diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
index 5c7f82c08..c0b19639c 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
@@ -175,6 +175,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public string ClinicalDataSetName { get; set; }
 
+		/// <summary>
+		/// 下拉ID
+		/// </summary>
+		public Guid ClinicalDataTrialSetId { get; set; }
+
 		/// <summary>
 		/// 临床级别
 		/// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingClinicalDataService.cs
index 548e885a6..7093e6a30 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingClinicalDataService.cs
@@ -46,6 +46,15 @@ namespace IRaCIS.Application.Services
         public async Task<IResponseOutput> AddOrUpdateReadingClinicalData(AddOrUpdateReadingClinicalDataDto indto)
         {
 
+            var existsQuery = _readingClinicalDataRepository
+                .WhereIf(indto.Id != null,x=>x.Id!=indto.Id)
+                .Where(x => x.ClinicalDataTrialSetId == indto.ClinicalDataTrialSetId&&x.ReadingId==indto.ReadingId);
+
+            if (await existsQuery.AnyAsync())
+            {
+                ResponseOutput.NotOk("存在同类型的临床数据");
+            }
+
             var clinicalDataTrialSet = (await _clinicalDataTrialSetRepository.Where(x => x.Id == indto.ClinicalDataTrialSetId).FirstOrDefaultAsync()).IfNullThrowException();
             if (indto.Id == null)
             {