diff --git a/IRaCIS.Core.Application/MassTransit/Consumer/CommonEmailHelper.cs b/IRaCIS.Core.Application/MassTransit/Consumer/CommonEmailHelper.cs
index cbb6444e8..1c96a3b31 100644
--- a/IRaCIS.Core.Application/MassTransit/Consumer/CommonEmailHelper.cs
+++ b/IRaCIS.Core.Application/MassTransit/Consumer/CommonEmailHelper.cs
@@ -1,4 +1,5 @@
-using IRaCIS.Core.Domain.Share;
+using DocumentFormat.OpenXml;
+using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Infrastructure;
 using MimeKit;
 using System;
@@ -58,4 +59,44 @@ public static class CommonEmailHelper
             .Replace("{company abbreviation}", isEn_US ? _systemEmailConfig.CompanyShortName : _systemEmailConfig.CompanyShortNameCN);
         return str;
     }
+
+    /// <summary>
+    /// 翻译字典
+    /// </summary>
+    /// <param name="inDto"></param>
+    /// <returns></returns>
+    public static string TranslationDictionary(TranslationDictionaryDto inDto)
+    {
+        var dic = inDto.DictionaryRepository.Where(x => x.Parent.Code == inDto.DictionaryCode && x.Code == inDto.EnumValue).FirstOrDefault();
+
+        return dic == null ? string.Empty : (inDto.IsEn_US ? dic.Value : dic.ValueCN);
+    }
+}
+
+
+/// <summary>
+/// 转换字典的Dto
+/// </summary>
+public class TranslationDictionaryDto
+{
+    /// <summary>
+    /// 字典仓储
+    /// </summary>
+    public IRepository<Dictionary> DictionaryRepository { get; set; }
+
+    /// <summary>
+    /// 字典Code
+    /// </summary>
+    public string DictionaryCode { get; set; }
+
+    /// <summary>
+    /// 枚举值
+    /// </summary>
+    public string EnumValue { get; set; }
+
+    /// <summary>
+    /// 是否是英文
+    /// </summary>
+    public bool IsEn_US { get; set; }
+
 }
diff --git a/IRaCIS.Core.Application/MassTransit/Consumer/ReadingRelationEmailConsumer.cs b/IRaCIS.Core.Application/MassTransit/Consumer/ReadingRelationEmailConsumer.cs
index 33e82753e..ed884bf8e 100644
--- a/IRaCIS.Core.Application/MassTransit/Consumer/ReadingRelationEmailConsumer.cs
+++ b/IRaCIS.Core.Application/MassTransit/Consumer/ReadingRelationEmailConsumer.cs
@@ -1,9 +1,15 @@
-using IRaCIS.Core.Application.MassTransit.Command;
+using IRaCIS.Core.Application.Helper;
+using IRaCIS.Core.Application.MassTransit.Command;
 using IRaCIS.Core.Domain;
 using IRaCIS.Core.Domain.BaseModel;
+using IRaCIS.Core.Domain.Models;
+using IRaCIS.Core.Domain.Share;
 using MassTransit;
+using Microsoft.Extensions.Options;
+using MimeKit;
 using System;
 using System.Collections.Generic;
+using System.Globalization;
 using System.Linq;
 using System.Text;
 using System.Threading.Tasks;
@@ -13,11 +19,76 @@ namespace IRaCIS.Core.Application.MassTransit.Consumer;
 /// <summary>
 /// 加急的医学反馈任务  通知MIM
 /// </summary>
-public class UrgentMedicalReviewAddedEventConsumer : IConsumer<UrgentMedicalReviewAddedEvent>
+public class UrgentMedicalReviewAddedEventConsumer(
+      IRepository<User> _userRepository,
+       IRepository<TaskMedicalReview> _taskMedicalReviewRepository,
+      IRepository<Trial> _trialRepository,
+      IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository,
+      IRepository<TrialSiteSurvey> _trialSiteSurveyRepository,
+      IRepository<EmailNoticeConfig> _emailNoticeConfigrepository,
+      IOptionsMonitor<SystemEmailSendConfig> systemEmailConfig
+    ) : IConsumer<UrgentMedicalReviewAddedEvent>
 {
-    public Task Consume(ConsumeContext<UrgentMedicalReviewAddedEvent> context)
+    private readonly SystemEmailSendConfig _systemEmailConfig = systemEmailConfig.CurrentValue;
+
+    /// <summary>
+    ///  加急的医学反馈任务  通知MIM
+    /// </summary>
+    /// <param name="context"></param>
+    /// <returns></returns>
+    /// <exception cref="NotImplementedException"></exception>
+    public async Task Consume(ConsumeContext<UrgentMedicalReviewAddedEvent> context)
     {
-        throw new NotImplementedException();
+        var isEn_US = CultureInfo.CurrentCulture.Name == StaticData.CultureInfo.en_US;
+
+        var medicalReviewId = context.Message.MedicalReviewId;
+
+        var medicalReview = await _taskMedicalReviewRepository.Where(x => x.Id == medicalReviewId).Include(x => x.VisitTask).Include(x=>x.MedicalManagerUser).FirstOrDefaultAsync();
+
+    
+
+        if (medicalReview.MedicalManagerUserId == null)
+        {
+            Console.WriteLine("MIMId为空 ID"+ medicalReviewId);
+            return;
+        }
+        var criterion = await _readingQuestionCriterionTrialRepository.FirstOrDefaultAsync(x => x.Id == medicalReview.VisitTask.TrialReadingCriterionId);
+        var userinfo = await _userRepository.Where(x => x.Id == medicalReview.MedicalManagerUserId).FirstOrDefaultAsync();
+
+
+
+        var messageToSend = new MimeMessage();
+        //发件地址
+        messageToSend.From.Add(new MailboxAddress(_systemEmailConfig.FromName, _systemEmailConfig.FromEmail));
+        messageToSend.To.Add(new MailboxAddress(String.Empty, userinfo.EMail));
+
+
+
+        var trialInfo = await _trialRepository.FirstOrDefaultAsync(t => t.Id == medicalReview.TrialId);
+        var companyName = isEn_US ? _systemEmailConfig.CompanyShortName : _systemEmailConfig.CompanyShortNameCN;
+
+        Func<(string topicStr, string htmlBodyStr), (string topicStr, string htmlBodyStr)> emailConfigFunc = input =>
+        {
+            var topicStr = string.Format(input.topicStr, companyName, trialInfo.ResearchProgramNo);
+            var htmlBodyStr = string.Format(CommonEmailHelper.ReplaceCompanyName(_systemEmailConfig, input.htmlBodyStr),
+               userinfo.FullName,              // 用户名
+               trialInfo.ExperimentName ,        // 项目
+                criterion.CriterionName,   // 阅片标准
+                                                           // 受试者
+                                                           // 访视
+                                                           // 任务类型
+                                                           // 阅片人是否同意
+                                                           // 审核状态
+                                                           // 是否加急
+
+                );
+
+            return (topicStr, htmlBodyStr);
+        };
+
+        await CommonEmailHelper.GetEmailSubejctAndHtmlInfoAndBuildAsync(_emailNoticeConfigrepository, EmailBusinessScenario.SiteSurveyReject, messageToSend, emailConfigFunc);
+
+        await SendEmailHelper.SendEmailAsync(messageToSend, _systemEmailConfig);
     }
 }
 
diff --git a/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs b/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
index 5160bed64..d2950a0f7 100644
--- a/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
+++ b/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
@@ -69,6 +69,9 @@ public class TaskMedicalReview : BaseFullAuditEntity
     [Comment("阅片人是否认同")]
     public MedicalReviewDoctorUserIdea DoctorUserIdeaEnum { get; set; }
 
+    /// <summary>
+    /// mim
+    /// </summary>
     public Guid? MedicalManagerUserId { get; set; }
     public Guid VisitTaskId { get; set; }
     public Guid TrialId { get; set; }
diff --git a/IRaCIS.Core.Domain/_DomainEvent/ReadingEnrollOrPDRelationEvent.cs b/IRaCIS.Core.Domain/_DomainEvent/ReadingEnrollOrPDRelationEvent.cs
index 1285847a6..c83db2497 100644
--- a/IRaCIS.Core.Domain/_DomainEvent/ReadingEnrollOrPDRelationEvent.cs
+++ b/IRaCIS.Core.Domain/_DomainEvent/ReadingEnrollOrPDRelationEvent.cs
@@ -1,5 +1,6 @@
 using IRaCIS.Core.Domain.BaseModel;
 using IRaCIS.Core.Domain.Share;
+using IRaCIS.Core.Domain.Models;
 using System;
 using System.Collections.Generic;
 using System.Linq;