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 e8c170a..f7e727c 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
@@ -1379,6 +1379,9 @@ public class AntenatalExaminationFacade {
      * @return
      */
     public BaseResponse delOneAntEx(AntExQueryRequest antExQueryRequest, Integer userId) {
+
+        String parentId = "";
+
         if ("1".equals(antExQueryRequest.getType())) {
             AntenatalExaminationModel antEx = new AntenatalExaminationModel();
             antEx.setYn(YnEnums.NO.getId());
@@ -1387,7 +1390,7 @@ public class AntenatalExaminationFacade {
 
             AntenatalExaminationModel localAntModel = antenatalExaminationService.findOneById(antExQueryRequest.getId());
 
-            ;
+            parentId =localAntModel.getParentId();
 
             /*AntExQuery antExQuery = new AntExQuery();
             antExQuery.setId(antExQueryRequest.getId());
@@ -1432,7 +1435,7 @@ public class AntenatalExaminationFacade {
 
             AntExChuModel antExChuModel11 = antenatalExaminationService.findOne(antExQueryRequest.getId());
 
-
+            parentId = antExChuModel11.getParentId();
 
 
             /*AntExChuQuery antExQuery = new AntExChuQuery();
@@ -1473,6 +1476,52 @@ public class AntenatalExaminationFacade {
             }
         }
 
+
+        //删除复诊或者出诊的时候更新patient表的下次预约时间为最近的一次预约
+        if (StringUtils.isNotEmpty(parentId))
+        {
+            PatientsQuery patientQuery = new PatientsQuery();
+            patientQuery.setYn(YnEnums.YES.getId());
+            patientQuery.setId(parentId);
+            List<Patients> patientses = patientsService.queryPatient(patientQuery);
+            if (CollectionUtils.isNotEmpty(patientses))
+            {
+                for (Patients pat : patientses) {
+                    AntExChuQuery antExChuQuery = new AntExChuQuery();
+                    antExChuQuery.setYn(YnEnums.YES.getId());
+                    antExChuQuery.setHospitalId(pat.getHospitalId());
+                    antExChuQuery.setParentId(pat.getId());
+                    List<AntExChuModel> chus = antenatalExaminationService.queryAntExChu(antExChuQuery);
+                    if (CollectionUtils.isNotEmpty(chus)) {
+                        Date nextTime = null;
+                        AntExChuModel chu  =  chus.get(0);
+                        if (chu != null)
+                        {
+                            nextTime = chu.getNextCheckTime();
+
+                            AntExQuery antExQuery = new AntExQuery();
+                            antExQuery.setParentId(pat.getId());
+                            antExQuery.setYn(YnEnums.YES.getId());
+                            antExQuery.setHospitalId(pat.getHospitalId());
+                            List<AntenatalExaminationModel> list =  antenatalExaminationService.queryAntenatalExamination(antExQuery.convertToQuery().addOrder(Sort.Direction.DESC, "created"));
+                            if (CollectionUtils.isNotEmpty(list))
+                            {
+                                AntenatalExaminationModel ae =  list.get(0);
+                                if (ae != null)
+                                {
+                                    nextTime = ae.getNextCheckTime();
+                                }
+                            }
+                            patientsService.updatePatientOneCol(pat.getId(), nextTime);
+
+                        }
+
+                    }
+                }
+            }
+        }
+
+
         return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
     }