diff --git a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordEntity.java b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordEntity.java
index b0a9eb3..76fa7b6 100644
--- a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordEntity.java
+++ b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordEntity.java
@@ -39,10 +39,20 @@ public class MedicalRecordEntity {
     private LocalDateTime admissionTime;
 
     /**
-     * 病历类型
+     * 治疗类型
      */
     private String caseType;
 
+    /**
+     * 0待审核 1审核通过 2审核不通过
+     */
+    private Integer status;
+
+    /**
+     * 审核不通过原因
+     */
+    private String reason;
+
     /**
      * 统计 天
      */
@@ -74,8 +84,6 @@ public class MedicalRecordEntity {
     private LocalDateTime createTime;
 
 
-    private Integer status;
-
     /**
      * 主要诊断
      */
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 d3642e2..eed2947 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
@@ -261,7 +261,7 @@ public class MedicalRecordService {
             return ResponseDTO.userErrorParam("操作失败");
         }
 
-        if (medicalRecord.getStatus() != 0){
+        if (medicalRecord.getStatus() == 1){
             return ResponseDTO.error(NO_PERMISSION_EDIT);
         }
 
@@ -289,6 +289,7 @@ public class MedicalRecordService {
         medicalRecord.setMainDiagnose(updateForm.getMainDiagnose());
         medicalRecord.setDiseaseCause(updateForm.getDiseaseCause());
         medicalRecord.setSeductionReason(updateForm.getSeductionReason());
+        medicalRecord.setReason("");
         medicalRecorDao.updateById(medicalRecord);
 
         // 病历-用户