diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
index 445d50e..51d52e8 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
@@ -529,10 +529,18 @@ public class BookbuildingFacade {
 			List<Patients> patientsVc =  yunBookbuildingService.queryPregnantWithQuery(patientsQuery);
 			if (CollectionUtils.isNotEmpty(patientsVc))
 			{
-				patientsQuery.setHospitalId(null);
-				patientsQuery.setVcCardNo(null);
-				patientsQuery.setCardNo(patientsVc.get(0).getCardNo());
-				patients =  yunBookbuildingService.queryPregnantWithQuery(patientsQuery,"bookbuildingDate", Sort.Direction.DESC);
+				if (patientsVc.get(0) == null || StringUtils.isEmpty(patientsVc.get(0).getCardNo()))
+				{
+					patients = patientsVc;
+				}
+				else
+				{
+					patientsQuery.setHospitalId(null);
+					patientsQuery.setVcCardNo(null);
+					patientsQuery.setCardNo(patientsVc.get(0).getCardNo());
+					patients =  yunBookbuildingService.queryPregnantWithQuery(patientsQuery,"bookbuildingDate", Sort.Direction.DESC);
+				}
+
 			}
 			// 如果为空，初次建档，根据就诊卡号从HIS库取患者信息
 			else {