diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
index 7bab140..937b44f 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatientitems/InspectPatientitemsServiceImpl.java
@@ -165,8 +165,8 @@ public class InspectPatientitemsServiceImpl implements InspectPatientitemsServic
         LambdaQueryWrapper<InspectPatientitemsDO> lambdaQuery = new LambdaQueryWrapper<>();
         lambdaQuery.eq(InspectPatientitemsDO::getMedicalSn, medicalSn)
                 .and(wrapper -> wrapper.eq(InspectPatientitemsDO::getItemStatus, 0).or().eq(InspectPatientitemsDO::getItemStatus,3));
-        List<InspectPatientitemsDO> list = patientitemsMapper.selectList(lambdaQuery);
-        return !list.isEmpty();
+        Long l = patientitemsMapper.selectCount(lambdaQuery);
+        return l != 0;
     }
 
     @Override