diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index 1328c8e03..be2f9bbde 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -312,6 +312,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public bool IsClosedDialog { get; set; }
 
+        /// <summary>
+        /// 医学审核对话关闭原因
+        /// </summary>
+        public MedicalDialogClose MedicalDialogCloseEnum { get; set; }
+
         /// <summary>
         /// 对话关闭原因
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
index 78d576d8c..a61366975 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
@@ -328,9 +328,20 @@ namespace IRaCIS.Core.Application.Service
             await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
             {
                 IsClosedDialog = inDto.IsClosedDialog,
+                MedicalDialogCloseEnum=inDto.MedicalDialogCloseEnum,
                 DialogCloseReason=inDto.DialogCloseReason,
             });
 
+
+            ReadingMedicalReviewDialog dialog = new ReadingMedicalReviewDialog()
+            {
+                TaskMedicalReviewId = inDto.TaskMedicalReviewId,
+                UserTypeShortName = _userInfo.UserTypeShortName,
+                Content = "MIM关闭医学审核对话",
+                UserTypeEnumInt = _userInfo.UserTypeEnumInt,
+            };
+
+            await _readingMedicalReviewDialogRepository.AddAsync(dialog);
             var result = await _taskMedicalReviewRepository.SaveChangesAsync();
             return ResponseOutput.Result(result);
         }
@@ -387,7 +398,7 @@ namespace IRaCIS.Core.Application.Service
                 await _taskMedicalReviewRepository.BatchUpdateNoTrackingAsync(x => !x.IsClosedDialog && x.Id == inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
                 {
                     IsClosedDialog = true,
-                    DialogCloseReason= "IR申请重阅",
+                    MedicalDialogCloseEnum = MedicalDialogClose.IRApplyReReading,
                 });
             }
             ReadingMedicalReviewDialog dialog = new ReadingMedicalReviewDialog()
diff --git a/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs b/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
index a992d382a..faba25c4e 100644
--- a/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
+++ b/IRaCIS.Core.Domain/Allocation/TaskMedicalReview.cs
@@ -153,7 +153,13 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public bool IsSendMessage { get; set; } = false;
 
-	     /// <summary>
+
+		/// <summary>
+		/// 医学审核对话关闭原因
+		/// </summary>
+		public MedicalDialogClose MedicalDialogCloseEnum { get; set; }
+
+		/// <summary>
 		/// 对话关闭原因
 		/// </summary>
 		public string DialogCloseReason { get; set; } = string.Empty;