diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
index cdf6cd1a0..f9cf7a013 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
@@ -285,6 +285,10 @@ namespace IRaCIS.Core.Application.Service
         /// <returns></returns>
         public async Task<IResponseOutput> SaveMedicalReviewInfo(SaveMedicalReviewInfoInDto inDto)
         {
+            if ((await _taskMedicalReviewRepository.Where(x => x.Id == inDto.TaskMedicalReviewId).Select(x => x.SaveQuestionTime).FirstOrDefaultAsync()) == null)
+            {
+                return ResponseOutput.NotOk("请先保存医审核问题");
+            }
             await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(inDto.TaskMedicalReviewId, x => new TaskMedicalReview()
             {
                 IsHaveQuestion = inDto.IsHaveQuestion,
@@ -550,11 +554,5 @@ namespace IRaCIS.Core.Application.Service
 
             return result;
         }
-
-
-
-
-
-
     }
 }