diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
index 307102f..f2c6377 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
@@ -24,6 +24,7 @@ import java.io.InputStream;
 import java.time.LocalDate;
 import java.time.LocalDateTime;
 import java.time.Period;
+import java.time.ZoneId;
 import java.time.format.DateTimeFormatter;
 import java.util.*;
 import java.io.IOException;
@@ -119,8 +120,8 @@ public class InspectPatientController {
         try (InputStream inputStream = file.getInputStream();
              Workbook workbook = new XSSFWorkbook(inputStream)) {
 
-            // 获取第一个Sheet
-            Sheet sheet = (Sheet) workbook.getSheetAt(0);
+            // +获取第一个Sheet
+            org.apache.poi.ss.usermodel.Sheet  sheet =  workbook.getSheetAt(0);
             if (sheet == null) {
                 return success("Sheet为空");
             }
@@ -161,8 +162,7 @@ public class InspectPatientController {
                String MedicalSn= Long.toString(timestamp);
                //患者信息
                 InspectPatientSaveReqVO rowData = new InspectPatientSaveReqVO();
-                //套餐信息
-                InspectPatientitemsSaveReqVO rowData2 = new InspectPatientitemsSaveReqVO();
+
                 rowData.setMedicalSn(MedicalSn);
                 //填充患者信息
                 for (int i = 0; i < row.getLastCellNum(); i++) {
@@ -177,7 +177,10 @@ public class InspectPatientController {
                                 rowData.setCardId(getCellValue(cell));
                                 break;
                             case "出生日期":
-                                rowData.setBirthday(LocalDate.parse(getCellValue(cell)));
+                                String dateStr = getCellValue(cell);
+                                Date date = DateUtil.getJavaDate(cell.getNumericCellValue());
+                                LocalDate localDate = date.toInstant().atZone(ZoneId.systemDefault()).toLocalDate();
+                                rowData.setBirthday(localDate);
                                 break;
                             case "性别":
                                 rowData.setGender(getCellValue(cell));
@@ -197,6 +200,8 @@ public class InspectPatientController {
                 //填写项目信息
                 for (InspectitemsDO inspectitemsDO:doList)
                 {
+                    //套餐信息
+                    InspectPatientitemsSaveReqVO rowData2 = new InspectPatientitemsSaveReqVO();
                     rowData2.setMedicalSn(MedicalSn);
                     rowData2.setItemCode(inspectitemsDO.getItemCode());
                     rowData2.setItemName(inspectitemsDO.getItemName());
@@ -212,8 +217,10 @@ public class InspectPatientController {
                     dataList2.add(rowData2);
                 }
             }
-            patientService.createPatientList(dataList);
-            patientitemsService.createPatientListitems(dataList2);
+            // 分批插入患者信息
+            batchInsertPatients(dataList);
+            // 分批插入患者项目信息
+            batchInsertPatientItems(dataList2);
 
             return success("上传成功");
 
@@ -230,7 +237,8 @@ public class InspectPatientController {
                 if (DateUtil.isCellDateFormatted(cell)) {
                     return cell.getDateCellValue().toString();
                 } else {
-                    return String.valueOf(cell.getNumericCellValue());
+                    // 将数值格式化为字符串
+                    return String.format("%.0f", cell.getNumericCellValue());
                 }
             case BOOLEAN:
                 return String.valueOf(cell.getBooleanCellValue());
@@ -240,6 +248,26 @@ public class InspectPatientController {
                 return "";
         }
     }
+
+
+    private void batchInsertPatients(List<InspectPatientSaveReqVO> dataList) {
+        int batchSize = 1000;
+        for (int i = 0; i < dataList.size(); i += batchSize) {
+            int end = Math.min(i + batchSize, dataList.size());
+            List<InspectPatientSaveReqVO> batch = dataList.subList(i, end);
+            patientService.createPatientList(batch);
+        }
+    }
+
+    private void batchInsertPatientItems(List<InspectPatientitemsSaveReqVO> dataList2) {
+        int batchSize = 1000;
+        for (int i = 0; i < dataList2.size(); i += batchSize) {
+            int end = Math.min(i + batchSize, dataList2.size());
+            List<InspectPatientitemsSaveReqVO> batch = dataList2.subList(i, end);
+            patientitemsService.createPatientListitems(batch);
+        }
+    }
+
     @PutMapping("/update")
     @Operation(summary = "更新患者信息")
     public CommonResult<Boolean> updatePatient(@Valid @RequestBody InspectPatientSaveReqVO updateReqVO) {