diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index 198860523..e7c9853c9 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -184,7 +184,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public Guid TaskMedicalReviewId { get; set; }
     }
 
-    public class ApplyReReadingInDto: SendMedicalReviewDialogInDto
+    public class ApplyReReadingInDto
     {
 
         public Guid TrialId { get; set; }
@@ -195,10 +195,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public string RequestReReadingReason { get; set; } = string.Empty;
 
-    }
 
-    public class SendMedicalReviewDialogInDto
-    {
         public Guid TaskMedicalReviewId { get; set; }
 
         public string Content { get; set; }
@@ -208,6 +205,26 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 		/// </summary>
 		public MedicalReviewDoctorUserIdea DoctorUserIdeaEnum { get; set; } = MedicalReviewDoctorUserIdea.defalut;
 
+
+        /// <summary>
+        /// 不同意重阅原因
+        /// </summary>
+        public string DisagreeReason { get; set; } = string.Empty;
+
+        /// <summary>
+        /// 是否申请重阅
+        /// </summary>
+        public bool? IsApplyHeavyReading { get; set; }
+
+    }
+
+    public class SendMedicalReviewDialogInDto
+    {
+        public Guid TaskMedicalReviewId { get; set; }
+
+        public string Content { get; set; }
+
+      
         /// <summary>
         /// 是否有问题
         /// </summary>
@@ -223,15 +240,6 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public AuditAdvice AuditAdviceEnum { get; set; } = AuditAdvice.None;
 
-        /// <summary>
-        /// 不同意重阅原因
-        /// </summary>
-        public string DisagreeReason { get; set; } = string.Empty;
-
-        /// <summary>
-        /// 是否申请重阅
-        /// </summary>
-        public bool? IsApplyHeavyReading { get; set; }
     }
 
     public class SaveMedicineQuestionInDto
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
index ff0b88759..85e75b34f 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
@@ -345,9 +345,7 @@ namespace IRaCIS.Core.Application.Service
                 UserTypeEnumInt = _userInfo.UserTypeEnumInt,
                 VisitTaskId = visitTaskId,
                 AuditAdviceEnum=inDto.AuditAdviceEnum,
-                DisagreeReason=inDto.DisagreeReason,
-                DoctorUserIdeaEnum=inDto.DoctorUserIdeaEnum,
-                IsApplyHeavyReading=inDto.IsApplyHeavyReading,
+              
                 IsHaveQuestion=inDto.IsHaveQuestion,
                 Questioning=inDto.Questioning,
             };
@@ -366,26 +364,40 @@ namespace IRaCIS.Core.Application.Service
         public async Task<IResponseOutput> ApplyReReading(ApplyReReadingInDto inDto)
         {
             var visitTaskId = await _taskMedicalReviewRepository.Where(x => x.Id == inDto.TaskMedicalReviewId).Select(x => x.VisitTaskId).FirstOrDefaultAsync();
-            await _visitTaskService.ApplyReReading(new ApplyReReadingCommand()
+            if (inDto.IsApplyHeavyReading??false)
             {
-                IsCopyOrigenalForms = inDto.IsCopyOrigenalForms,
-                RequestReReadingReason = inDto.RequestReReadingReason,
-                RequestReReadingType = inDto.RequestReReadingType,
-                TrialId = inDto.TrialId,
-                TaskIdList = new List<Guid>()
-            {
-                visitTaskId
-
+                await _visitTaskService.ApplyReReading(new ApplyReReadingCommand()
+                {
+                    IsCopyOrigenalForms = inDto.IsCopyOrigenalForms,
+                    RequestReReadingReason = inDto.RequestReReadingReason,
+                    RequestReReadingType = inDto.RequestReReadingType,
+                    TrialId = inDto.TrialId,
+                    TaskIdList = new List<Guid>()
+                 {
+                     visitTaskId
+                
+                 }
+                });
+                await _taskMedicalReviewRepository.BatchUpdateNoTrackingAsync(x => !x.IsClosedDialog && x.Id == inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
+                {
+                    IsClosedDialog = true
+                });
             }
-            });
-
-            #region 重阅修改医学审核状态
-            await _taskMedicalReviewRepository.BatchUpdateNoTrackingAsync(x => !x.IsClosedDialog && x.Id==inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
+            ReadingMedicalReviewDialog dialog = new ReadingMedicalReviewDialog()
             {
-                IsClosedDialog = true
-            });
-            #endregion
-            return await this.SendMedicalReviewDialog(inDto);
+                TaskMedicalReviewId = inDto.TaskMedicalReviewId,
+                UserTypeShortName = _userInfo.UserTypeShortName,
+                Content = inDto.Content,
+                UserTypeEnumInt = _userInfo.UserTypeEnumInt,
+                VisitTaskId = visitTaskId,
+                DisagreeReason = inDto.DisagreeReason,
+                DoctorUserIdeaEnum = inDto.DoctorUserIdeaEnum,
+                IsApplyHeavyReading = inDto.IsApplyHeavyReading,
+            };
+
+            await _readingMedicalReviewDialogRepository.AddAsync(dialog);
+            var result = await _readingMedicalReviewDialogRepository.SaveChangesAsync();
+            return ResponseOutput.Result(result);
         }