diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
index 686f4ddb..a6f7d290 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
@@ -14,6 +14,7 @@ import com.supervision.manage.pojo.vo.MedicalRecManageVO;
 import com.supervision.manage.pojo.vo.MedicalRecQaVO;
 import com.supervision.manage.service.*;
 import com.supervision.model.*;
+import com.supervision.model.Process;
 import com.supervision.service.*;
 import com.supervision.vo.manage.DiseaseAncillaryResVo;
 import com.supervision.vo.manage.DiseasePhysicalResVo;
@@ -66,6 +67,8 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
     private final MaterialLibraryService materialLibraryService;
 
+    private final ProcessService processService;
+
     public List<Disease> queryDiseaseListByDropList() {
         return diseaseService.lambdaQuery().list();
     }
@@ -307,6 +310,14 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
     @Override
     public void deleteMedicalRec(String id) {
+        // 删除前校验
+        MedicalRec medicalRec = medicalRecService.lambdaQuery().eq(MedicalRec::getId, id)
+                .oneOpt().orElseThrow(() -> new BusinessException("未找到病历"));
+        Assert.isFalse(Integer.valueOf(2).equals(medicalRec.getStatus()), "该病历已上线，不能删除");
+        Long count = processService.lambdaQuery().eq(Process::getMedicalRecId, id).count();
+        Assert.isFalse(count > 0, "该病历已关联问诊，不能删除");
+
+        // 删除操作
         medicalRecService.removeById(id);
     }