.setPid(pid);
         }
 
-        if (StringUtils.isNotEmpty(cardNo)) {
+        if (StringUtils.isEmpty(cardNo)) {
             if (StringUtils.isNotEmpty(vcCardNo)) {
                 //德州市妇幼保健院医院通过（就诊卡号、银行卡号，社保卡号） 查询出对应的用过的卡号 add lqy
                 if (CollectionUtils.isNotEmpty(hospitalId) && hospitalId.contains("1000000114")) {
@@ -3561,7 +3561,7 @@ public class AntenatalExaminationFacade {
             patientsQuery.setCardNo(cardNo);
         }
 
-        if (StringUtils.isNotEmpty(vcCardNo)) {
+        if (StringUtils.isNotEmpty(vcCardNo) && StringUtils.isEmpty(cardNo)) {
             //德州市妇幼保健院医院通过（就诊卡号、银行卡号，社保卡号） 查询出对应的用过的卡号 add lqy
             if ("1000000114".equals(hospitalId)) {
                 patientsQuery.setVcCardNos(dzfyHisService.getDzVcCardNos(vcCardNo));