diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
index a1356555..7768cd59 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
@@ -4,6 +4,7 @@ import cn.hutool.core.collection.CollUtil;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.supervision.manage.pojo.vo.*;
 import com.supervision.manage.service.MedicalRecManageService;
+import com.supervision.model.MedicalRec;
 import com.supervision.vo.manage.MedicalRecTreatmentPlanResVo;
 import com.supervision.model.Disease;
 import com.supervision.vo.manage.*;
@@ -143,10 +144,9 @@ public class MedicalRecManageController {
 
     @Operation(summary = "修改病历状态,上线或下线病历",tags="v1.3新增")
     @PostMapping("/updateMedicalStatus")
-    public Boolean updateMedicalStatus(@Parameter(name = "medicalRecId", description = "病例id") @RequestParam("medicalRecId")  String medicalRecId,
-                                                    @Parameter(name = "status", description = "病历状态 0：未上线 1：上线") Integer status) {
+    public Boolean updateMedicalStatus(@RequestBody MedicalRecStatusReqVo medicalRec) {
 
-        return medicalRecManageService.updateMedicalStatus(medicalRecId,status);
+        return medicalRecManageService.updateMedicalStatus(medicalRec.getMedicalRecId(),medicalRec.getStatus());
     }
 
     @Operation(summary = "新建病历基本信息",description = "列表页面添加病历",tags = "v1.3新增")
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/HumanManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/HumanManageServiceImpl.java
index 3b7ce85a..8bc4cab5 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/HumanManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/HumanManageServiceImpl.java
@@ -80,6 +80,7 @@ public class HumanManageServiceImpl implements HumanManageService {
 
         Assert.notEmpty(humanReqVo.getImageFileId(), "图片不能为空");
         Human human = new Human();
+        human.setImageName(humanReqVo.getImageName());
         human.setImageFileId(humanReqVo.getImageFileId());
         human.setDescription(humanReqVo.getDescription());
         humanService.save(human);
@@ -107,7 +108,9 @@ public class HumanManageServiceImpl implements HumanManageService {
         if (StrUtil.equals(dbHuman.getImageFileId(), human.getImageFileId())){
             // 只更新描述信息
             humanService.lambdaUpdate().eq(Human::getId, human.getId())
-                    .set(Human::getDescription, human.getDescription()).update();
+                    .set(Human::getDescription, human.getDescription())
+                    .set(Human::getImageName, human.getImageName())
+                    .update();
             return true;
         }
         // 更新数字人状态
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/manage/HumanReqVo.java b/virtual-patient-model/src/main/java/com/supervision/vo/manage/HumanReqVo.java
index 2d24102c..c868d0a5 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/manage/HumanReqVo.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/manage/HumanReqVo.java
@@ -9,6 +9,9 @@ public class HumanReqVo {
     @Schema(description = "数字人ID")
     private String id;
 
+    @Schema(description = "数字人名")
+    private String imageName;
+
     @Schema(description = "静态图片ID")
     private String imageFileId;
 
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecStatusReqVo.java b/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecStatusReqVo.java
new file mode 100644
index 00000000..a07467df
--- /dev/null
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecStatusReqVo.java
@@ -0,0 +1,11 @@
+package com.supervision.vo.manage;
+
+import lombok.Data;
+
+@Data
+public class MedicalRecStatusReqVo {
+
+    private String medicalRecId;
+
+    private Integer status;
+}