diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 59ee1e8b1..bf5aaddd8 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -2281,11 +2281,35 @@ namespace IRaCIS.Core.Application.Service
                         }
                         else
                         {
-                            var newMark = _mapper.Map<QuestionMarkInfo, ReadingTaskQuestionMark>(item);
-                            newMark.Id = NewId.NextGuid();
-                            newMark.VisitTaskId = inDto.VisitTaskId;
-                            newMark.FristAddTaskId = inDto.VisitTaskId;
-                            await _readingTaskQuestionMarkRepository.AddAsync(newMark);
+                            // 这种情况可能是绑定历史的标记
+
+                            if (item.MarkId != null && (await _readingTaskQuestionMarkRepository.AnyAsync(x => x.VisitTaskId == inDto.VisitTaskId&& x.QuestionId == null && x.MarkId == item.MarkId)))
+                            {
+
+                                var oldMarkItem = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.MarkId == item.MarkId && x.QuestionId == null).FirstOrDefaultAsync();
+
+                                await _readingTaskQuestionMarkRepository.UpdatePartialFromQueryAsync(x => x.Id == oldMarkItem.Id, x => new ReadingTaskQuestionMark()
+                                {
+                                    QuestionId = item.QuestionId,
+                                    TableQuestionId = item.TableQuestionId,
+                                    RowId = item.RowId,
+                                    MeasureData = item.MeasureData ?? string.Empty,
+                                    OtherMeasureData = item.OtherMeasureData ?? string.Empty,
+                                    PicturePath = item.PicturePath ?? string.Empty,
+                                    OtherPicturePath = item.OtherPicturePath ?? string.Empty,
+                                    MarkTool = item.MarkTool ?? string.Empty,
+                                });
+                            }
+                            else
+                            {
+                                var newMark = _mapper.Map<QuestionMarkInfo, ReadingTaskQuestionMark>(item);
+                                newMark.Id = NewId.NextGuid();
+                                newMark.VisitTaskId = inDto.VisitTaskId;
+                                newMark.FristAddTaskId = inDto.VisitTaskId;
+                                await _readingTaskQuestionMarkRepository.AddAsync(newMark);
+                            }
+
+                          
                         }
                     }