diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
index fde9c96d..9e8fd557 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
@@ -4,6 +4,7 @@ import cn.hutool.core.bean.BeanUtil;
 import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.collection.CollectionUtil;
 import cn.hutool.core.lang.Assert;
+import cn.hutool.core.util.ObjectUtil;
 import cn.hutool.core.util.StrUtil;
 import com.alibaba.druid.sql.visitor.functions.If;
 import com.sun.media.sound.AiffFileReader;
@@ -210,6 +211,9 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
             throw new BusinessException("电子病历未填写,请填写电子病例后诊毕");
         }
         for (PrimaryConfirmReqVO reqVO : reqVOList) {
+            if (ObjectUtil.isEmpty(reqVO.getExcludeFlag()) && 0 != reqVO.getExcludeFlag() && 1 != reqVO.getExcludeFlag()) {
+                throw new BusinessException("是否排除不能为空或诊断不正确");
+            }
             // 修改初步诊断是否被排除
             diagnosisPrimaryService.lambdaUpdate().set(DiagnosisPrimary::getExcludeFlag, reqVO.getExcludeFlag())
                     .eq(DiagnosisPrimary::getId, reqVO.getPrimaryId()).update();
@@ -277,7 +281,7 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
                         vo.setPrimaryDiseaseName("");
                     }
                 })
-        .collect(Collectors.toMap(DiagnosisPrimaryVO::getId, DiagnosisPrimaryVO::getPrimaryDiseaseName));
+                .collect(Collectors.toMap(DiagnosisPrimaryVO::getId, DiagnosisPrimaryVO::getPrimaryDiseaseName));
         // 查询诊疗记录对应的所有检查记录
         List<DiagnosisPrimaryRelation> relationList = diagnosisPrimaryRelationService.lambdaQuery().eq(DiagnosisPrimaryRelation::getProcessId, processId).list();
         // 根据relationId进行分组