diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index 99ed609..d10d568 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -1300,24 +1300,30 @@ public class PatientFacade extends BaseServiceImpl {
 
 
         Query yn = null;
-        //双绒双羊、单绒单羊、单绒双羊
-        if ("1".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria2 = Criteria.where("name").is("双胎妊娠（双绒双羊）");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria2));
-
-        } else if ("2".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria2 = Criteria.where("name").is("双胎妊娠（单绒双羊）");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria2));
-
-        } else if ("3".equals(riskPatientsQueryRequest.getTwinsType())) {
-            Criteria criteria3 = Criteria.where("name").is("双胎妊娠（单绒单羊）");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria3));
-        } else {
-            Criteria criteria1 = Criteria.where("name").is("双胎妊娠（双绒双羊）");
-            Criteria criteria2 = Criteria.where("name").is("双胎妊娠（单绒双羊）");
-            Criteria criteria3 = Criteria.where("name").is("双胎妊娠（单绒单羊）");
-            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3));
+        if (hospital.equals("2100002419")){
+            Criteria criteria4 = Criteria.where("name").is("双胎妊娠");
+            yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria4));
+        }else {
+            //双绒双羊、单绒单羊、单绒双羊
+            if ("1".equals(riskPatientsQueryRequest.getTwinsType())) {
+                Criteria criteria2 = Criteria.where("name").is("双胎妊娠（双绒双羊）");
+                yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria2));
+
+            } else if ("2".equals(riskPatientsQueryRequest.getTwinsType())) {
+                Criteria criteria2 = Criteria.where("name").is("双胎妊娠（单绒双羊）");
+                yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria2));
+
+            } else if ("3".equals(riskPatientsQueryRequest.getTwinsType())) {
+                Criteria criteria3 = Criteria.where("name").is("双胎妊娠（单绒单羊）");
+                yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria3));
+            } else {
+                Criteria criteria1 = Criteria.where("name").is("双胎妊娠（双绒双羊）");
+                Criteria criteria2 = Criteria.where("name").is("双胎妊娠（单绒双羊）");
+                Criteria criteria3 = Criteria.where("name").is("双胎妊娠（单绒单羊）");
+                yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3));
+            }
         }
+
         List <BasicConfig> models = mongoTemplate.find(yn, BasicConfig.class);
         List <String> rFactorList = new ArrayList <>();
         if (models != null && models.size() > 0) {
@@ -1741,6 +1747,7 @@ public class PatientFacade extends BaseServiceImpl {
         //组合请求
         PatientsQuery patientsQuery = new PatientsQuery();//complayRequest(riskPatientsQueryRequest, isHighRisk, type, userId, needPage, isRegion);
         patientsQuery.setHospitalId(hospital);
+        patientsQuery.setNeed(needPage);
         //查询符合条件的孕妇
         StopWatch stopWatch = new StopWatch("queryPatient1 -" + hospital);
         stopWatch.start();
@@ -1763,7 +1770,6 @@ public class PatientFacade extends BaseServiceImpl {
             Criteria criteria2 = Criteria.where("name").is("甲减（需药物治疗）");
             Criteria criteria3 = Criteria.where("name").is("甲状腺功能减退引起相应系统功能障碍，基础代谢率小于-50%");
             Criteria criteria4 = Criteria.where("name").is("甲状腺功能减低（无需药物治疗）");
-
             yn = Query.query(Criteria.where("yn").is(1).orOperator(criteria1, criteria2, criteria3, criteria4));
         }
         List <BasicConfig> models = mongoTemplate.find(yn, BasicConfig.class);
@@ -1773,7 +1779,7 @@ public class PatientFacade extends BaseServiceImpl {
                 rFactorList.add(models.get(i).getId());
             }
         }
-        //TODO 换查询方式，把in改成包含
+
         patientsQuery.setjFactorList(rFactorList);
         List <Patients> patientses = patientsService.queryPatientBySort(patientsQuery, riskPatientsQueryRequest.getSort(), riskPatientsQueryRequest.getOrder());
         stopWatch.stop();
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/TwinsPatientWorker.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/TwinsPatientWorker.java
index ca394a1..a0cf2cc 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/TwinsPatientWorker.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/worker/TwinsPatientWorker.java
@@ -267,7 +267,8 @@ public class TwinsPatientWorker implements Callable<List<QuanPatientsResult>> {
                         if (null != basicConfig && sb.indexOf(basicConfig.getName()) == -1) {
                             if(basicConfig.getName().contains("双绒双羊") ||
                                     basicConfig.getName().contains("单绒双羊") ||
-                                    basicConfig.getName().contains("单绒单羊")){
+                                    basicConfig.getName().contains("单绒单羊") ||
+                                    basicConfig.getName().equals("双胎妊娠")){
                                 sb.append(basicConfig.getName()).append(',');
                             }
                         }
@@ -331,7 +332,8 @@ public class TwinsPatientWorker implements Callable<List<QuanPatientsResult>> {
                     }
                 } else if (twinsPatientsResult.getrFactor().contains("双绒双羊") ||
                         twinsPatientsResult.getrFactor().contains("单绒双羊") ||
-                        twinsPatientsResult.getrFactor().contains("单绒单羊")) {
+                        twinsPatientsResult.getrFactor().contains("单绒单羊") ||
+                        twinsPatientsResult.getrFactor().equals("双胎妊娠")) {
                     data.add(twinsPatientsResult);
                 }
             }