diff --git a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
index 2894580d6..425e565f8 100644
--- a/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/VisitTaskService.cs
@@ -169,7 +169,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                 await _subjectUserRepository.DeleteFromQueryAsync(t => t.Id == command.Id);
 
-                await _visitTaskRepository.BatchUpdateNoTrackingAsync(t => t.SubjectId == command.SubjectId && t.DoctorUserId == command.DoctorUserId && t.ArmEnum == command.ArmEnum && t.ReadingTaskState == ReadingTaskState.WaitReading && t.TaskState == TaskState.Effect && t.IsAnalysisCreate==false, u => new VisitTask()
+                await _visitTaskRepository.BatchUpdateNoTrackingAsync(t => t.SubjectId == command.SubjectId && t.DoctorUserId == command.DoctorUserId && t.ArmEnum == command.ArmEnum && t.ReadingTaskState == ReadingTaskState.WaitReading && t.TaskState == TaskState.Effect && t.IsAnalysisCreate == false, u => new VisitTask()
                 {
                     AllocateTime = null,
                     DoctorUserId = null,
@@ -1288,6 +1288,23 @@ namespace IRaCIS.Core.Application.Service.Allocation
             origenalTask.TaskState = agreeReReadingCommand.RequestReReadingResultEnum == RequestReReadingResult.Agree ? TaskState.HaveReturned : origenalTask.TaskState;
         }
 
+        private async Task SetMedicalReviewInvalidAsync(List<VisitTask> influenceTaskList, bool isPM = true)
+        {
+            //将医学审核设置为失效
+            var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
+
+            if (isPM)
+            {
+                await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+
+            }
+            else
+            {
+
+                await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.IsHaveQuestion == false && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+            }
+        }
+
         /// <summary>
         /// 确认重阅与否  1同意 2 拒绝
         /// </summary>
@@ -1406,9 +1423,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //});
 
 
-                                    //将医学审核设置为失效
-                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await SetMedicalReviewInvalidAsync(influenceTaskList);
+
                                 }
 
                                 //申请的访视  要不是重阅重置，要不就是失效 不会存在取消分配
@@ -1528,9 +1544,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //    influenceTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = t.Id });
                                     //});
 
-                                    //将医学审核设置为失效
-                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await SetMedicalReviewInvalidAsync(influenceTaskList);
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1588,7 +1602,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                     //全局不影响后续访视任务
                                     filterExpression = filterExpression.And(t => t.VisitTaskNum >= origenalTask.VisitTaskNum &&
-                                ((t.DoctorUserId == origenalTask.DoctorUserId && t.ReadingCategory == ReadingCategory.Global) || (t.ReadingCategory == ReadingCategory.Oncology) || (t.ReadingCategory == ReadingCategory.Judge)));
+                                ((t.DoctorUserId == origenalTask.DoctorUserId && t.ReadingCategory == ReadingCategory.Global && t.ReadingTaskState == ReadingTaskState.HaveSigned) || (t.ReadingCategory == ReadingCategory.Oncology) || (t.ReadingCategory == ReadingCategory.Judge)));
                                     break;
 
                                 case ReadingCategory.Oncology:
@@ -1636,10 +1650,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //    influenceTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = t.Id });
                                     //});
 
-                                    //将医学审核设置为失效
-                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
 
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.IsHaveQuestion==false && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await SetMedicalReviewInvalidAsync(influenceTaskList,false);
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1755,10 +1767,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                     //});
 
 
-                                    //将医学审核设置为失效
-                                    var taskIdList = influenceTaskList.Select(t => t.Id).ToList();
-
-                                    await _taskMedicalReviewRepository.UpdatePartialFromQueryAsync(t => taskIdList.Contains(t.VisitTaskId) && t.IsHaveQuestion == false && t.AuditState != MedicalReviewAuditState.HaveSigned, u => new TaskMedicalReview() { IsInvalid = true });
+                                    await SetMedicalReviewInvalidAsync(influenceTaskList, false);
 
                                     trakingOrigenalTask.TaskInfluenceList.Add(new TaskInfluence() { InfluenceTaskId = influenceTask.Id, OptType = ReReadingOrBackOptType.Return });
                                 }
@@ -1945,6 +1954,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                     var influenceTaskList = await _visitTaskRepository.Where(filterExpression, true).ToListAsync();
 
+                    await SetMedicalReviewInvalidAsync(influenceTaskList);
+
 
                     #region 方式一
                     //foreach (var influenceTask in influenceTaskList)
@@ -2143,6 +2154,8 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                     var currentVisitList = await _visitTaskRepository.Where(t => t.SourceSubjectVisitId == task.SourceSubjectVisitId && t.ReadingCategory == ReadingCategory.Visit && t.TaskState == TaskState.Effect && t.VisitTaskNum == task.VisitTaskNum, true).ToListAsync();
 
+                    await SetMedicalReviewInvalidAsync(currentVisitList);
+
                     var origenalTask = currentVisitList.Where(t => t.Id == task.Id).First();
 
                     foreach (var influenceTask in currentVisitList)
@@ -2278,9 +2291,9 @@ namespace IRaCIS.Core.Application.Service.Allocation
                                 //2、后续任务如果是全局、肿瘤学阅片任务，状态为阅片完成标记为重阅重置；若在阅片中，则标记为失效；若为待阅片，则标记为失效；
                                 //3、当前任务、后续访视任务或者全局任务触发了裁判任务，若裁判任务状态为阅片完成，则标记为重阅重置；若在阅片中或待阅片，则标记为失效
                                 filterExpression = filterExpression.And(t => t.VisitTaskNum >= filterObj.VisitTaskNum &&
-                               ((t.DoctorUserId == filterObj.DoctorUserId && ((t.ReadingCategory == ReadingCategory.Visit && t.ReadingTaskState == ReadingTaskState.HaveSigned) || t.ReadingCategory == ReadingCategory.Global ))
+                               ((t.DoctorUserId == filterObj.DoctorUserId && ((t.ReadingCategory == ReadingCategory.Visit && t.ReadingTaskState == ReadingTaskState.HaveSigned) || t.ReadingCategory == ReadingCategory.Global))
                                 ||
-                                  t.ReadingCategory == ReadingCategory.Judge ||t.ReadingCategory==ReadingCategory.Oncology)
+                                  t.ReadingCategory == ReadingCategory.Judge || t.ReadingCategory == ReadingCategory.Oncology)
                                 )
                                     ;
                                 break;
@@ -2294,7 +2307,7 @@ namespace IRaCIS.Core.Application.Service.Allocation
 
                                 //全局不影响后续访视任务
                                 filterExpression = filterExpression.And(t => t.VisitTaskNum >= filterObj.VisitTaskNum &&
-                                ((t.DoctorUserId == filterObj.DoctorUserId && t.ReadingCategory == ReadingCategory.Global) || (t.ReadingCategory == ReadingCategory.Oncology) || (t.ReadingCategory == ReadingCategory.Judge)));
+                                ((t.DoctorUserId == filterObj.DoctorUserId && t.ReadingCategory == ReadingCategory.Global && t.ReadingTaskState==ReadingTaskState.HaveSigned) || (t.ReadingCategory == ReadingCategory.Oncology) || (t.ReadingCategory == ReadingCategory.Judge)));
                                 break;
 
                             //1、后续任务如果是访视任务、全局任务或裁判任务，均不处理；