diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.java b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.java
index 3ba47d89..2d950ee9 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.java
@@ -239,4 +239,12 @@ public interface SignPatientManageRouteNodeMapper {
      * @return SignPatientManageRouteNode
      */
     List<SignPatientManageRouteNode> selectSameManageRouteNodeIdByRouteIds(List<Long> ids);
+
+    /**
+     * 查询节点id的路径id
+     *
+     * @param ids
+     * @return Long
+     */
+    List<Long> selectManageRouteIdByIds(Long[] ids);
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
index a36ed460..dc546114 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
@@ -741,17 +741,22 @@ public class SignPatientManageRouteServiceImpl implements ISignPatientManageRout
         if (deleteNodeCount < 0) {
             return AjaxResult.error("删除失败，请联系管理员！");
         }
+        List<Long> manageRouteIdByIds = signPatientManageRouteNodeMapper.selectManageRouteIdByIds(ids);
         //根据节点ids查询同路径的节点ids
         List<SignPatientManageRouteNode> signPatientManageRouteNodes = signPatientManageRouteNodeMapper.selectSameManageRouteNodeIdByNodeIds(ids);
         //无同级节点id
         List<Long> noSameLevelNodeIds = new ArrayList<>();
         //有同级节点，且同级节点状态不为0，不删除上级路径
-        for (Long aLong : ids) {
-            List<SignPatientManageRouteNode> collect = signPatientManageRouteNodes.stream().filter(Objects::nonNull).filter(item -> item.getId().equals(aLong)).collect(Collectors.toList());
+        for (Long aLong : manageRouteIdByIds) {
+            List<SignPatientManageRouteNode> collect = signPatientManageRouteNodes.stream().filter(Objects::nonNull).filter(item -> item.getManageRouteId().equals(aLong)).collect(Collectors.toList());
             if (CollectionUtils.isEmpty(collect) || collect.size() == 0) {
                 noSameLevelNodeIds.add(aLong);
             }
         }
+        //都存在同级节点，返回，不删除其他数据
+        if (CollectionUtils.isEmpty(noSameLevelNodeIds) || noSameLevelNodeIds.size() == 0) {
+            return AjaxResult.success();
+        }
         //无同级节点，查询上级路径 signPatientManageRoutes 上级路径ids
         List<SignPatientManageRoute> signPatientManageRoutes = signPatientManageRouteMapper.selectRouteByNodeIds(noSameLevelNodeIds);
         if (CollectionUtils.isEmpty(signPatientManageRoutes) || signPatientManageRoutes.size() == 0) {
@@ -764,9 +769,9 @@ public class SignPatientManageRouteServiceImpl implements ISignPatientManageRout
         //List<SignPatientManageRoute> patientManageRouteIds = new ArrayList<>();
         //上级为主路径，查询是否有子路径。上级为子路径继续查询同级信息
         for (SignPatientManageRoute signPatientManageRoute : signPatientManageRoutes) {
-            if (Objects.nonNull(signPatientManageRoute.getParentRouteId())) {
+            if (Objects.nonNull(signPatientManageRoute.getParentRouteId()) && signPatientManageRoute.getParentRouteId() != 0) {
                 patientManageRouteIds.add(signPatientManageRoute.getId());
-            } else {
+            } else if (Objects.isNull(signPatientManageRoute.getParentRouteId()) || signPatientManageRoute.getParentRouteId() == 0) {
                 manageRouteIds.add(signPatientManageRoute.getId());
             }
         }
diff --git a/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.xml b/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.xml
index 98d3f56c..a5bb0f00 100644
--- a/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.xml
+++ b/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroutenode/SignPatientManageRouteNodeMapper.xml
@@ -1390,4 +1390,11 @@
             #{id}
         </foreach>
     </select>
+
+    <select id="selectManageRouteIdByIds" resultType="java.lang.Long">
+        select manage_route_id from sign_patient_manage_route_node where id in
+        <foreach item="id" collection="array" open="(" separator="," close=")">
+            #{id}
+        </foreach>
+    </select>
 </mapper>