diff --git a/IRaCIS.Core.Application/Helper/CacheHelper.cs b/IRaCIS.Core.Application/Helper/CacheHelper.cs
index 804ab7820..5d70a0928 100644
--- a/IRaCIS.Core.Application/Helper/CacheHelper.cs
+++ b/IRaCIS.Core.Application/Helper/CacheHelper.cs
@@ -71,6 +71,7 @@ public static class CacheKeys
     public static string TrialDataStoreType(Guid trialId) => $"TrialDataStoreType:{trialId}";
 
 
+    public static string UserQCSkipTask(Guid userId) => $"UserSKipQCTask:{userId}";
 }
 
 public static class CacheHelper
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index 435464ab9..880a025dc 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -8,6 +8,7 @@ using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Infrastructure;
 using Medallion.Threading;
 using Microsoft.AspNetCore.Hosting;
+using Microsoft.AspNetCore.Identity;
 using Microsoft.AspNetCore.Mvc;
 using Newtonsoft.Json;
 using Org.BouncyCastle.Asn1.Cmp;
@@ -1297,6 +1298,21 @@ namespace IRaCIS.Core.Application.Image.QA
 
             var isDistinguishType = trialConfig.IsIQCAutoNextTask && trialConfig.IsIQCAutoTaskDistinguishType;
 
+            if (inDto.IsSkipCurrentVisit)
+            {
+                string cacheKey = CacheKeys.UserQCSkipTask(_userInfo.UserRoleId);
+
+                // 获取当前缓存中的访视Id集合（如果没有则创建空集合）
+                var skippedVisits = await _fusionCache.GetOrDefaultAsync<List<Guid>>(cacheKey, new List<Guid>());
+
+                // 如果当前访视Id不在集合中，则添加
+                if (!skippedVisits.Contains(inDto.SubjectVisitId))
+                {
+                    skippedVisits.Add(inDto.SubjectVisitId);
+                    await _fusionCache.SetAsync(cacheKey, skippedVisits, TimeSpan.FromMinutes(60));
+                }
+            }
+
             if (isDistinguishType == false)
             {
                 //不区分任务类型，也要按照当前任务类型给，没找到，按照默认规则给任务  无质疑 普通质控任务
@@ -1351,10 +1367,13 @@ namespace IRaCIS.Core.Application.Image.QA
                 .Select(t => new { t.IsUrgent, SubjectCode = t.Subject.Code, t.SubjectId, SubjectVisitId = t.Id, t.VisitNum, IshaveQCChallenge = t.QCChallengeList.Any(), t.SecondReviewState })
                 .OrderBy(t => t.IshaveQCChallenge).ThenBy(t => t.SecondReviewState).ThenBy(x => x.IsUrgent).ThenBy(x => x.SubjectCode).ThenBy(x => x.VisitNum).ToListAsync();
 
+
+            // 获取当前缓存中的访视Id集合（如果没有则创建空集合）
+            var skippedVisits = await _fusionCache.GetOrDefaultAsync<List<Guid>>(CacheKeys.UserQCSkipTask(_userInfo.UserRoleId), new List<Guid>() { inDto.SubjectVisitId });
             //跳过当前访视
             if (inDto.IsSkipCurrentVisit)
-            {
-                currentActionList = currentActionList.Where(t => t.SubjectVisitId != inDto.SubjectVisitId).ToList();
+            {           
+                currentActionList = currentActionList.Where(t => !skippedVisits.Contains(t.SubjectVisitId)).ToList();
             }
 
             if (currentActionList.Count() > 0)
@@ -1404,8 +1423,8 @@ namespace IRaCIS.Core.Application.Image.QA
 
                     //跳过当前访视
                     if (inDto.IsSkipCurrentVisit)
-                    {
-                        visitList = visitList.Where(t => t.SubjectVisitId != inDto.SubjectVisitId).ToList();
+                    {                  
+                        visitList = visitList.Where(t => !skippedVisits.Contains(t.SubjectVisitId)).ToList();
                     }
 
                     var subjectVisit = visitList.FirstOrDefault();
@@ -1448,7 +1467,7 @@ namespace IRaCIS.Core.Application.Image.QA
                     //跳过当前访视
                     if (inDto.IsSkipCurrentVisit)
                     {
-                        visitList = visitList.Where(t => t.SubjectVisitId != inDto.SubjectVisitId).ToList();
+                        visitList = visitList.Where(t => !skippedVisits.Contains(t.SubjectVisitId)).ToList();
                     }
 
                     subjectVisit = visitList.FirstOrDefault();