diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
index 027bbcf..c9e2f7f 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
@@ -135,6 +135,21 @@ public class PatientController {
             patient.setCreatedtime(new Date());
             patient.setPpasswd(Constant.COMMON_PASSWD);
         } else {
+            QueryWrapper<LymsPcase> queryWrapper = new QueryWrapper<>();
+            queryWrapper.eq("pid", patient.getId());
+            Calendar calendar = Calendar.getInstance();
+            calendar.setTime(new Date());
+            calendar.set(Calendar.HOUR_OF_DAY, 00);//时
+            calendar.set(Calendar.MINUTE, 00);//分
+            calendar.set(Calendar.SECOND, 00);//秒
+            queryWrapper.ge("createdtime", calendar.getTime());
+            int count = lymsPcaseService.count(queryWrapper);
+            //如果今天有这个患者病例不用添加（这里防止同一天平台重复添加）
+            if (count != 0) {
+                baseResponse.setErrorcode(1);
+                baseResponse.setErrormsg("今天已经添加过该患者病例。不要重复添加！");
+                return baseResponse;
+            }
             patient.setId(patient2.getId());
             patient.setUpdatedtime(new Date());
             patient.setCcnt(patient2.getCcnt()+  (null== patient.getCcnt()?0:patient.getCcnt()));