diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 56187a561..5d0206baa 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -52,7 +52,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns> 
         [HttpPost, Route("Inspection/ReadingImageTask/SubmitOncologyReadingInfo")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SetOncologyReadingInfo(DataInspectionDto<SubmitOncologyReadingInfoInDto> opt)
@@ -69,7 +69,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns> 
         [HttpPost, Route("Inspection/ReadingImageTask/SubmitDicomVisitTask")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SubmitDicomVisitTask(DataInspectionDto<SubmitDicomVisitTaskInDto> opt)
@@ -88,7 +88,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns> 
         [HttpPost, Route("Inspection/ReadingImageTask/SubmitGlobalReadingInfo")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SubmitGlobalReadingInfo(DataInspectionDto<SubmitGlobalReadingInfoInDto> opt)
@@ -107,7 +107,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns> 
         [HttpPost, Route("Inspection/configTrialBasicInfo/TrialReadingInfoSign")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> TrialReadingInfoSign(DataInspectionDto<TrialReadingInfoSignInDto> opt)
@@ -126,7 +126,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingMedicalReview/FinishMedicalReview")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> FinishMedicalReview(DataInspectionDto<FinishMedicalReviewInDto> opt)
@@ -143,7 +143,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingMedicineQuestion/ConfirmReadingMedicineQuestion")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> ConfirmReadingMedicineQuestion(DataInspectionDto<ConfirmReadingMedicineQuestionInDto> opt)
@@ -161,7 +161,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingImageTask/SubmitVisitTaskQuestions")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SubmitVisitTaskQuestions(DataInspectionDto<SubmitVisitTaskQuestionsInDto> opt)
@@ -179,7 +179,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ClinicalAnswer/CRCSignClinicalData")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> CRCSignClinicalData(DataInspectionDto<CRCSignClinicalDataInDto> opt)
@@ -197,7 +197,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ClinicalAnswer/CRCConfirmClinical")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> CRCConfirmClinical(DataInspectionDto<CRCConfirmClinicalInDto> opt)
@@ -214,7 +214,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ClinicalAnswer/CRCCancelConfirmClinical")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> CRCCancelConfirmClinical(DataInspectionDto<CRCCancelConfirmClinicalInDto> opt)
@@ -232,7 +232,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ClinicalAnswer/PMConfirmClinical")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> PMConfirmClinical(DataInspectionDto<CRCConfirmClinicalInDto> opt)
@@ -250,7 +250,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingClinicalData/SignConsistencyAnalysisReadingClinicalData")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SignConsistencyAnalysisReadingClinicalData(DataInspectionDto<SignConsistencyAnalysisReadingClinicalDataInDto> opt)
@@ -267,7 +267,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ClinicalAnswer/SubmitClinicalFormAndSign")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SubmitClinicalFormAndSign(DataInspectionDto<SubmitClinicalFormInDto> opt)
@@ -284,7 +284,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingImageTask/SubmitJudgeVisitTaskResult")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         [UnitOfWork]
         public async Task<IResponseOutput> SubmitJudgeVisitTaskResult(DataInspectionDto<SaveJudgeVisitTaskResult> opt)
@@ -303,7 +303,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <returns></returns> 
         [HttpPost, Route("Inspection/configTrialBasicInfo/ConfigTrialBasicInfoConfirm")]
         [UnitOfWork]
-        [TrialGlobalLimit( "BeforeOngoingCantOpt" )]
+        [TrialGlobalLimit("BeforeOngoingCantOpt")]
         public async Task<IResponseOutput> ConfigTrialBasicInfoConfirm(DataInspectionDto<BasicTrialConfig> opt)
         {
 
@@ -345,7 +345,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <returns></returns> 
         [HttpPost, Route("Inspection/configTrialBasicInfo/ConfigTrialUrgentInfoConfirm")]
         [UnitOfWork]
-        [TrialGlobalLimit( "BeforeOngoingCantOpt" )]
+        [TrialGlobalLimit("BeforeOngoingCantOpt")]
         public async Task<IResponseOutput> ConfigTrialUrgentInfoConfirm(DataInspectionDto<TrialUrgentConfig> opt)
         {
             opt.Data.IsTrialUrgentConfirmed = true;
@@ -358,7 +358,7 @@ namespace IRaCIS.Core.API.Controllers
 
         [HttpPost, Route("Inspection/configTrialBasicInfo/ConfigTrialPACSInfoConfirm")]
         [UnitOfWork]
-        [TrialGlobalLimit( "BeforeOngoingCantOpt" )]
+        [TrialGlobalLimit("BeforeOngoingCantOpt")]
         public async Task<IResponseOutput> ConfigTrialPACSInfoConfirm(DataInspectionDto<TrialPACSConfig> opt)
         {
             opt.Data.IsTrialPACSConfirmed = true;
@@ -374,7 +374,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <returns></returns>
         [HttpPost, Route("Inspection/configTrialBasicInfo/TrialConfigSignatureConfirm")]
         [UnitOfWork]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         public async Task<IResponseOutput> TrialConfigSignatureConfirm(DataInspectionDto<SignConfirmDTO> opt)
         {
@@ -391,7 +391,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadingCriterion/ResetAndAsyncCriterion")]
         [UnitOfWork]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
 
         public async Task<IResponseOutput> ResetAndAsyncCriterion(DataInspectionDto<ResetAndAsyncCriterionInDto> opt)
         {
@@ -409,7 +409,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/QCOperation/CRCRequestToQC")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> CRCRequestToQC(DataInspectionDto<CRCRequestToQCCommand> opt)
         {
@@ -424,21 +424,31 @@ namespace IRaCIS.Core.API.Controllers
         /// 设置QC 通过或者不通过   7:QC failed  8：QC passed  
         /// </summary>
         [HttpPost, Route("Inspection/QCOperation/QCPassedOrFailed")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> QCPassedOrFailed(DataInspectionDto<QCPassedOrFailedDto> opt)
         {
             var singid = await _inspectionService.RecordSing(opt.SignInfo);
-            var result = await _qCOperationService.QCPassedOrFailed(opt.Data.trialId, opt.Data.subjectVisitId, opt.Data.auditState);
-            await _inspectionService.CompletedSign(singid, result);
-            return result;
+            if (opt.Data.IsSecondPass != null)
+            {
+                var result = await _qCOperationService.QCSecondReviewPassedOrFailed(opt.Data.trialId, opt.Data.subjectVisitId, (bool)opt.Data.IsSecondPass);
+                await _inspectionService.CompletedSign(singid, result);
+                return result;
+            }
+            else
+            {
+                var result = await _qCOperationService.QCPassedOrFailed(opt.Data.trialId, opt.Data.subjectVisitId, opt.Data.auditState);
+                await _inspectionService.CompletedSign(singid, result);
+                return result;
+            }
+
         }
 
         /// <summary>
         /// 一致性核查 回退  对话记录不清除  只允许PM回退
         /// </summary>
         [HttpPost, Route("Inspection/QCOperation/CheckBack")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> CheckBack(DataInspectionDto<IDDto> opt)
         {
@@ -455,7 +465,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/ReadClinicalData/ReadClinicalDataSign")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> ReadClinicalDataSign(DataInspectionDto<ReadingClinicalDataSignIndto> opt)
         {
@@ -470,7 +480,7 @@ namespace IRaCIS.Core.API.Controllers
         /// CRC  设置已经重传完成
         /// </summary>
         [HttpPost, Route("Inspection/QCOperation/SetReuploadFinished")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> SetReuploadFinished(DataInspectionDto<CRCReuploadFinishedCommand> opt)
         {
@@ -486,7 +496,7 @@ namespace IRaCIS.Core.API.Controllers
         /// <param name="opt"></param>
         /// <returns></returns>
         [HttpPost, Route("Inspection/TrialConfig/updateTrialState")]
-        [TrialGlobalLimit( "BeforeOngoingCantOpt")]
+        [TrialGlobalLimit("BeforeOngoingCantOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> UpdateTrialState(DataInspectionDto<UpdateTrialStateDto> opt)
         {
@@ -502,7 +512,7 @@ namespace IRaCIS.Core.API.Controllers
         /// </summary>
         /// <returns></returns>
         [HttpPost, Route("Inspection/TrialDocument/userConfirm")]
-        [TrialGlobalLimit( "BeforeOngoingCantOpt", "SignSystemDocNoTrialId", "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("BeforeOngoingCantOpt", "SignSystemDocNoTrialId", "AfterStopCannNotOpt")]
         [UnitOfWork]
         public async Task<IResponseOutput> UserConfirm(DataInspectionDto<UserConfirmCommand> opt)
         {
@@ -519,10 +529,10 @@ namespace IRaCIS.Core.API.Controllers
         /// </summary>
         /// <returns></returns>
         [HttpPost, Route("Inspection/VisitTask/ConfirmReReading")]
-        [TrialGlobalLimit( "AfterStopCannNotOpt" )]
+        [TrialGlobalLimit("AfterStopCannNotOpt")]
         [UnitOfWork]
 
-        public async Task<IResponseOutput> ConfirmReReading(DataInspectionDto<ConfirmReReadingCommand> opt,  [FromServices] IVisitTaskService _visitTaskService)
+        public async Task<IResponseOutput> ConfirmReReading(DataInspectionDto<ConfirmReReadingCommand> opt, [FromServices] IVisitTaskService _visitTaskService)
         {
             var singId = await _inspectionService.RecordSing(opt.SignInfo);
             var result = await _visitTaskService.ConfirmReReading(opt.Data);
diff --git a/IRaCIS.Core.Application/Service/Inspection/DTO/InspectionModel.cs b/IRaCIS.Core.Application/Service/Inspection/DTO/InspectionModel.cs
index 187c35e81..7d932a84d 100644
--- a/IRaCIS.Core.Application/Service/Inspection/DTO/InspectionModel.cs
+++ b/IRaCIS.Core.Application/Service/Inspection/DTO/InspectionModel.cs
@@ -199,6 +199,8 @@ namespace IRaCIS.Core.Application.Service.Inspection.DTO
         public Guid subjectVisitId { get; set; }
 
         public AuditStateEnum auditState { get; set; }
+
+        public bool? IsSecondPass { get; set; }
     }
 
     public class SetSeriesStateDto
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index f0a760fe5..3f34cfa0a 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -251,7 +251,13 @@ namespace IRaCIS.Core.Application.Contracts.DTO
     }
 
 
-
+    public class SecondReviewDto
+    {
+        public DateTime? SecondReviewTime { get; set; }
+        public string FullName { get; set; }
+        public string UserName { get; set; }
+        public DateTime? SignTime { get; set; }
+    }
 
 
     public class TrialVisitQADTO
@@ -270,7 +276,7 @@ namespace IRaCIS.Core.Application.Contracts.DTO
 
         public QARelationInfo RelationInfo { get; set; } = new QARelationInfo();
 
-        public List<DateTime?> SecondReviewTimeList { get; set; }
+        public List<SecondReviewDto> SecondReviewList { get; set; }
     }
 
 
diff --git a/IRaCIS.Core.Application/Service/QC/Interface/IQCOperationService.cs b/IRaCIS.Core.Application/Service/QC/Interface/IQCOperationService.cs
index 4b9093508..59d99ad3f 100644
--- a/IRaCIS.Core.Application/Service/QC/Interface/IQCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/Interface/IQCOperationService.cs
@@ -13,7 +13,7 @@ namespace IRaCIS.Core.Application.Image.QA
         Task<IResponseOutput> QCPassedOrFailed(Guid trialId, Guid subjectVisitId, [FromRoute] AuditStateEnum auditState);
         Task<IResponseOutput> SetCheckPass(SetCheckPassDt data);
 
-
+        Task<IResponseOutput> QCSecondReviewPassedOrFailed(Guid trialId, Guid subjectVisitId, bool isSecondPass);
 
 
         Task<IResponseOutput> AddCheckChallengeReply(CheckChallengeDialogCommand checkDialogCommand);
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 06755a396..c701f578f 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -410,29 +410,49 @@ namespace IRaCIS.Core.Application.Image.QA
 
             var temp = await GetVisitQCStudyAndSeriesList(subjectVisitId);
 
-            var qacheckList = await GetQCQuestionAnswerList(subjectVisitId, sv.TrialId, trialQCProcess, currentQCType);
+            //var qacheckList = await GetQCQuestionAnswerList(subjectVisitId, sv.TrialId, trialQCProcess, currentQCType);
+
+            List<SecondReviewDto> secondReviewList = new List<SecondReviewDto>();
 
-            List<DateTime?> secondReviewTimeList = new List<DateTime?>();
 
             if (sv.SecondReviewState != SecondReviewState.None)
             {
-                secondReviewTimeList = _trialQCQuestionAnswerRepository.Where(t => t.SubjectVisitId == subjectVisitId && t.CurrentQCEnum == CurrentQC.SecondReview).Where(t => t.SecondReviewTime != null)
-                    .Select(t => t.SecondReviewTime).Distinct().ToList();
-
                 var trialConfirmTime = _trialRepository.Where(t => t.Id == sv.TrialId).Select(t => t.QCQuestionConfirmedTime).FirstOrDefault();
 
+                secondReviewList = _trialQCQuestionAnswerRepository.Where(t => t.SubjectVisitId == subjectVisitId && t.CurrentQCEnum == CurrentQC.SecondReview).Where(t => t.SecondReviewTime != null)
+                     .Select(t => new SecondReviewDto { SecondReviewTime = t.SecondReviewTime, SignTime = t.UpdateTime, FullName = t.UpdateUserRole.FullName, UserName = t.UpdateUserRole.UserName }).Distinct().ToList();
+
+                var secondReviewTimeList = secondReviewList.Select(t => t.SecondReviewTime).Distinct().ToList();
+
+                //首次加入
                 if (!secondReviewTimeList.Contains(trialConfirmTime))
                 {
-                    secondReviewTimeList.Add(trialConfirmTime);
+                    secondReviewList.Add(new SecondReviewDto() { SecondReviewTime = trialConfirmTime });
                 }
-               
+                else
+                {
+                    if (sv.SecondReviewState == SecondReviewState.WaitAudit)
+                    {
+                        foreach (var item in secondReviewList)
+                        {
+                            if (item.SecondReviewTime == trialConfirmTime)
+                            {
+                                item.SignTime = null;
+                                item.FullName = "";
+                                item.UserName = "";
+                            }
+                        }
+                    }
+                }
+                secondReviewList = secondReviewList.OrderByDescending(t => t.SecondReviewTime).ToList();
             }
 
+
             return new TrialVisitQADTO
             {
-                QCQuestionAnswerList = qacheckList,
+                //QCQuestionAnswerList = qacheckList,
 
-                SecondReviewTimeList = secondReviewTimeList,
+                SecondReviewList = secondReviewList,
 
                 IsHaveStudyClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.IsConfirm && x.TrialId == sv.TrialId && x.ClinicalDataLevel == ClinicalLevel.Study),
                 StudyList = temp.StudyList,
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index 704d3b11e..92fc776e0 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -727,9 +727,15 @@ namespace IRaCIS.Core.Application.Image.QA
         //[Authorize(Policy = IRaCISPolicy.IQC)]
         public async Task<IResponseOutput> AddOrUpdateQCQuestionAnswerList(QCQuestionAnswerCommand[] qcQuestionAnswerCommands, Guid trialId, Guid subjectVisitId, [FromRoute] TrialQCProcess trialQCProcess, [FromRoute] CurrentQC currentQCType)
         {
+            if (currentQCType == CurrentQC.SecondReview)
+            {
+                //二次复核自动领取，如果有人先领取了，那么后续不能操作
+                await _subjectVisitRepository.UpdatePartialFromQueryAsync(t => t.Id == subjectVisitId && t.CurrentActionUserId == null, u => new SubjectVisit() { CurrentActionUserId = _userInfo.UserRoleId });
+            }
             //验证是否能操作
             await VerifyIsCanQCAsync(null, subjectVisitId);
 
+
             var trialConfirmTime = _trialRepository.Where(t => t.Id == trialId).Select(t => t.QCQuestionConfirmedTime).FirstOrDefault();
 
             //更新
@@ -2081,8 +2087,43 @@ namespace IRaCIS.Core.Application.Image.QA
 
         }
 
+        public async Task<IResponseOutput> QCSecondReviewPassedOrFailed(Guid trialId, Guid subjectVisitId, bool isSecondPass)
+        {
+            if (!await _trialUserRoleRepository.AnyAsync(t => t.TrialId == trialId && t.UserId == _userInfo.UserRoleId))
+            {
+                //---您已经被移出项目，没有操作权限。
+                return ResponseOutput.NotOk(_localizer["QCOperation_RemoveItem"]);
+            }
 
 
+            var sv = await _subjectVisitRepository.FirstOrDefaultAsync(t => t.Id == subjectVisitId);
+
+            await VerifyIsCanQCAsync(sv);
+
+            var trialConfirmTime = _trialRepository.Where(t => t.Id == sv.TrialId).Select(t => t.QCQuestionConfirmedTime).FirstOrDefault();
+
+            if (sv.SecondReviewState == SecondReviewState.WaitAudit)
+            {
+                if (isSecondPass)
+                {
+                    sv.SecondReviewState = SecondReviewState.AuditPassed;
+
+                }
+                else
+                {
+                    sv.SecondReviewState = SecondReviewState.AuditFailed;
+                }
+
+                await _trialQCQuestionAnswerRepository.BatchUpdateNoTrackingAsync(t => t.SubjectVisitId == sv.Id && t.CurrentQCEnum == CurrentQC.SecondReview && t.SecondReviewTime == trialConfirmTime, u => new TrialQCQuestionAnswer()
+                {
+                    UpdateUserId = _userInfo.UserRoleId,
+                    UpdateTime = DateTime.Now
+                });
+            }
+            await _subjectVisitRepository.SaveChangesAsync();
+
+            return ResponseOutput.Ok();
+        }
 
         /// <summary>
         /// 设置、取消 访视紧急
diff --git a/IRaCIS.Core.Domain/BaseModel/Entity.cs b/IRaCIS.Core.Domain/BaseModel/Entity.cs
index 55847a041..8fc614e3e 100644
--- a/IRaCIS.Core.Domain/BaseModel/Entity.cs
+++ b/IRaCIS.Core.Domain/BaseModel/Entity.cs
@@ -108,6 +108,11 @@ public abstract class BaseFullAuditEntity : Entity, IAuditUpdate, IAuditAdd
     [ForeignKey("CreateUserId")]
     [JsonIgnore]
     public UserRole CreateUserRole { get; set; }
+
+
+    [ForeignKey("CreateUserId")]
+    [JsonIgnore]
+    public UserRole UpdateUserRole { get; set; }
 }
 public abstract class BaseFullDeleteAuditEntity : Entity, IAuditUpdate, IAuditAdd, ISoftDelete
 {