diff --git a/IRaCIS.Core.Application/Service/Institution/HospitalService.cs b/IRaCIS.Core.Application/Service/Institution/HospitalService.cs
index 6ce0a8f22..e315983ed 100644
--- a/IRaCIS.Core.Application/Service/Institution/HospitalService.cs
+++ b/IRaCIS.Core.Application/Service/Institution/HospitalService.cs
@@ -3,19 +3,22 @@ using IRaCIS.Application.Contracts;
 using IRaCIS.Core.Infra.EFCore;
 using Microsoft.AspNetCore.Mvc;
 using IRaCIS.Core.Infrastructure;
+using Microsoft.Data.Sqlite;
 
 namespace IRaCIS.Application.Services
 {
-    [ ApiExplorerSettings(GroupName = "Institution")]
+    [ApiExplorerSettings(GroupName = "Institution")]
     public class HospitalService : BaseService, IHospitalService
     {
         private readonly IRepository<Hospital> _hospitalRepository;
         private readonly IRepository<Doctor> _doctorRepository;
+        private readonly IRepository<Site> _siteRepository;
 
-        public HospitalService(IRepository<Hospital> hospitalRepository, IRepository<Doctor> doctorRepository)
+        public HospitalService(IRepository<Hospital> hospitalRepository, IRepository<Doctor> doctorRepository, IRepository<Site> siteRepository)
         {
             _hospitalRepository = hospitalRepository;
-            this._doctorRepository = doctorRepository;
+            _doctorRepository = doctorRepository;
+            _siteRepository = siteRepository;
         }
 
         /// <summary> 获取所有医院列表 </summary>
@@ -38,15 +41,26 @@ namespace IRaCIS.Application.Services
             var exp1 = new EntityVerifyExp<Hospital>()
             {
                 VerifyExp = x => x.SiteId == hospitalCommand.SiteId && hospitalCommand.SiteId != null,
-                //---已经存在同名的医院，请确认。
+                //---当前中心已经添加到其他医院了。
                 VerifyMsg = _localizer["Hospital_SiteAdded"]
             };
 
-          
-            var hospital = await _hospitalRepository.InsertOrUpdateAsync(hospitalCommand, true, exp,exp1);
-        
+
+            var hospital = await _hospitalRepository.InsertOrUpdateAsync(hospitalCommand, true, exp, exp1);
+
+            //手动解绑医院与site的关系
+            if (hospitalCommand.SiteId == null && hospital.SiteId != null)
+            {
+                await _siteRepository.BatchUpdateNoTrackingAsync(t => t.Id == hospital.SiteId, u => new Site() { HospitalId = null });
+            }
+
+            //手动绑
+            if (hospitalCommand.SiteId != null)
+            {
+                await _siteRepository.BatchUpdateNoTrackingAsync(t => t.Id == hospitalCommand.SiteId, u => new Site() { HospitalId = hospital.Id});
+            }
             return ResponseOutput.Ok(hospital.Id.ToString());
-        
+
         }
 
 
@@ -69,12 +83,12 @@ namespace IRaCIS.Application.Services
 
         /// <summary> 分页获取医院列表 </summary>
         [HttpPost]
-        public  async Task<PageOutput<HospitalDTO>> GetHospitalPageList(HospitalQueryDTO hospitalSearchModel)
+        public async Task<PageOutput<HospitalDTO>> GetHospitalPageList(HospitalQueryDTO hospitalSearchModel)
         {
 
             var hospitalQueryable =
                 _hospitalRepository
-                .WhereIf(hospitalSearchModel.HospitalName!=null, t => t.HospitalName.Contains(hospitalSearchModel.HospitalName!) || t.HospitalNameCN.Contains(hospitalSearchModel.HospitalName!))
+                .WhereIf(hospitalSearchModel.HospitalName != null, t => t.HospitalName.Contains(hospitalSearchModel.HospitalName!) || t.HospitalNameCN.Contains(hospitalSearchModel.HospitalName!))
                 .WhereIf(hospitalSearchModel.City != null, t => t.City.Contains(hospitalSearchModel.City!) || t.HospitalNameCN.Contains(hospitalSearchModel.City!))
                 .WhereIf(hospitalSearchModel.Province != null, t => t.Province.Contains(hospitalSearchModel.Province!) || t.HospitalNameCN.Contains(hospitalSearchModel.Province!))
                 .ProjectTo<HospitalDTO>(_mapper.ConfigurationProvider);
diff --git a/IRaCIS.Core.Application/Service/Institution/SiteService.cs b/IRaCIS.Core.Application/Service/Institution/SiteService.cs
index 9d77f48ed..79c43f703 100644
--- a/IRaCIS.Core.Application/Service/Institution/SiteService.cs
+++ b/IRaCIS.Core.Application/Service/Institution/SiteService.cs
@@ -4,6 +4,7 @@ using IRaCIS.Core.Infra.EFCore;
 using Microsoft.AspNetCore.Mvc;
 using IRaCIS.Core.Domain.Share;
 using Medallion.Threading;
+using IRaCIS.Core.Domain.Models;
 
 namespace IRaCIS.Application.Services
 {
@@ -13,12 +14,14 @@ namespace IRaCIS.Application.Services
         private readonly IRepository<Site> _siteRepository;
         private readonly IRepository<TrialSiteUser> _trialSiteUserRepository;
         private readonly IDistributedLockProvider _distributedLockProvider;
+        private readonly IRepository<Hospital> _hospitalRepository;
 
-        public SiteService(IRepository<Site> siteRepository, IRepository<TrialSiteUser> trialSiteUserRepository, IDistributedLockProvider distributedLockProvider)
+        public SiteService(IRepository<Site> siteRepository, IRepository<TrialSiteUser> trialSiteUserRepository, IDistributedLockProvider distributedLockProvider, IRepository<Hospital> hospitalRepository)
         {
             _siteRepository = siteRepository;
             _trialSiteUserRepository = trialSiteUserRepository;
             _distributedLockProvider = distributedLockProvider;
+            _hospitalRepository= hospitalRepository;
         }
 
         /// <summary> 分页获取研究中心列表 </summary>
@@ -72,6 +75,18 @@ namespace IRaCIS.Application.Services
 
                 var site = await _siteRepository.InsertOrUpdateAsync(siteCommand, true, exp);
 
+                //手动解绑医院与site的关系
+                if (siteCommand.HospitalId == null && site.HospitalId != null)
+                {
+                    await _hospitalRepository.BatchUpdateNoTrackingAsync(t => t.Id == site.HospitalId, u => new Hospital() { SiteId = null });
+                }
+
+                //手动绑
+                if(siteCommand.HospitalId != null)
+                {
+                    await _hospitalRepository.BatchUpdateNoTrackingAsync(t => t.Id == siteCommand.HospitalId, u => new Hospital() { SiteId = site.Id });
+                }
+
                 return ResponseOutput.Ok(site.Id.ToString());
 
             }
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/PersonalWorkstationViewModel.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/PersonalWorkstationViewModel.cs
index e65a83799..622018b28 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/PersonalWorkstationViewModel.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/DTO/PersonalWorkstationViewModel.cs
@@ -441,8 +441,8 @@ namespace IRaCIS.Core.Application.Contracts
         #endregion
 
         public int? TotalCount => TrialWaitSignDocCount + SysWaitSignDocCount 
-            + PM_SiteSurveryCount + PM_CheckCount + PM_ReviewerSelectCount + PM_ReReadingApprovalCount + PM_ClinicalDataCount
-            + CRC_ImageSubmitCount + CRC_ImageQuestionCount + CRC_CheckQuestionCount + CRC_ImageReUploadCount + CRC_ClinicalDataTobeDoneCount + CRC_ClinialDataTobeConfirmCount
+            + PM_SiteSurveryCount + PM_CheckCount + PM_ReviewerSelectCount + PM_ReReadingApprovalCount /*+ PM_ClinicalDataCount*/
+            + CRC_ImageSubmitCount + CRC_ImageQuestionCount + CRC_CheckQuestionCount + CRC_ImageReUploadCount /*+ CRC_ClinicalDataTobeDoneCount + CRC_ClinialDataTobeConfirmCount*/
             + SPM_SiteSurveryCount + SPM_ReviewerApprovalCount + SPM_ReReadingApprovalCount
             + IQC_IamgeQCCount + IQC_QCQuestionCount
             + IR_IamgeWaitReadingCount + IR_MedicalReviewCount