diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
index 229eb3f8..5928f3e0 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
@@ -340,7 +340,8 @@ export default {
       pictureBaseStr: '',
       currentMarkTool: '',
       digitPlaces: 2,
-      stateDisabled: false
+      stateDisabled: false,
+      splitLesionTargetPDD: null
     }
   },
   mounted() {
@@ -363,10 +364,9 @@ export default {
       })
     },
     previewImage() {
-      console.log(this.$refs.viewer[0])
       this.$refs.viewer[0].$viewer.show()
     },
-    async initForm() {
+    async initForm(params) {
       const loading = this.$loading({ fullscreen: true })
       this.questions.forEach(item => {
         var val = this.answers[item.Id]
@@ -448,6 +448,14 @@ export default {
         const lesionState = !isNaN(parseInt(this.getQuestionVal(7))) ? parseInt(this.getQuestionVal(7)) : ''
         this.$emit('resetQuestions', { isLymphLesion, lesionPart, lesionOrgan, lesionShort, lesionState, saveTypeEnum: this.questionForm.saveTypeEnum, lesionLength, rowIndex: this.rowIndex, questionId: this.parentQsId, anwsers: this.questionForm })
       }
+      if (this.lesionType === 0 && params && params.splitLesionTargetPPD) {
+        // ppd
+
+        var ppd = this.getQuestionVal(12)
+        ppd = isNaN(parseFloat(ppd)) ? 0 : parseFloat(ppd)
+
+        this.splitLesionTargetPDD = ppd + params.splitLesionTargetPPD
+      }
 
       // 如果当前病灶状态为“疾病进展”，且满足疾病进展的条件，则状态不允许更改
       var state = this.getQuestionVal(7)// 长径
@@ -458,9 +466,15 @@ export default {
       pddIncrease = isNaN(parseFloat(pddIncrease)) ? 0 : parseFloat(pddIncrease)
       var ldiIncrease = this.getQuestionVal(18)// 相比PPD最低点LDi增加值
       ldiIncrease = isNaN(parseFloat(ldiIncrease)) ? 0 : parseFloat(ldiIncrease)
-      var sdiIncrease = this.getQuestionVal(19)// 相比PPD最低点LDi增加值
+      var sdiIncrease = this.getQuestionVal(19)// 相比PPD最低点SDi增加值
       sdiIncrease = isNaN(parseFloat(sdiIncrease)) ? 0 : parseFloat(sdiIncrease)
+
       if (!this.isBaseLineTask && state === 4 && this.lesionType === 0 && ldi && pddIncrease && ldiIncrease && sdiIncrease) {
+        if (this.splitLesionTargetPDD) {
+          var minPPD = this.getQuestionVal(13)
+          minPPD = parseFloat(minPPD)
+          pddIncrease = ((((this.splitLesionTargetPDD - minPPD) / minPPD)) * 100).toFixed(this.digitPlaces)
+        }
         /** 疾病进展
          * 15mm<当前靶病灶LDi≤20mm
          * 相比最低点PPD增加百分比 ≥50％
@@ -805,6 +819,9 @@ export default {
                   this.$set(this.questionForm, stateId, 0)
                 }
               }
+            } else if (this.isCurrentTaskAdd === 'True' && !lesionState && measureData.type === 'Bidirectional') {
+              const stateId = this.getQuestionId(7)
+              this.$set(this.questionForm, stateId, 0)
             }
             if (this.lesionType === 0) {
               this.calculatePPD()
@@ -941,34 +958,56 @@ export default {
       } else {
         this.$set(this.questionForm, sdiIncreaseObj.Id, 'NA')
       }
-
+      var pddIncreaseNum = null
+      if (this.splitLesionTargetPDD) {
+        pddIncreaseNum = ((((this.splitLesionTargetPDD - minPPD) / minPPD)) * 100).toFixed(this.digitPlaces)
+      } else {
+        pddIncreaseNum = ((((ppd - minPPD) / minPPD)) * 100).toFixed(this.digitPlaces)
+      }
       /** 疾病进展* **/
-      if (!this.isBaseLineTask && ldi && pddIncrease && ldiIncrease && sdiIncrease) {
+      if (!this.isBaseLineTask && ldi && pddIncreaseNum && ldiIncrease && sdiIncrease && this.lesionType === 0 && this.isCurrentTaskAdd === 'False') {
         /** 疾病进展
          * 15mm<当前靶病灶LDi≤20mm
          * 相比最低点PPD增加百分比 ≥50％
          * 相比PPD最低点LDi增加值 ≥5 mm 或者 相比PPD最低点SDi增加值≥5 mm
         **/
-        if ((ldi > 15 && ldi <= 20) && (pddIncrease >= 50) && (ldiIncrease >= 5 || sdiIncrease >= 5)) {
+        if ((ldi > 15 && ldi <= 20) && (pddIncreaseNum >= 50) && (ldiIncrease >= 5 || sdiIncrease >= 5)) {
           const stateId = this.getQuestionId(7)
-          console.log(stateId)
           this.$set(this.questionForm, stateId, 4)
           this.stateDisabled = true
-        } else if ((ldi > 20) && (pddIncrease >= 50) && (ldiIncrease >= 10 || sdiIncrease >= 10)) {
+        } else if ((ldi > 20) && (pddIncreaseNum >= 50) && (ldiIncrease >= 10 || sdiIncrease >= 10)) {
           /** 疾病进展
            * 当前靶病灶LDi>20 mm
            * 相比最低点PPD增加百分比 ≥50％
            * 相比PPD最低点LDi增加值 ≥10 mm 或者 相比PPD最低点SDi增加值Sdi ≥10 mm
           **/
           const stateId = this.getQuestionId(7)
-          console.log(stateId)
           this.$set(this.questionForm, stateId, 4)
           this.stateDisabled = true
         } else {
+          // 不符合疾病进展是否需要清空修改前疾病进展的状态
+          // const lesionState = !isNaN(parseInt(this.getQuestionVal(7))) ? parseInt(this.getQuestionVal(7)) : ''
+          // if (lesionState === 4) {
+          //   const stateId = this.getQuestionId(7)
+          //   this.$set(this.questionForm, stateId, null)
+          // }
           this.stateDisabled = false
         }
+      } else {
+        // 不符合疾病进展是否需要清空修改前疾病进展的状态
+        // const lesionState = !isNaN(parseInt(this.getQuestionVal(7))) ? parseInt(this.getQuestionVal(7)) : ''
+        // if (lesionState === 4) {
+        //   const stateId = this.getQuestionId(7)
+        //   this.$set(this.questionForm, stateId, null)
+        // }
+        this.stateDisabled = false
       }
     },
+    setSplitLesionTargetPPD(v) {
+      var ppd = this.getQuestionVal(12)
+      ppd = isNaN(parseFloat(ppd)) ? 0 : parseFloat(ppd)
+      this.splitLesionTargetPDD = ppd + v
+    },
     returnFloat(num) {
       if (num) return
       var value = Math.round(parseFloat(num) * 100) / 100
@@ -1622,12 +1661,12 @@ export default {
           submitTableQuestion(params).then(async res => {
             // 保存成功！
             this.$message.success(this.$t('common:message:savedSuccessfully'))
+
             this.currentMarkTool = measureData ? measureData.type : ''
             // saveTypeEnum 0：未保存过（新建病灶）；1：已保存，信息不完整（随访初始化病灶/分裂病灶，通过状态判断）；2：已保存，信息完整
 
             this.$set(this.questionForm, 'saveTypeEnum', 2)
             this.originalQuestionForm = { ...this.questionForm }
-            loading.close()
             var isLymphLesion = this.getQuestionVal(2)
             isLymphLesion = isLymphLesion ? parseInt(isLymphLesion) : null
             var lesionOrgan = this.getQuestionVal(6)
@@ -1642,6 +1681,10 @@ export default {
             DicomEvent.$emit('readingPageUpdate', {})
             DicomEvent.$emit('getReportInfo', true)
             DicomEvent.$emit('setMeasuredToolsPassive')
+            loading.close()
+            if (parseInt(this.answers.SplitOrMergeType) === 0) {
+              this.$emit('getReadingQuestionAndAnswer')
+            }
           }).catch(() => { loading.close() })
         })
       })
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionList.vue
index 830b94a0..f7d5d3dc 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionList.vue
@@ -87,10 +87,15 @@
 
                         </div>
                       </div>
-                      <div v-if="((item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0,1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'" style="position: absolute;right: 5px;top: 2px;transform: rotateY(180deg);">
+                      <div v-if="((item.LesionType === 0 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0) || (item.LesionType === 1 && [0,1].includes(parseInt(item.TableQuestions.Answers[i].lesionState))) || (item.LesionType === 2 && parseInt(item.TableQuestions.Answers[i].lesionState) === 0)) && item.TableQuestions.Answers[i].IsCurrentTaskAdd === 'False'" style="position: absolute;right: 5px;top: 2px;">
                         <!-- 分裂 -->
-                        <!-- <el-tooltip v-show="readingTaskState<2 && !!item.TableQuestions.Answers[i].RowId && !isBaseLineTask && item.TableQuestions.Answers[i].isDicomReading !== false" class="item" :content="$t('trials:reading:button:split')" placement="left">
+                        <el-tooltip v-show="!!item.TableQuestions.Answers[i].RowId" class="item" :content="$t('trials:reading:button:split')" placement="bottom">
                           <i class="iconfont icon-24gl-split" style="color:#fff;font-size: 16px;" @click.stop="handleSplit(item.TableQuestions.Answers[i].RowId,item.Id)" />
+                        </el-tooltip>
+
+                        <!-- 融合 -->
+                        <!-- <el-tooltip v-show="!!item.TableQuestions.Answers[i].RowId " class="item" :content="$t('trials:reading:button:merge')" placement="bottom">
+                          <i class="iconfont icon-24gl-merge" style="color:#fff;font-size: 16px;" />
                         </el-tooltip> -->
                       </div>
 
@@ -147,7 +152,7 @@
   </div>
 </template>
 <script>
-import { splitLesion } from '@/api/trials'
+import { splitLesion, getSplitPPdSum } from '@/api/trials'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
 import { mapGetters } from 'vuex'
@@ -202,7 +207,9 @@ export default {
       isFirstRender: false,
       CriterionType: null,
       subjectCode: '',
-      isNonTargetMeasurement: false
+      isNonTargetMeasurement: false,
+      splitTargetLesions: [],
+      lesionTypeQuestionId: ''
     }
   },
   computed: {
@@ -257,6 +264,19 @@ export default {
         this.$refs['ecrf3'].getQuestions(this.visitTaskId)
       })
     })
+    DicomEvent.$on('refreshSplitTargetLesionPDD', async(callback) => {
+      this.splitTargetLesions = await this.getSplitTargetLesionPDD()
+      if (this.splitTargetLesions && this.splitTargetLesions.length > 0) {
+        this.splitTargetLesions.map(i => {
+          var refName = `${this.lesionTypeQuestionId}_${i.RowIndex}`
+          console.log(refName)
+          var params = {}
+          params.splitLesionTargetPPD = i.AllPPD
+          this.$refs[refName] && this.$refs[refName][0].initForm(params)
+        })
+      }
+      callback(true)
+    })
 
     window.addEventListener('resize', this.setHeight)
   },
@@ -268,6 +288,7 @@ export default {
   },
   methods: {
     async initList() {
+      console.log('initList')
       var i = this.visitTaskList.findIndex(i => i.VisitTaskId === this.lastCanvasTaskId)
       if (i > -1) {
         this.visitTaskId = this.visitTaskList[i].VisitTaskId
@@ -297,6 +318,9 @@ export default {
           await store.dispatch('reading/setStatus', { visitTaskId: this.visitTaskList[i].VisitTaskId })
           loading.close()
         }
+        if (!this.isBaseLineTask) {
+          this.splitTargetLesions = await this.getSplitTargetLesionPDD()
+        }
         this.questions = this.visitTaskList[i].ReadingQuestions
         this.$nextTick(() => {
           this.$refs['ecrf'].getQuestions(this.visitTaskId)
@@ -306,7 +330,15 @@ export default {
           this.tableQuestions.forEach(item => {
             item.TableQuestions.Answers.forEach(i => {
               var refName = `${item.Id}_${i.RowIndex}`
-              this.$refs[refName] && this.$refs[refName][0].initForm()
+              var params = {}
+              if (parseInt(i.LesionType) === 0) {
+                this.lesionTypeQuestionId = item.Id
+                var idx = this.splitTargetLesions.findIndex(v => v.RowId === i.RowId)
+                if (idx > -1) {
+                  params.splitLesionTargetPPD = this.splitTargetLesions[idx].AllPPD
+                }
+              }
+              this.$refs[refName] && this.$refs[refName][0].initForm(params)
             })
           })
         })
@@ -415,7 +447,8 @@ export default {
       return new Promise(async resolve => {
         try {
           const loading = this.$loading({ fullscreen: true })
-          await store.dispatch('reading/refreshReadingQuestionAndAnswer', { trialId: this.$router.currentRoute.query.trialId, visitTaskId: this.visitTaskId }).then(() => {
+
+          await store.dispatch('reading/refreshReadingQuestionAndAnswer', { trialId: this.$router.currentRoute.query.trialId, visitTaskId: this.visitTaskId }).then(async() => {
             var idx = this.visitTaskList.findIndex(i => i.VisitTaskId === this.visitTaskId)
             if (idx > -1) {
               if (this.visitTaskList[idx].ReadingQuestions.length > 0) {
@@ -425,12 +458,22 @@ export default {
               this.isBaseLineTask = this.visitTaskList[idx].IsBaseLineTask
               this.isCurrentTask = this.visitTaskList[idx].IsCurrentTask
             }
+            if (!this.isBaseLineTask) {
+              this.splitTargetLesions = await this.getSplitTargetLesionPDD()
+            }
             this.getTableQuestions()
             this.$nextTick(() => {
               this.tableQuestions.forEach(item => {
                 item.TableQuestions.Answers.forEach(i => {
                   var refName = `${item.Id}_${i.RowIndex}`
-                  this.$refs[refName] && this.$refs[refName][0].initForm()
+                  var params = {}
+                  if (parseInt(i.LesionType) === 0) {
+                    var idx = this.splitTargetLesions.findIndex(v => v.RowId === i.RowId)
+                    if (idx > -1) {
+                      params.splitLesionTargetPPD = this.splitTargetLesions[idx].AllPPD
+                    }
+                  }
+                  this.$refs[refName] && this.$refs[refName][0].initForm(params)
                 })
               })
             })
@@ -442,6 +485,13 @@ export default {
         } catch (e) { console.log(e) }
       })
     },
+    getSplitTargetLesionPDD() {
+      return new Promise(resolve => {
+        getSplitPPdSum({ visitTaskId: this.visitTaskId }).then(res => {
+          resolve(res.Result)
+        }).catch(() => { resolve() })
+      })
+    },
     setHeight() {
       this.height = window.innerHeight - 140
     },