diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabySieveFacede.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabySieveFacede.java
index 0658656..dcdf7e0 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabySieveFacede.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabySieveFacede.java
@@ -518,7 +518,10 @@ public class BabySieveFacede {
                                 bSieve.setXscsjg("4");
                             }
                             bSieve.setXsresultJSON(jsonObjectData.toString()); //检查详细存储起来
+                            bSieve.setSieveStatuseNw("3");
                             babySieveQhdService.updateBabySieveById(bSieve, babySieveQhdModel.getId());
+                            updateBabyBuildSieve(babySieveQhdModel, bSieve);
+
                         }
                     }else {
                         operateLogFacade.addModifyOptLog(null, Integer.valueOf(babySieveQhdModel.getHospitalId()),babySieveQhdModel, jsonObject, OptActionEnums.ADD.getId(), "新筛四病结果异常");
@@ -548,7 +551,9 @@ public class BabySieveFacede {
                                 bSieve.setClcsjg(patien.get("status2").toString());
                             }
                             bSieve.setClresultJSON(jsonObjectData.toString()); //检查详细存储起来
+                            bSieve.setSieveStatuseNw("3");
                             babySieveQhdService.updateBabySieveById(bSieve, babySieveQhdModel.getId());
+                            updateBabyBuildSieve(babySieveQhdModel, bSieve);
                         }
                     }else {
                         operateLogFacade.addModifyOptLog(null, Integer.valueOf(babySieveQhdModel.getHospitalId()),babySieveQhdModel, jsonObject, OptActionEnums.ADD.getId(), "串联质谱结果异常");
@@ -560,6 +565,14 @@ public class BabySieveFacede {
         }
     }
 
+    private void updateBabyBuildSieve(BabySieveQhdModel babySieveQhdModel, BabySieveQhdModel bSieve) {
+        BabyModel model = new BabyModel();
+        model.setXscsjg(bSieve.getXscsjg());
+        model.setClcsjg(bSieve.getClcsjg());
+        model.setSieveStatuseNw(bSieve.getSieveStatuseNw());
+        babyBookbuildingService.updateBabyBuild(model, babySieveQhdModel.getBabyId());
+    }
+
     /**
      * 儿童筛查保存 同步到对方系统 秦皇岛
      *
@@ -661,8 +674,8 @@ public class BabySieveFacede {
         model.setMsTiaoXingMa(babySieveAddQhdRequest.getMsTiaoXingMa());//串联血卡编号:
 
         model.setSieveStatuseNwXy(babySieveAddQhdRequest.getSieveStatuseNwXy()); //血样状态 1合格 2不合格
-        model.setXscsjg(babySieveAddQhdRequest.getXscsjg());//新筛四项筛查结果（1阳性、2阴性）:
-        model.setClcsjg(babySieveAddQhdRequest.getClcsjg());//串联质谱筛查结果（1阳性、2阴性）:
+        model.setXscsjg(babySieveAddQhdRequest.getXscsjg());//新筛四项筛查结果（1阳性、2阴性 4召回）
+        model.setClcsjg(babySieveAddQhdRequest.getClcsjg());//串联质谱筛查结果（1阳性、2阴性  4召回 6临床确诊）
 
         model.setPay_type(babySieveAddQhdRequest.getPay_type());//两病支付方式（1自费、2免费）
         model.setClzffs(babySieveAddQhdRequest.getClzffs());//串联支付方式（1自费、2免费）
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/BabySieveAddQhdRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/BabySieveAddQhdRequest.java
index 031d452..183c216 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/BabySieveAddQhdRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/BabySieveAddQhdRequest.java
@@ -37,7 +37,7 @@ public class BabySieveAddQhdRequest implements IBasicRequestConvert<BabySieveQhd
     /*儿童信息*/
     /*
     筛查状态 null || 0：待申请（操作：空），1：已申请（操作：修改筛查信息，查看申请单），
-          2：已接收 + 1合格 =（操作：查看申请单）， + 2不合格（操作：修改筛查信息，查看申请单）
+          //2：已接收 + 1合格 =（操作：查看申请单）， + 2不合格（操作：修改筛查信息，查看申请单）
           3：有结果（操作：查看结果）
      */
     private String sieveStatuseNw;