diff --git a/IRC.Core.SCP/Service/PatientStudyService.cs b/IRC.Core.SCP/Service/PatientStudyService.cs
index a809fd90c..8b817ae22 100644
--- a/IRC.Core.SCP/Service/PatientStudyService.cs
+++ b/IRC.Core.SCP/Service/PatientStudyService.cs
@@ -89,7 +89,7 @@ namespace IRaCIS.Core.SCP.Service
                 else
                 {
                     //没有未提交的，那么开始绑定的就是已提交的加1
-                    subjectMaxVisitNum = subjectAllVisitList.Last().VisitNum + 1;
+                    subjectMaxVisitNum = subjectAllVisitList.Any() ? subjectAllVisitList.Last().VisitNum + 1 : 0;
                 }
             }
             else
diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 13c97baf1..7ff383dc8 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -4234,6 +4234,13 @@
             <param name="digitPlaces"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.MRECISTHCCCalculateService.DownLoadTumorEvaluationStream(IRaCIS.Core.Application.Service.Reading.Dto.DownLoadReadReportInDto)">
+            <summary>
+            获取肿瘤评估报告
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.MRECISTHCCCalculateService.DownLoadReadReportStream(IRaCIS.Core.Application.Service.Reading.Dto.DownLoadReadReportInDto)">
             <summary>
             下载阅片报告
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index 430ed0e2e..22feb2f36 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -1276,7 +1276,7 @@ namespace IRaCIS.Application.Services
                 else
                 {
                     //没有未提交的，那么开始绑定的就是已提交的加1
-                    subjectMaxVisitNum = subjectAllVisitList.Last().VisitNum + 1;
+                    subjectMaxVisitNum = subjectAllVisitList.Any() ? subjectAllVisitList.Last().VisitNum + 1 : 0;
                 }
             }
             else