diff --git a/app/Services/PatientFamilyService.php b/app/Services/PatientFamilyService.php
index 42dff0d..22ae70a 100644
--- a/app/Services/PatientFamilyService.php
+++ b/app/Services/PatientFamilyService.php
@@ -83,6 +83,13 @@ class PatientFamilyService extends BaseService
                         $is_default_id = $patient_family['family_id'];
                     }
                 }
+
+                // 检测是否已经存在本人
+                if (isset($request_params['relation'])) {
+                    if ($request_params['relation'] == 1 && $patient_family['relation'] == 1) {
+                        return fail(HttpEnumCode::HTTP_ERROR, "关系为本人的患者只能添加一位");
+                    }
+                }
             }
         }
 
@@ -343,10 +350,12 @@ class PatientFamilyService extends BaseService
                     return fail(HttpEnumCode::HTTP_ERROR, "证件号码重复");
                 }
 
-//                // 检测患者关系-本人类型是否重复
-//                if ($request_params['relation'] == 1 && $value['relation'] == 1) {
-//                    return fail(HttpEnumCode::HTTP_ERROR, "患者类型重复");
-//                }
+                // 检测是否已经存在本人
+                if (isset($request_params['relation'])) {
+                    if ($request_params['relation'] == 1 && $patient_family['relation'] == 1) {
+                        return fail(HttpEnumCode::HTTP_ERROR, "关系为本人的患者只能添加一位");
+                    }
+                }
 
                 // 检测是否默认字段是否重复
                 if (isset($request_params['is_default'])) {