diff --git a/src/store/modules/reading.js b/src/store/modules/reading.js
index 1467ddc9..249444c6 100644
--- a/src/store/modules/reading.js
+++ b/src/store/modules/reading.js
@@ -493,29 +493,32 @@ const actions = {
     })
   },
   removeCustomizeMeasuredData({ state }, obj) {
+    
     return new Promise(async resolve => {
       var index = state.visitTaskList.findIndex(i => i.VisitTaskId === obj.visitTaskId)
       var measureData = state.visitTaskList[index].MeasureData
-
+      console.log('removeCustomizeMeasuredData',obj, state.visitTaskList[index].MeasureData)
       // var uuid = obj.measureData.data.uuid
       // var idx = measureData.findIndex(item => item.MeasureData && item.MeasureData.data && item.MeasureData.data.uuid === uuid)
       // console.log(obj, measureData)
-      var idx = measureData.findIndex(item => item.Id === obj.questionInfo.Id)
-      console.log('idx', idx)
-      if (idx > -1) {
-        if (measureData[idx].FristAddTaskId) {
-          measureData[idx].MeasureData = ''
-          console.log('清除标记成功', idx)
-        } else {
-          measureData.splice(idx, 1)
-          console.log('移除标记成功', idx)
+      if (obj.questionInfo.Id) {
+        var idx = measureData.findIndex(item => item.Id === obj.questionInfo.Id)
+        console.log('idx', idx)
+        if (idx > -1) {
+          if (measureData[idx].FristAddTaskId) {
+            measureData[idx].MeasureData = ''
+            console.log('清除标记成功', idx)
+          } else {
+            measureData.splice(idx, 1)
+            console.log('移除标记成功', idx)
+          }
+          if (obj.questionInfo.Id && state.currentReadingTaskState < 2) {
+            await deleteCustomTag(obj.questionInfo.Id)
+          }
+          state.visitTaskList[index].MeasureData = measureData
         }
-        if (obj.questionInfo.Id) {
-          await deleteCustomTag(obj.questionInfo.Id)
-        }
-        state.visitTaskList[index].MeasureData = measureData
       } else if (obj.orderMarkName) {
-        const i = measureData.findIndex(item => item.QuestionId === obj.questionId && item.OrderMarkName === obj.orderMarkName)
+        const i = measureData.findIndex(item => item.MeasureData.data.remark === obj.orderMarkName)
         if (i > -1) {
           if (measureData[i].FristAddTaskId) {
             measureData[i].MeasureData = ''
@@ -525,7 +528,7 @@ const actions = {
             console.log('移除标记成功', i)
           }
         }
-        if (obj.questionInfo.Id) {
+        if (obj.questionInfo.Id && state.currentReadingTaskState < 2) {
           await deleteCustomTag(obj.questionInfo.Id)
         }
         state.visitTaskList[index].MeasureData = measureData
@@ -609,6 +612,7 @@ const actions = {
       var index = state.visitTaskList.findIndex(i => i.VisitTaskId === obj.visitTaskId)
       var measureData = state.visitTaskList[index].MeasureData
       console.log('addOrUpdateNonTargetMeasuredData')
+      // item.MeasureData.data.remark === obj.orderMarkName
       var idx = measureData.findIndex(item => item.QuestionId === obj.data.QuestionId && item.OrderMarkName === obj.data.OrderMarkName)
       if (idx > -1) {
         for (const k in state.visitTaskList[index].MeasureData[idx]) {
@@ -651,29 +655,39 @@ const actions = {
       var measureData = state.visitTaskList[index].MeasureData
       console.log(measureData, obj)
       // var idx = measureData.findIndex(item => item.MeasureData.uuid === obj.data.MeasureData.data.uuid)
-      if (!obj.questionInfo) {
-        state.visitTaskList[index].MeasureData.push({
-          MeasureData: obj,
-          SeriesId: obj.seriesId,
-          StudyId: obj.studyId,
-          InstanceId: obj.instanceId,
-          Id: obj.Id
-        })
-        console.log('新增标记成功')
-        // sessionStorage.setItem('visitTaskList', state.visitTaskList.length > 0 ? JSON.stringify(state.visitTaskList) : '')
-        resolve()
-      }
-      var idx = measureData.findIndex(item => item.Id === obj.questionInfo.Id)
+      // if (!obj.questionInfo) {
+      //   state.visitTaskList[index].MeasureData.push({
+      //     MeasureData: obj,
+      //     SeriesId: obj.seriesId,
+      //     StudyId: obj.studyId,
+      //     InstanceId: obj.instanceId,
+      //     Id: obj.Id
+      //   })
+      //   console.log('新增标记成功')
+      //   resolve()
+      // }
+      var idx = measureData.findIndex(item => item.MeasureData.data.remark === obj.measureData.data.remark)
       if (idx > -1) {
-        for (const k in state.visitTaskList[index].MeasureData[idx]) {
-          if (k !== 'Id' && obj.MeasureData.data[k]) {
-            state.visitTaskList[index].MeasureData[idx][k] = obj.MeasureData.data[k]
-          }
-        }
+        // state.visitTaskList[index].MeasureData[idx].InstanceId = obj.instanceId
+        state.visitTaskList[index].MeasureData[idx].MeasureData = obj.measureData
+        // state.visitTaskList[index].MeasureData[idx].SeriesId = obj.seriesId
+        // state.visitTaskList[index].MeasureData[idx].StudyId = obj.studyId
+        // for (const k in state.visitTaskList[index].MeasureData[idx]) {
+        //   if (k !== 'Id' && obj.MeasureData.data[k]) {
+        //     state.visitTaskList[index].MeasureData[idx][k] = obj.MeasureData.data[k]
+        //   }
+        // }
         // state.visitTaskList[index].MeasureData[idx].MeasureData = obj.data.MeasureData
         console.log('更新标记成功', idx)
       } else {
-        state.visitTaskList[index].MeasureData.push(obj.MeasureData.data)
+        // state.visitTaskList[index].MeasureData.push(obj.MeasureData.data)
+        state.visitTaskList[index].MeasureData.push({
+          MeasureData: obj.measureData          ,
+          SeriesId: obj.measureData.seriesId,
+          StudyId: obj.measureData.studyId,
+          InstanceId: obj.measureData.instanceId,
+          Id: obj.id
+        })
         console.log('新增标记成功')
       }
       // sessionStorage.setItem('visitTaskList', state.visitTaskList.length > 0 ? JSON.stringify(state.visitTaskList) : '')
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/StudyList.vue b/src/views/trials/trials-panel/reading/dicoms/components/StudyList.vue
index 48b25480..c3b6e358 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/StudyList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/StudyList.vue
@@ -219,7 +219,8 @@ export default {
       srInfo: {},
       digitPlaces: 2,
       visitTaskIdx: -1,
-      currentLoadIns: []
+      currentLoadIns: [],
+      keySeriesLoad: []
     }
   },
 
@@ -911,6 +912,31 @@ export default {
 
       const studyIndex = parseInt(params.idx.split('|')[0])
       const seriesIndex = parseInt(params.idx.split('|')[1])
+      // 关键序列处理
+      const seriesId = this.studyList[studyIndex].SeriesList[seriesIndex].seriesId
+      const i = this.keySeriesLoad.findIndex(i => i.seriesId === seriesId)
+      if (this.studyList[studyIndex].IsCriticalSequence && percentComplete >= 100) {
+          // 关键序列处理
+          if (i === -1) {
+            this.keySeriesLoad.push({ seriesId: seriesId, loadCount: 1, imageIds: [imageId] })
+          } else {
+            ++this.keySeriesLoad[i].loadCount
+            this.keySeriesLoad[i].imageIds.push(imageId)
+          } 
+        } else if (this.studyList[studyIndex].SeriesList[seriesIndex].IsBeMark && percentComplete >= 100) {
+          // 带有标注的序列处理
+          if (i === -1) {
+            this.keySeriesLoad.push({ seriesId: seriesId, loadCount: 1, imageIds: [imageId] })
+          } else {
+            ++this.keySeriesLoad[i].loadCount
+            this.keySeriesLoad[i].imageIds.push(imageId)
+          } 
+      }
+      if (!this.studyList[studyIndex].IsCriticalSequence && i > -1) {
+        this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount + 100 * this.keySeriesLoad[i].loadCount
+        this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr = [this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr, this.keySeriesLoad[i].imageIds]
+        this.keySeriesLoad.splice(i, 1)
+      }
       var prefetchInstanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount
       var instanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].instanceCount
       if (this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr.indexOf(imageId) < 0) {
diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomCanvas.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomCanvas.vue
index 312c853b..fc899d0d 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomCanvas.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomCanvas.vue
@@ -559,7 +559,11 @@ export default {
     mouseDown(e) {
       this.image = e.detail.image
       var pointNearTool = this.pointNearTool(e)
-      if (this.activeToolName === 'Length' || this.activeToolName === 'Bidirectional') {
+       if (pointNearTool) {
+        e.stopImmediatePropagation()
+        e.stopPropagation()
+        e.preventDefault()
+      } else if (this.activeToolName === 'Length' || this.activeToolName === 'Bidirectional') {
         if (!e.detail.image.columnPixelSpacing || !e.detail.image.rowPixelSpacing) {
           // '该影像不具备测量长度所需的必要数据，不能进行长度测量。请选择其他工具进行标注。'
           this.$confirm(this.$t('trials:reading:warnning:msg56'), '', {
@@ -572,10 +576,6 @@ export default {
           e.stopPropagation()
           e.preventDefault()
         }
-      } else if (pointNearTool) {
-        e.stopImmediatePropagation()
-        e.stopPropagation()
-        e.preventDefault()
       }
     },
     pointNearTool(e) {
@@ -606,6 +606,7 @@ export default {
           arr.push(i.MeasureData.data.remark)
         }
       })
+      console.log(arr)
       return arr
     },
     getRGBPixels(element, x, y, width, height) {
@@ -994,7 +995,8 @@ export default {
               var markName = this.measureData[idx].MeasureData.data.remark
               if (this.activeToolName === 'Eraser' && this.disabledMarks.indexOf(markName) === -1) {
                 const questionInfo = this.measureData[idx]
-                this.$emit('moveMeasureData', { measureData, questionInfo })
+                measureData.orderMarkName = markName
+                this.$emit('moveMeasureData', { measureData, questionInfo, orderMarkName: markName})
               }
               if ((this.disabledMarks.indexOf(markName) === -1 || !this.disabledMarks) && this.activeToolName !== 'Eraser') {
                 const questionInfo = this.measureData[idx]
diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
index ff58527e..3b6793d7 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
@@ -1363,7 +1363,8 @@ export default {
       this.fps = 15
       this.canvasObj[this.currentDicomCanvasIndex] = dicomSeries
       if (this.activeTool) {
-        if (dicomSeries.isCurrentTask && dicomSeries.readingTaskState < 2) {
+        // dicomSeries.isCurrentTask && dicomSeries.readingTaskState < 2
+        if (dicomSeries.isCurrentTask) {
           this.$nextTick(() => {
             this.$refs[
               `dicomCanvas${this.currentDicomCanvasIndex}`
diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeMeasurementList.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeMeasurementList.vue
index 7da7d8d8..bf0c6354 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeMeasurementList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeMeasurementList.vue
@@ -221,7 +221,7 @@ export default {
       measureData.measureData.pictureBaseStr = ''
       if (this.readingTaskState >=2) {
         this.measuredDataVisible = false
-        store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, ...this.measureData })
+        store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, measureData: measureData.measureData })
       }else{
         let params = JSON.parse(JSON.stringify(measureData))
         params.measureData = JSON.stringify(measureData.measureData)
@@ -244,16 +244,24 @@ export default {
     },
     handleMeasuredDataCancel() {
       this.measuredDataVisible = false
+      DicomEvent.$emit('updateImage')
     },
     handleMeasuredDataSave() {
      this.$refs.measuredDataForm.validate(valid => {
        if (!valid) return
+       // 是否同名验证
+       let isValid = this.validateRemarkName(this.form.measuredDataName)
+       if (!isValid) {
+        // '存在同名标记，不允许保存！'
+        this.$message.error(this.$t('trials:customReading:error:validMarkName'))
+        return
+       }
        this.measureData.data.remark = this.form.measuredDataName
        this.measureData.pictureBaseStr = ''
        if (this.readingTaskState >=2) {
         this.measuredDataVisible = false
         this.form.measuredDataName = ''
-        store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, ...this.measureData })
+        store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, measureData: this.measureData })
         DicomEvent.$emit('updateImage')
         this.$message.success(this.$t('common:message:savedSuccessfully'))
        } else {
@@ -262,8 +270,7 @@ export default {
         submitCustomTag(params).then(async (res) => {
           this.measuredDataVisible = false
           this.form.measuredDataName = ''
-          this.measureData.Id = res.Result
-          await store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, ...this.measureData })
+          await store.dispatch('reading/addCustomizeMeasuredData', { visitTaskId: this.visitTaskId, measureData: this.measureData, id: res.Result  })
           await store.dispatch('reading/getCustomizeMeasuredData', this.visitTaskId)
           DicomEvent.$emit('updateImage')
           this.$message.success(this.$t('common:message:savedSuccessfully'))
@@ -271,6 +278,12 @@ export default {
        }
      })
     },
+    validateRemarkName(remark) {
+      var idx = this.visitTaskList.findIndex(i => i.VisitTaskId === this.visitTaskId)
+      var measureData = this.visitTaskList[idx].MeasureData
+      let i = measureData.findIndex(i=>i.MeasureData.data.remark === remark)
+      return i === -1
+    },
     // 关闭签名框
     closeSignDialog(isSign, signInfo) {
       if (isSign) {
diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeStudyList.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeStudyList.vue
index 657eb4db..abda6354 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeStudyList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeStudyList.vue
@@ -218,7 +218,8 @@ export default {
       srInfo: {},
       digitPlaces: 2,
       visitTaskIdx: -1,
-      currentLoadIns: []
+      currentLoadIns: [],
+      keySeriesLoad: []
     }
   },
 
@@ -884,6 +885,31 @@ export default {
       if (this.visitTaskId === params.visitTaskId) {
         const studyIndex = params.idx.split('|')[0]
         const seriesIndex = params.idx.split('|')[1]
+        
+        const seriesId = this.studyList[studyIndex].SeriesList[seriesIndex].seriesId
+        const i = this.keySeriesLoad.findIndex(i => i.seriesId === seriesId)
+        if (this.studyList[studyIndex].IsCriticalSequence && percentComplete >= 100) {
+          // 关键序列处理
+          if (i === -1) {
+            this.keySeriesLoad.push({ seriesId: seriesId, loadCount: 1, imageIds: [imageId] })
+          } else {
+            ++this.keySeriesLoad[i].loadCount
+            this.keySeriesLoad[i].imageIds.push(imageId)
+          } 
+        } else if (this.studyList[studyIndex].SeriesList[seriesIndex].IsBeMark && percentComplete >= 100) {
+          // 带有标注的序列处理
+          if (i === -1) {
+            this.keySeriesLoad.push({ seriesId: seriesId, loadCount: 1, imageIds: [imageId] })
+          } else {
+            ++this.keySeriesLoad[i].loadCount
+            this.keySeriesLoad[i].imageIds.push(imageId)
+          } 
+        }
+        if (!this.studyList[studyIndex].IsCriticalSequence && i > -1) {
+          this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount + 100 * this.keySeriesLoad[i].loadCount
+          this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr = [this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr, this.keySeriesLoad[i].imageIds]
+          this.keySeriesLoad.splice(i, 1)
+        }
         var prefetchInstanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].prefetchInstanceCount
         var instanceCount = this.studyList[studyIndex].SeriesList[seriesIndex].instanceCount
         if (this.studyList[studyIndex].SeriesList[seriesIndex].imageloadedArr.indexOf(imageId) < 0) {