diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
index 7bb7cc501..ad338c496 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
@@ -290,6 +290,11 @@ public class PatientexamlistServiceImpl extends ServiceImpl<PatientexamlistMappe
         if (createReqVOs != null && createReqVOs.size() > 0) {
             for (PatientExamInfoAddReqVO createReqVO : createReqVOs) {
                 if (createReqVO != null) {
+                    // 检查是否已存在重复数据
+                    if (isDuplicateData(createReqVO.getExamId(), createReqVO.getOrgId())) {
+                        continue;
+                    }
+
                     patientexamlist = BeanUtils.toBean(createReqVO, PatientexamlistDO.class);
 
                     dateTime = LocalDateTime.parse(LocalDateTime.now().format(DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss")), DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"));
@@ -309,7 +314,13 @@ public class PatientexamlistServiceImpl extends ServiceImpl<PatientexamlistMappe
             ids = Collections.emptyList();
         return ids;
     }
-
+    
+    private boolean isDuplicateData(String examId, String orgId) {
+        QueryWrapper<PatientexamlistDO> queryWrapper = new QueryWrapper<>();
+        queryWrapper.eq("examId", examId)
+                .eq("orgId", orgId);
+        return patientexamlistMapper.selectCount(queryWrapper) > 0;
+    }
     @Override
     public void updateExamItemNameById(String id, String examItemName) {
         validatePatientexamlistExists(id);
@@ -684,4 +695,6 @@ public class PatientexamlistServiceImpl extends ServiceImpl<PatientexamlistMappe
             throw ex;
         }
     }
+
+
 }
\ No newline at end of file