diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index a68a917e3..7a04316c7 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -220,6 +220,13 @@ namespace IRaCIS.Core.Application.Service
             {
                 if (inDto.MeasureData != string.Empty)
                 {
+                    // 这里还有可能是绑定历史标记
+
+                    if (inDto.MarkId != null)
+                    {
+                        await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.MarkId == inDto.MarkId && x.QuestionId == null);
+                    }
+
                     var readingTaskQuestionMark = _mapper.Map<ReadingTaskQuestionMark>(inDto);
 
                     await _readingTaskQuestionMarkRepository.AddAsync(readingTaskQuestionMark);
@@ -2187,7 +2194,10 @@ namespace IRaCIS.Core.Application.Service
 
                     var markQuestionIds= addOrUpdatemarkList.Select(y => (Guid?)y.QuestionId).ToList();
 
+                    // 绑定的历史标记的话 相当于要把历史标记改为现在的标记 先删再添加 得到的结果一样
                     await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => markids.Contains(x.MarkId)&&x.QuestionId==null );
+
+
                     await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && markQuestionIds.Contains(x.QuestionId));
 
                     var datetime = DateTime.Now;