diff --git a/IRC.Core.SCP/Service/CStoreSCPService.cs b/IRC.Core.SCP/Service/CStoreSCPService.cs
index 25d18e18f..aea8f9e32 100644
--- a/IRC.Core.SCP/Service/CStoreSCPService.cs
+++ b/IRC.Core.SCP/Service/CStoreSCPService.cs
@@ -23,6 +23,7 @@ using SixLabors.ImageSharp.Formats.Jpeg;
 using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Infrastructure.Extention;
 using Newtonsoft.Json;
+using FellowOakDicom.Imaging.Codec;
 
 namespace IRaCIS.Core.SCP.Service
 {
@@ -325,6 +326,9 @@ namespace IRaCIS.Core.SCP.Service
                 {
                     await request.File.SaveAsync(ms);
 
+
+
+
                     //irc 从路径最后一截取Guid
                     storeRelativePath = await ossService.UploadToOSSAsync(ms, ossFolderPath, instanceId.ToString(), false);
 
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index 13eb261ef..dce747e3c 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -153,6 +153,11 @@ namespace IRaCIS.Application.Services
 
             var entity = await _hIRHospitalRepository.InsertOrUpdateAsync(addOrEditHIRHospital, true, exp, exp2);
 
+            var hospitalInfo = await _hIRHospitalRepository.Where(t => t.IsDefault == true).FirstNotNullAsync();
+
+            //更新了联网信息，也要变更缓存是否可以联网，防止修改
+            await _fusionCache.SetAsync(CacheKeys.Hospital, hospitalInfo, TimeSpan.FromDays(7));
+
             return ResponseOutput.Ok(entity.Id.ToString());
 
         }
@@ -161,6 +166,11 @@ namespace IRaCIS.Application.Services
         [HttpDelete("{hIRHospitalId:guid}")]
         public async Task<IResponseOutput> DeleteHIRHospital(Guid hIRHospitalId)
         {
+            if (_hIRHospitalRepository.Any(t => t.Id == hIRHospitalId && t.IsDefault == true))
+            {
+                return ResponseOutput.NotOk(_localizer["Patient_CannotDeleteDefaultHospital"]);
+            }
+
             var success = await _hIRHospitalRepository.DeleteFromQueryAsync(t => t.Id == hIRHospitalId, true);
 
             return ResponseOutput.Ok();