diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index 04de55c3..acb1a7b0 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -697,9 +697,9 @@ namespace IRaCIS.Core.Application.Service
             if (medicalReviewInfo.IsAutoGenerate)
             {
 
-                var allMedicalAuditList=  await _taskMedicalReviewRepository.Where(x => medicalReviewInfo.PDRelationTaskIdList.Contains(x.Id) ).ToListAsync();
+                var allMedicalAuditList=  await _taskMedicalReviewRepository.Where(x => medicalReviewInfo.PDRelationTaskIdList.Contains(x.VisitTaskId) && x.IsAutoGenerate && x.IsInvalid==false).ToListAsync();
 
-                if (allMedicalAuditList.All(t => t.IsApplyHeavyReading == false))
+                if (allMedicalAuditList.All(t => t.IsApplyHeavyReading == false && t.AuditSignTime!=null && t.AuditState == MedicalReviewAuditState.HaveSigned))
                 {
                     //自动发送
                     await _trialEmailNoticeConfigService.BaseBusinessScenarioSendEmailAsync(medicalReviewInfo.VisitTaskId, false);