diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 62dcea97d..6934ed6bb 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -8462,6 +8462,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.AddDefaultQuestions(IRaCIS.Core.Application.ViewModel.AddDefaultQuestionsInDto)">
+            <summary>
+            一键添加默认医学审核问题
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.AddTrialDataFromSystem(IRaCIS.Core.Application.ViewModel.AddTrialDataFromSystemInDto)">
             <summary>
             从系统里面选择问题添加到项目里面
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 57a6dce9a..5b6489826 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1094,6 +1094,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 									);
 							}
 
+                            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
 
 						}
 					}