diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 525065fef..1208adc21 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1810,7 +1810,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
             //1、基线期 状态为“肿大”
             //与基线相比脾肿大增加的百分比 > 50％
-            else if (baseLineState.EqEnum(SpleenState.Swelling) && percentage > 50)
+            else if (baseLineState.EqEnum(SpleenAssessment.Swelling) && percentage > 50)
             {
                 result = SpleenAssessment.Remission;
             }
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 19520f6bc..e2ac99422 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -912,20 +912,25 @@ namespace IRaCIS.Core.Domain.Share
     /// </summary>
     public enum SpleenState
     {
+        /// <summary>
+        /// NA
+        /// </summary>
+        NA = -1,
+
         /// <summary>
         /// 正常
         /// </summary>
         Normal = 1,
 
         /// <summary>
-        /// 肿大
+        /// 部分缓解
         /// </summary>
-        Swelling = 2,
+        Remission = 2,
 
         /// <summary>
-        /// 部分缓解稳定
+        /// 稳定
         /// </summary>
-        PartialRemission = 3,
+        Stabilization = 3,
 
         /// <summary>
         /// 显著增大
@@ -937,6 +942,11 @@ namespace IRaCIS.Core.Domain.Share
         /// </summary>
         NotEvaluable = 5,
 
+        /// <summary>
+        /// 肿大
+        /// </summary>
+        Swelling = 6,
+
     }
 
     /// <summary>