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 e208432..d4bca5d 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
@@ -35,6 +35,7 @@ import java.time.chrono.ChronoLocalDate;
 import java.util.Arrays;
 import java.util.List;
 import java.util.Objects;
+import java.util.stream.Collectors;
 
 import static net.lab1024.sa.common.common.code.UserErrorCode.NO_PERMISSION_EDIT;
 import static net.lab1024.sa.common.common.code.UserErrorCode.PROJECT_CLOSE;
@@ -287,15 +288,6 @@ public class MedicalRecordService {
             return ResponseDTO.userErrorParam("请先签署项目协议！");
         }
 
-        // 获取已提交病例数量
-        LambdaQueryWrapper<MedicalRecordEntity> caseCountQueryWrapper = new LambdaQueryWrapper<>();
-        caseCountQueryWrapper.eq(MedicalRecordEntity::getExpertId,expertId);
-        caseCountQueryWrapper.in(MedicalRecordEntity::getStatus, Arrays.asList(0, 1));
-        Long caseCount = medicalRecorDao.selectCount(caseCountQueryWrapper);
-        if (caseCount > 5 ){
-            return ResponseDTO.userErrorParam("每人最多可提交5份病例！");
-        }
-
         /*************************前置 检查*****************************/
 
         ResponseDTO check = check(updateForm, expertId);
@@ -460,23 +452,34 @@ public class MedicalRecordService {
         //患者id
         String uid = form.getUid();
 
-        // 获取该患者的全部病例
-        LambdaQueryWrapper<MedicalRecordEntity> medicalRecordQueryWrapper = new LambdaQueryWrapper<>();
-        medicalRecordQueryWrapper.eq(MedicalRecordEntity::getUserId, uid);
-        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)，所有病例对比
-            boolean isSameDate = medicalRecord.getAdmissionTime().toLocalDate().isEqual(admissionTime.toLocalDate());
-            if (isSameDate){
-                return ResponseDTO.userErrorParam("患者入院时间和其他病例出现重复");
+        // 获取全部患者数据
+        LambdaQueryWrapper<MedicalRecordUserEntity> userQueryWrapper = new LambdaQueryWrapper<>();
+        userQueryWrapper.eq(MedicalRecordUserEntity::getUid, uid);
+        List<MedicalRecordUserEntity> medicalRecordUsers = medicalRecorUserDao.selectList(userQueryWrapper);
+        if (!medicalRecordUsers.isEmpty()) {
+            List<Long> userIds = medicalRecordUsers.stream()
+                    .map(MedicalRecordUserEntity::getId)
+                    .distinct() // 可选：去重
+                    .collect(Collectors.toList());
+
+            // 获取该患者的全部病例
+            LambdaQueryWrapper<MedicalRecordEntity> medicalRecordQueryWrapper = new LambdaQueryWrapper<>();
+            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)，所有病例对比
+                boolean isSameDate = medicalRecord.getAdmissionTime().toLocalDate().isEqual(admissionTime.toLocalDate());
+                if (isSameDate){
+                    return ResponseDTO.userErrorParam("患者入院时间和其他病例出现重复");
+                }
             }
         }
 
-        medicalRecordQueryWrapper = new LambdaQueryWrapper<>();
+        LambdaQueryWrapper<MedicalRecordEntity> medicalRecordQueryWrapper = new LambdaQueryWrapper<>();
         medicalRecordQueryWrapper.eq(MedicalRecordEntity::getExpertId, expertId);
-        medicalRecords = medicalRecorDao.selectList(medicalRecordQueryWrapper);
-        if (medicalRecords.size() >= 20){
+        List<MedicalRecordEntity> medicalRecords = medicalRecorDao.selectList(medicalRecordQueryWrapper);
+        if (medicalRecords.size() >= 4){
             return ResponseDTO.userErrorParam("每人参与病例征集不得超过20例");
         }