diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/QuestionItem.vue b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/QuestionItem.vue
index d620d7d8..eee5f60a 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/QuestionItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/QuestionItem.vue
@@ -66,6 +66,38 @@
             </template>
           </el-input>
         </template>
+        <template v-else-if="question.QuestionType === 56">
+          <el-select
+            v-model="questionForm[question.Id]"
+            :disabled="readingTaskState >= 2 "
+            clearable
+            @change="((val)=>{formItemChange(val, question)})"
+          >
+            <el-option
+              v-for="item of $d[question.DictionaryCode]"
+              v-show="(pet5PS*1=== -1) || (pet5PS*1!== -1 && item.value !== 4)"
+              :key="item.id"
+              :value="String(item.value)"
+              :label="item.label"
+            />
+          </el-select>
+        </template>
+        <template v-else-if="question.QuestionType === 57">
+          <el-select
+            v-model="questionForm[question.Id]"
+            :disabled="readingTaskState >= 2 "
+            clearable
+            @change="((val)=>{formItemChange(val, question)})"
+          >
+            <el-option
+              v-for="item of $d[question.DictionaryCode]"
+              v-show="(pet5PS*1=== -1) || (pet5PS*1!== -1 && item.value !== 1)"
+              :key="item.id"
+              :value="String(item.value)"
+              :label="item.label"
+            />
+          </el-select>
+        </template>
         <!-- 输入框 -->
         <el-input
           v-else-if="question.Type==='input'"
@@ -234,6 +266,7 @@
         :reading-task-state="readingTaskState"
         :question-form="questionForm"
         :visit-task-id="visitTaskId"
+        :pet5PS="pet5PS"
         :lung-is-inside-volume="lungIsInsideVolume"
         :liver-is-inside-volume="liverIsInsideVolume"
         @setFormItemData="setFormItemData"
@@ -276,7 +309,11 @@ export default {
     liverIsInsideVolume: {
       type: Boolean,
       default: true
-    }
+    },
+    pet5PS: {
+      type: String,
+      default: ''
+    },
   },
   data() {
     return {
@@ -297,6 +334,13 @@ export default {
       handler(v) {
         // console.log(v)
       }
+    },
+    pet5PS: {
+      deep: true,
+      immediate: true,
+      handler(v) {
+        // console.log(v)
+      }
     }
   },
   mounted() {
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
index c8b68038..ddb2848e 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
@@ -14,6 +14,7 @@
           :question-form="questionForm"
           :reading-task-state="readingTaskState"
           :visit-task-id="visitTaskId"
+          :pet5PS="questionForm[pet5PSId]"
           :lung-is-inside-volume="lungIsInsideVolume"
           :liver-is-inside-volume="liverIsInsideVolume"
           @setFormItemData="setFormItemData"
@@ -64,6 +65,7 @@ export default {
       lungIsInsideVolume: true,
       liverIsInsideVolume: true,
       uptakeFromBaselineId: '',
+      focalFDGId: '',
       baseLinePET5PS: null,
       liverRender: true,
       lungRender: true
@@ -231,6 +233,10 @@ export default {
             // 与基线相比摄取值变化
             this.uptakeFromBaselineId = i.Id
           }
+          if (i.QuestionType === 57) {
+            // 骨髓中存在局灶性FDG亲和病灶的证据
+            this.focalFDGId = i.Id
+          }
           if (i.Childrens && i.Childrens.length > 0) {
             this.setChild(i.Childrens)
           }
@@ -573,6 +579,7 @@ export default {
       if (obj.key === this.pet5PSId) {
         this.setPet5PSCommentDisplay()
         this.setUptakeFormBaseline()
+        this.setfocalFDG()
       }
     },
     setPet5PSCommentDisplay() {
@@ -604,11 +611,19 @@ export default {
           } else if (this.questionForm[this.pet5PSId] < this.baseLinePET5PS) {
             this.questionForm[this.uptakeFromBaselineId] = '2'
           }
+        } else if (this.questionForm[this.pet5PSId] !== '-1' && this.questionForm[this.uptakeFromBaselineId] === '4') {
+          this.questionForm[this.uptakeFromBaselineId] = ''
         } else if (this.questionForm[this.pet5PSId] === '' || this.questionForm[this.pet5PSId] === null) {
           this.questionForm[this.uptakeFromBaselineId] = ''
         }
       }
     },
+    setfocalFDG() {
+      console.log('setfocalFDG')
+      if (this.questionForm[this.pet5PSId] !== '-1' && this.questionForm[this.focalFDGId] === '1') {
+        this.questionForm[this.focalFDGId] = ''
+      } 
+    },
     setpet5PS() {
       console.log('setpet5PS')
       // 无需标记，自主选择   1分