diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
index 66c8812b2..06ebcad70 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingQuestionService.cs
@@ -970,18 +970,25 @@ namespace IRaCIS.Application.Services
 
 
 
-        ///// <summary>
-        ///// 删除系统问题标准
-        ///// </summary>
-        ///// <param name="readingQuestionCriterionSystemId"></param>
-        ///// <returns></returns>
-        //[HttpDelete("{readingQuestionCriterionSystemId:guid}")]
-        //public async Task<IResponseOutput> DeleteReadingQuestionCriterionSystem(Guid readingQuestionCriterionSystemId)
-        //{
-        //     await _readingQuestionCriterionSystemRepository.DeleteFromQueryAsync(t => t.Id == readingQuestionCriterionSystemId);
-        //    var success = await _readingQuestionCriterionSystemRepository.SaveChangesAsync();
-        //    return ResponseOutput.Result(success);
-        //}
+        /// <summary>
+        /// 删除系统问题标准
+        /// </summary>
+        /// <param name="id"></param>
+        /// <returns></returns>
+        [HttpDelete("{id:guid}")]
+        public async Task<IResponseOutput> DeleteReadingQuestionCriterionSystem(Guid id)
+        {
+
+
+            if (await _readingQuestionCriterionTrialRepository.AnyAsync(x => x.IsConfirm && x.ReadingQuestionCriterionSystemId == id))
+            {
+                throw new BusinessValidationFailedException("当前标准被引用过了，不可以删除");
+            }
+
+            await _readingQuestionCriterionSystemRepository.DeleteFromQueryAsync(t => t.Id == id);
+            var success = await _readingQuestionCriterionSystemRepository.SaveChangesAsync();
+            return ResponseOutput.Result(success);
+        }
 
 
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 079fdb8bd..e14082386 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -351,6 +351,11 @@ namespace IRaCIS.Core.Domain.Share
         /// 整体肿瘤评估
         /// </summary>
         Tumor = 13,
+
+        /// <summary>
+        /// 整体评估调整原因
+        /// </summary>
+        AdjustReason = 14,
     }
 
     /// <summary>