diff --git a/sa-admin/src/main/java/net/lab1024/sa/admin/module/business/caseClinicalDoctor/service/CaseClinicalDoctorService.java b/sa-admin/src/main/java/net/lab1024/sa/admin/module/business/caseClinicalDoctor/service/CaseClinicalDoctorService.java
index 59dd74f..87696e8 100644
--- a/sa-admin/src/main/java/net/lab1024/sa/admin/module/business/caseClinicalDoctor/service/CaseClinicalDoctorService.java
+++ b/sa-admin/src/main/java/net/lab1024/sa/admin/module/business/caseClinicalDoctor/service/CaseClinicalDoctorService.java
@@ -132,13 +132,13 @@ public class CaseClinicalDoctorService {
             doctorWrapper.eq(CaseClinicalDoctorEntity::getDoctorIden, data.getUuid());
             CaseClinicalDoctorEntity caseClinicalDoctor = caseClinicalDoctorDao.selectOne(doctorWrapper);
 
-            // 二次匹配：姓名 + 医院
-            if (caseClinicalDoctor == null) {
-                doctorWrapper = new LambdaQueryWrapper<>();
-                doctorWrapper.eq(CaseClinicalDoctorEntity::getDoctorName, data.getRealname());
-                doctorWrapper.eq(CaseClinicalDoctorEntity::getHospitalId, targetHospitalId);
-                caseClinicalDoctor = caseClinicalDoctorDao.selectOne(doctorWrapper);
-            }
+//            // 二次匹配：姓名 + 医院 当有uuid时 不做二次匹配
+//            if (caseClinicalDoctor == null) {
+//                doctorWrapper = new LambdaQueryWrapper<>();
+//                doctorWrapper.eq(CaseClinicalDoctorEntity::getDoctorName, data.getRealname());
+//                doctorWrapper.eq(CaseClinicalDoctorEntity::getHospitalId, targetHospitalId);
+//                caseClinicalDoctor = caseClinicalDoctorDao.selectOne(doctorWrapper);
+//            }
 
             if (caseClinicalDoctor == null) {
                 // 新增