diff --git a/IRaCIS.Core.Application/Service/Doctor/DTO/DoctorModel.cs b/IRaCIS.Core.Application/Service/Doctor/DTO/DoctorModel.cs
index 7ed96e5d2..9f8793b4b 100644
--- a/IRaCIS.Core.Application/Service/Doctor/DTO/DoctorModel.cs
+++ b/IRaCIS.Core.Application/Service/Doctor/DTO/DoctorModel.cs
@@ -415,6 +415,27 @@ namespace IRaCIS.Application.Contracts
         /// 项目Id
         /// </summary>
         public Guid? TrialId { get; set; }
+
+        public SaveSummarizeInfo SaveSummarizeInfoType { get; set; } = SaveSummarizeInfo.SaveSelf;
+    }
+
+    public enum SaveSummarizeInfo
+    {
+        /// <summary>
+        /// 保存自己
+        /// </summary>
+        SaveSelf = 0,
+
+        /// <summary>
+        /// 保存并覆盖
+        /// </summary>
+        SaveAndCover = 1,
+
+        /// <summary>
+        /// 保存并新增
+        /// </summary>
+        SaveAndAdd = 2,
+
     }
 
     public class UpdateGneralSituationDto
diff --git a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
index 7fd5474e4..cdbe0e831 100644
--- a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
+++ b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
@@ -262,6 +262,37 @@ namespace IRaCIS.Core.Application.Service
                 }
             }
 
+            if (inDto.TrialId != null && inDto.SaveSummarizeInfoType!= SaveSummarizeInfo.SaveSelf)
+            {
+                switch (inDto.SaveSummarizeInfoType)
+                {
+                    case SaveSummarizeInfo.SaveAndCover:
+                        await _doctorSummarizeRepository.BatchUpdateNoTrackingAsync(x =>
+                        x.DoctorId == inDto.DoctorId && x.TrialId == null &&
+                        x.IndicationEn == inDto.IndicationEn && x.Indication == inDto.Indication, x => new DoctorSummarize()
+                        {
+                            Summarize = inDto.Summarize,
+                            SummarizeEn = inDto.SummarizeEn
+                        });
+                        break;
+                    case SaveSummarizeInfo.SaveAndAdd:
+                        var exists = await _doctorSummarizeRepository.AnyAsync(x => x.DoctorId == inDto.DoctorId && x.TrialId == null &&
+                          (x.IndicationEn == inDto.IndicationEn || x.Indication == inDto.Indication));
+                        if (exists)
+                        {
+                            throw new BusinessValidationFailedException(_localizer["DoctorSummarize_repeat"]);
+                        }
+                        else
+                        {
+                            var needData = inDto.Clone();
+                            needData.TrialId = null;
+                            await _doctorSummarizeRepository.InsertOrUpdateAsync(needData, true);
+                        }
+                        break;
+                }
+            }
+
+
             if (inDto.TrialId == null && inDto.IsMain)
             {