diff --git a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
index 7bbac7c6e..6e9240a7f 100644
--- a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
@@ -1407,7 +1407,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = false });
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
                                 }
 
                                 //申请的访视  要不是重阅重置，要不就是失效 不会存在取消分配
@@ -1527,6 +1527,10 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //    influenceTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = t.Id });
                                     //});
 
+                                    //将医学审核设置为失效
+                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
                                 else
@@ -1631,7 +1635,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //将医学审核设置为失效
                                     var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = false });
+
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1746,6 +1751,11 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //    influenceTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = t.Id });
                                     //});
 
+
+                                    //将医学审核设置为失效
+                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
+                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState == MedicalReviewAuditState.WaitAudit, u => new TaskMedicalReview() { IsInvalid = true });
+
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
                                 else