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 924bb28..65b503b 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
@@ -682,7 +682,11 @@ public class AntenatalExaminationFacade {
         boolean isHightRisk = false;
         if (patient.getRiskScore() != null) {
             if (patient.getRiskScore() > 0) {//高危评分大于0
-                isHightRisk = true;
+                if(CollectionUtils.isNotEmpty(patient.getRiskFactorId())){
+                    if(!"d42eec03-aa86-45b8-a4e0-78a0ff365fb6".equals(patient.getRiskFactorId().get(0))){
+                        isHightRisk = true;
+                    }
+                }
             }
         }