diff --git a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/service/MedicalRecordService.java b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/service/MedicalRecordService.java
index e724e54..ff0c53c 100644
--- a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/service/MedicalRecordService.java
+++ b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/service/MedicalRecordService.java
@@ -591,8 +591,8 @@ public class MedicalRecordService {
                     .map(MedicalRecordUserEntity::getId)
                     .distinct() // 可选：去重
                     .collect(Collectors.toList());
-            if (!userIds.isEmpty()){
-                return ResponseDTO.userErrorParam("请勿上传重复病例");
+            if (userIds.isEmpty()){
+                return ResponseDTO.userErrorParam("操作失败");
             }
 
             // 获取该患者的全部病例
@@ -600,11 +600,13 @@ public class MedicalRecordService {
             medicalRecordQueryWrapper.in(MedicalRecordEntity::getUserId, userIds);
             List<MedicalRecordEntity> medicalRecords = medicalRecorDao.selectList(medicalRecordQueryWrapper);
             for (MedicalRecordEntity medicalRecord: medicalRecords) {
-                // 判断是否是今天
-                // 同一个患者ID可以提交多份病例(入院时间不同入院时间不同)，所有病例对比
-                boolean isSameDate = medicalRecord.getAdmissionTime().toLocalDate().isEqual(form.getAdmissionTime().toLocalDate());
-                if (isSameDate){
-                    return ResponseDTO.userErrorParam("请勿上传重复病例");
+                if (!Objects.equals(form.getId(), medicalRecord.getId())){
+                    // 判断是否是今天
+                    // 同一个患者ID可以提交多份病例(入院时间不同入院时间不同)，所有病例对比
+                    boolean isSameDate = medicalRecord.getAdmissionTime().toLocalDate().isEqual(form.getAdmissionTime().toLocalDate());
+                    if (isSameDate){
+                        return ResponseDTO.userErrorParam("请勿上传重复病例");
+                    }
                 }
             }
         }