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 d04c78c..1699183 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
@@ -3701,24 +3701,27 @@ public class AntenatalExaminationFacade {
                     //浮肿
                     for (DiagnoseItemModel item : items) {
                         if (String.valueOf(DiagnoseEnums.DiagnoseDetailItemEnums.FZ.getId()).equals(item.getValueOne())
-                                && String.valueOf(DiagnoseEnums.JwsChildEnums.A.getId()).equals(item.getValueTwo()) &&
-                                CollectionUtils.isNotEmpty(item.getRiskIds())) {
+                                && String.valueOf(DiagnoseEnums.JwsChildEnums.A.getId()).equals(item.getValueTwo())
+                                && FuZhongEnums.O.getId().equals(antExcAddRequest.getEdema())
+                                && CollectionUtils.isNotEmpty(item.getRiskIds())) {
                             list.addAll(item.getRiskIds());
                         }
                         else if (String.valueOf(DiagnoseEnums.DiagnoseDetailItemEnums.FZ.getId()).equals(item.getValueOne())
-                                && String.valueOf(DiagnoseEnums.JwsChildEnums.B.getId()).equals(item.getValueTwo()) &&
-                                CollectionUtils.isNotEmpty(item.getRiskIds()))
+                                && String.valueOf(DiagnoseEnums.JwsChildEnums.B.getId()).equals(item.getValueTwo())
+                                && FuZhongEnums.O1.getId().equals(antExcAddRequest.getEdema()) &&  CollectionUtils.isNotEmpty(item.getRiskIds()))
                         {
                             list.addAll(item.getRiskIds());
                         }
                         else if (String.valueOf(DiagnoseEnums.DiagnoseDetailItemEnums.FZ.getId()).equals(item.getValueOne())
-                                && String.valueOf(DiagnoseEnums.JwsChildEnums.C.getId()).equals(item.getValueTwo()) &&
+                                && String.valueOf(DiagnoseEnums.JwsChildEnums.C.getId()).equals(item.getValueTwo())
+                                && FuZhongEnums.O2.getId().equals(antExcAddRequest.getEdema()) &&
                                 CollectionUtils.isNotEmpty(item.getRiskIds()))
                         {
                             list.addAll(item.getRiskIds());
                         }
                         else if (String.valueOf(DiagnoseEnums.DiagnoseDetailItemEnums.FZ.getId()).equals(item.getValueOne())
-                                && String.valueOf(DiagnoseEnums.JwsChildEnums.D.getId()).equals(item.getValueTwo()) &&
+                                && String.valueOf(DiagnoseEnums.JwsChildEnums.D.getId()).equals(item.getValueTwo())
+                                && FuZhongEnums.O3.getId().equals(antExcAddRequest.getEdema()) &&
                                 CollectionUtils.isNotEmpty(item.getRiskIds()))
                         {
                             list.addAll(item.getRiskIds());