diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/TestController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/TestController.java
index 344b2c5..68465d0 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/TestController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/TestController.java
@@ -466,7 +466,6 @@ public class TestController {
         patientQuery.setHospitalId(hid);
         patientQuery.setrLevel("e637b361-99cf-41eb-84f2-f0dab596e928");
 
-
         List<Patients> patientses = patientsService.queryPatient(patientQuery);
         int batchSize = 500;
         int end = 0;
@@ -495,9 +494,71 @@ public class TestController {
                                        if (CollectionUtils.isNotEmpty(rFactors) && rFactors.contains("d42eec03-aa86-45b8-a4e0-78a0ff365fb6"))
                                        {
                                            rFactors.remove("d42eec03-aa86-45b8-a4e0-78a0ff365fb6");
-                                           String resultLevel = JsonUtil.array2JsonString(levels.remove("e637b361-99cf-41eb-84f2-f0dab596e928"));
+                                           levels.remove("e637b361-99cf-41eb-84f2-f0dab596e928");
+                                           pat.setRiskFactorId(rFactors);
+                                           String resultLevel = JsonUtil.array2JsonString(levels);
                                            pat.setRiskLevelId(resultLevel);
                                            patientsService.updatePatient(pat);
+
+                                           AntExChuQuery antExChuQuery = new AntExChuQuery();
+                                           antExChuQuery.setYn(YnEnums.YES.getId());
+                                           antExChuQuery.setParentId(pat.getId());
+                                           antExChuQuery.setHospitalId(pat.getHospitalId());
+                                           List<AntExChuModel> antExChuModelList = antenatalExaminationService.queryAntExChu(antExChuQuery);
+                                           if (CollectionUtils.isNotEmpty(antExChuModelList))
+                                           {
+                                               for(AntExChuModel cmodel : antExChuModelList)
+                                               {
+                                                   String highriskStr = cmodel.getHighrisk();
+                                                   String otherRisk = cmodel.getOtherHighRisk();
+                                                   if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(highriskStr))
+                                                   {
+                                                       List<String> highrisks = JsonUtil.toList(highriskStr, String.class);
+                                                       if (CollectionUtils.isNotEmpty(highrisks) && highrisks.contains("d42eec03-aa86-45b8-a4e0-78a0ff365fb6") && highrisks.size() > 1)
+                                                       {
+                                                           highrisks.remove("d42eec03-aa86-45b8-a4e0-78a0ff365fb6");
+                                                           cmodel.setHighrisk(JsonUtil.array2JsonString(highrisks));
+                                                           antenatalExaminationService.updateAntExChu(cmodel,cmodel.getId());
+                                                       }
+                                                       else if (CollectionUtils.isNotEmpty(highrisks) &&  highrisks.contains("d42eec03-aa86-45b8-a4e0-78a0ff365fb6") && !"{}".equals(otherRisk))
+                                                       {
+                                                           highrisks.remove("d42eec03-aa86-45b8-a4e0-78a0ff365fb6");
+                                                           cmodel.setHighrisk(JsonUtil.array2JsonString(highrisks));
+                                                           antenatalExaminationService.updateAntExChu(cmodel,cmodel.getId());
+                                                       }
+                                                   }
+                                               }
+
+                                               // 查询复诊
+                                               AntExQuery antExQuery = new AntExQuery();
+                                               antExQuery.setYn(YnEnums.YES.getId());
+                                               antExQuery.setParentId(pat.getId());
+                                               antExQuery.setHospitalId(pat.getHospitalId());
+                                               List<AntenatalExaminationModel> antenatalExaminationModelList = antenatalExaminationService.queryAntenatalExamination(antExQuery.convertToQuery());
+                                               if (CollectionUtils.isNotEmpty(antenatalExaminationModelList)) {
+                                                   for (AntenatalExaminationModel fmodel : antenatalExaminationModelList) {
+                                                       String highriskStr = fmodel.getRiskFactor();
+                                                       String otherRisk = fmodel.getOtherRisk();
+                                                       if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(highriskStr))
+                                                       {
+                                                           List<String> highrisks = JsonUtil.toList(highriskStr, String.class);
+                                                           if (CollectionUtils.isNotEmpty(highrisks) && highrisks.contains("d42eec03-aa86-45b8-a4e0-78a0ff365fb6") && highrisks.size() > 1)
+                                                           {
+                                                               highrisks.remove("d42eec03-aa86-45b8-a4e0-78a0ff365fb6");
+                                                               fmodel.setRiskFactor(JsonUtil.array2JsonString(highrisks));
+                                                               antenatalExaminationService.updateOneAnt(fmodel,fmodel.getId());
+                                                           }
+                                                           else if (CollectionUtils.isNotEmpty(highrisks) &&  highrisks.contains("d42eec03-aa86-45b8-a4e0-78a0ff365fb6") && !"{}".equals(otherRisk))
+                                                           {
+                                                               highrisks.remove("d42eec03-aa86-45b8-a4e0-78a0ff365fb6");
+                                                               fmodel.setRiskFactor(JsonUtil.array2JsonString(highrisks));
+                                                               antenatalExaminationService.updateOneAnt(fmodel, fmodel.getId());
+                                                           }
+                                                       }
+                                                   }
+                                               }
+
+                                           }
                                        }
                                    }