diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/department/DepartmentMapper.java b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/department/DepartmentMapper.java
index bc08a92b..6d25b2fd 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/department/DepartmentMapper.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/department/DepartmentMapper.java
@@ -157,7 +157,7 @@ public interface DepartmentMapper {
     /**
      * 批量修改科室别名
      *
-     * @param departmentList
+     * @param departmentList 科室别名
      * @return int
      */
     int updateDepartmentListByIds(List<Department> departmentList);
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/residentinfo/ResidentInfoMapper.java b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/residentinfo/ResidentInfoMapper.java
index 97157ac2..197717cc 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/residentinfo/ResidentInfoMapper.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/mapper/residentinfo/ResidentInfoMapper.java
@@ -74,7 +74,7 @@ public interface ResidentInfoMapper {
     /**
      * 根据电话号码和居民姓名查询居民基本信息
      *
-     * @param phone  手机号
+     * @param phone       手机号
      * @param patientName 姓名
      * @return 居民基本信息
      */
@@ -82,6 +82,7 @@ public interface ResidentInfoMapper {
 
     /**
      * 更新用户openid
+     *
      * @param residentInfo 用户信息
      * @return 结果
      */
@@ -94,4 +95,12 @@ public interface ResidentInfoMapper {
      * @return 结果
      */
     int insertResidentInfoList(List<PatientInfoImport> patientInfoImports);
+
+    /**
+     * 根据姓名手机号查询居民信息
+     *
+     * @param patientInfoImports 姓名手机号
+     * @return ResidentInfo
+     */
+    List<ResidentInfo> selectResidentInfoByPhoneList(@Param("list") List<PatientInfoImport> patientInfoImports);
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientinfo/impl/PatientInfoServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientinfo/impl/PatientInfoServiceImpl.java
index d90eb88c..2f70c86d 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientinfo/impl/PatientInfoServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientinfo/impl/PatientInfoServiceImpl.java
@@ -37,6 +37,7 @@ import com.xinelu.manage.vo.patientinfo.PatientInfoVo;
 import com.xinelu.manage.vo.patientinfoimport.DeptAliasVO;
 import com.xinelu.manage.vo.patientinfoimport.PatientInfoImportVO;
 import com.xinelu.system.mapper.SysUserMapper;
+import lombok.extern.slf4j.Slf4j;
 import org.apache.commons.collections4.CollectionUtils;
 import org.apache.commons.lang3.BooleanUtils;
 import org.apache.commons.lang3.ObjectUtils;
@@ -59,6 +60,7 @@ import java.util.stream.Collectors;
  * @author haown
  * @date 2024-02-26
  */
+@Slf4j
 @Service
 public class PatientInfoServiceImpl implements IPatientInfoService {
 
@@ -336,20 +338,21 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
     @Override
     public AjaxResult patientUpload(List<PatientInfoImport> list, Integer records, String orgName) {
         if (CollectionUtils.isEmpty(list) || list.size() == 0) {
-            return AjaxResult.error("导入用户数据不能为空！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + list.size() + "条记录。失败原因：导入用户数据不能为空！");
         }
         List<PatientInfoImport> collect = list.stream().filter(Objects::nonNull).filter(item -> StringUtils.isEmpty(item.getPatientName()) || StringUtils.isEmpty(item.getPatientPhone()) || StringUtils.isEmpty(item.getDeptAlias()) || Objects.isNull(item.getVisitDate())).collect(Collectors.toList());
         if (CollectionUtils.isNotEmpty(collect)) {
-            return AjaxResult.error("请填写完整！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + list.size() + "条记录。失败原因：请填写完整导入信息！");
         }
         List<PatientInfoImport> regexPhoneList = list.stream().filter(item -> StringUtils.isNotBlank(item.getPatientPhone())).filter(item -> BooleanUtils.isFalse(regexUtil.regexPhone(item.getPatientPhone()))).collect(Collectors.toList());
         if (CollectionUtils.isNotEmpty(regexPhoneList)) {
-            return AjaxResult.error(HttpStatus.ERROR_TWO, "手机号号码格式不正确，请重新录入！", regexPhoneList);
+            return AjaxResult.error(HttpStatus.ERROR_TWO, "已完成数据导入！导入成功0条记录，失败" + list.size() + "条记录。失败原因：手机号号码格式不正确，请重新录入！", regexPhoneList);
         }
         //导入重复过滤
         List<PatientInfoImport> distinctCollect = list.stream().filter(Objects::nonNull).distinct().collect(Collectors.toList());
         //与数据库重复
         List<PatientInfo> patientInfos = new ArrayList<>();
+        List<ResidentInfo> residentInfos = residentInfoMapper.selectResidentInfoByPhoneList(list);
         if (Objects.isNull(records) || records == 1) {
             LocalDate nowDate = LocalDate.now();
             patientInfos = patientInfoMapper.selectPatientInfoByPatientName(list, nowDate);
@@ -360,7 +363,7 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         SysUser sysUser = sysUserMapper.selectUserById(SecurityUtils.getUserId());
         Agency agency = agencyMapper.selectAgencyById(sysUser.getHospitalAgencyId());
         if (Objects.isNull(agency) || StringUtils.isEmpty(agency.getNodeType())) {
-            return AjaxResult.error("该账号无所属医院信息，请先添加该账号所属的医院信息！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + list.size() + "条记录。失败原因：该账号无所属医院信息，请先添加该账号所属的医院信息！");
         }
         Department department = new Department();
         department.setHospitalAgencyId(sysUser.getHospitalAgencyId());
@@ -371,6 +374,12 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         List<PatientInfoImport> patientInfoImportList = new ArrayList<>();
         for (PatientInfoImport patientInfoImport : distinctCollect) {
             //选择自动去除当日重复记录
+            if (CollectionUtils.isNotEmpty(residentInfos)) {
+                List<ResidentInfo> collect1 = residentInfos.stream().filter(Objects::nonNull).filter(item -> patientInfoImport.getPatientName().equals(item.getPatientName()) && patientInfoImport.getPatientPhone().equals(item.getPatientPhone())).collect(Collectors.toList());
+                if (CollectionUtils.isNotEmpty(collect1)) {
+                    continue;
+                }
+            }
             if (CollectionUtils.isNotEmpty(patientInfos) && (Objects.isNull(records) || records == 1)) {
                 List<PatientInfo> collect1 = patientInfos.stream().filter(Objects::nonNull).filter(item -> patientInfoImport.getPatientName().equals(item.getPatientName()) && patientInfoImport.getPatientPhone().equals(item.getPatientPhone())).collect(Collectors.toList());
                 if (CollectionUtils.isNotEmpty(collect1)) {
@@ -415,10 +424,11 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
             patientInfoImportList.add(patientInfoImport);
         }
         if (CollectionUtils.isEmpty(patientInfoImportList)) {
-            return AjaxResult.success();
+            return AjaxResult.success("已完成数据导入！导入成功0条记录；失败0条记录，重复" + list.size() + "条记录（已自动去重）。");
         }
         //组装返回数据
         patientInfoImportVO.setSn(sn);
+        patientInfoImportVO.setCount(list.size());
         if (CollectionUtils.isNotEmpty(departmentList) && departmentList.size() > 0) {
             patientInfoImportVO.setDepartments(departmentList);
         }
@@ -429,7 +439,8 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         //新增缓存表
         int insertCount = patientInfoImportMapper.insertPatientInfoImportList(patientInfoImportList);
         if (insertCount <= 0) {
-            return AjaxResult.error("导入失败，请联系管理员！");
+            log.info("缓存表新增失败！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。");
         }
         //导入记录表
         PatientInfoImportMain patientInfoImportMain = new PatientInfoImportMain();
@@ -448,13 +459,15 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
             patientInfoImportList.forEach(item -> item.setPatientInfoImportId(item.getId()));
             int residentCount = residentInfoMapper.insertResidentInfoList(patientInfoImportList);
             if (residentCount <= 0) {
-                return AjaxResult.error("导入失败，请联系管理员！");
+                log.info("居民表新增失败！");
+                return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。");
             }
             patientInfoImportList.forEach(item -> item.setResidentId(item.getId()));
             //新增患者表
             int i = patientInfoMapper.insertPatientInfoList(patientInfoImportList);
             if (i <= 0) {
-                return AjaxResult.error("导入失败，请联系管理员！");
+                log.info("患者表新增失败！");
+                return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。");
             }
             patientInfoImportList.forEach(item -> item.setPatientInfoId(item.getId()));
             //新增就诊记录表
@@ -474,10 +487,16 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
             }
             int patientVisitRecordCount = patientVisitRecordMapper.insertPatientVisitRecordList(patientVisitRecords);
             if (patientVisitRecordCount <= 0) {
-                return AjaxResult.error("导入失败，请联系管理员！");
+                log.info("就诊记录表新增失败！");
+                return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。");
             }
         }
-        return AjaxResult.success();
+        String msg = "已完成数据导入！导入成功" + patientInfoImportList.size() + "条记录，失败0条记录";
+        if (list.size() != patientInfoImportList.size()) {
+            int i = list.size() - patientInfoImportList.size();
+            msg = msg + "，重复" + i + "条记录（已自动去重）。";
+        }
+        return AjaxResult.success(msg);
     }
 
     /**
@@ -496,16 +515,19 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         SysUser sysUser = sysUserMapper.selectUserById(SecurityUtils.getUserId());
         Agency agency = agencyMapper.selectAgencyById(sysUser.getHospitalAgencyId());
         if (Objects.isNull(agency)) {
-            return AjaxResult.error("该账号无所属医院信息，请先添加该账号所属的医院信息！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。失败原因：该账号无所属医院信息，请先添加该账号所属的医院信息。");
         }
         Department department = new Department();
         department.setHospitalAgencyId(sysUser.getHospitalAgencyId());
         List<Department> departmentList = departmentMapper.selectDepartmentNameCount(department);
         if (CollectionUtils.isEmpty(departmentList)) {
-            return AjaxResult.error("该账号所属医院无下级科室，请先维护所属医院的下级科室信息！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录，失败" + patientInfoImportVO.getCount() + "条记录。失败原因：该账号所属医院无下级科室，请先维护所属医院的下级科室信息。");
         }
         //根据sn查询数据
         List<PatientInfoImport> patientInfoImports = patientInfoImportMapper.selectPatientInfoImportBySn(patientInfoImportVO.getSn());
+        if (CollectionUtils.isEmpty(patientInfoImports)) {
+            return AjaxResult.error("已完成数据导入！导入成功0条记录；失败" + patientInfoImportVO.getCount() + "条记录。");
+        }
         for (PatientInfoImport patientInfoImport : patientInfoImports) {
             if (StringUtils.isEmpty(patientInfoImport.getDepartmentName()) || Objects.isNull(patientInfoImport.getDepartmentId())) {
                 DeptAliasVO deptAliasVO = patientInfoImportVO.getDeptAliasVOS().stream().filter(Objects::nonNull).filter(item -> StringUtils.isNotBlank(item.getDepartmentName()) && StringUtils.isNotEmpty(item.getDeptAlias()) && patientInfoImport.getDeptAlias().equals(item.getDeptAlias())).findFirst().orElse(new DeptAliasVO());
@@ -537,20 +559,20 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         if (CollectionUtils.isNotEmpty(departments)) {
             int i = departmentMapper.updateDepartmentListByIds(departments);
             if (i <= 0) {
-                return AjaxResult.error("导入失败，请联系管理员！");
+                return AjaxResult.error("已完成数据导入！导入成功0条记录；失败" + patientInfoImportVO.getCount() + "条记录。");
             }
         }
         //新增居民表
         patientInfoImports.forEach(item -> item.setPatientInfoImportId(item.getId()));
         int residentCount = residentInfoMapper.insertResidentInfoList(patientInfoImports);
         if (residentCount <= 0) {
-            return AjaxResult.error("导入失败，请联系管理员！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录；失败" + patientInfoImportVO.getCount() + "条记录。");
         }
         patientInfoImports.forEach(item -> item.setResidentId(item.getId()));
         //新增患者表
         int i = patientInfoMapper.insertPatientInfoList(patientInfoImports);
         if (i <= 0) {
-            return AjaxResult.error("导入失败，请联系管理员！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录；失败" + patientInfoImportVO.getCount() + "条记录。");
         }
         patientInfoImports.forEach(item -> item.setPatientInfoId(item.getId()));
         List<PatientVisitRecord> patientVisitRecords = new ArrayList<>();
@@ -568,8 +590,13 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
         }
         int patientVisitRecordCount = patientVisitRecordMapper.insertPatientVisitRecordList(patientVisitRecords);
         if (patientVisitRecordCount <= 0) {
-            return AjaxResult.error("导入失败，请联系管理员！");
+            return AjaxResult.error("已完成数据导入！导入成功0条记录；失败" + patientInfoImportVO.getCount() + "条记录。");
         }
-        return AjaxResult.success();
+        String msg = "已完成数据导入！导入成功" + patientInfoImports.size() + "条记录；失败0条记录";
+        if (patientInfoImportVO.getCount() != patientInfoImports.size()) {
+            int minus = patientInfoImportVO.getCount() - patientInfoImports.size();
+            msg = msg + "，重复" + minus + "条记录（已自动去重）。";
+        }
+        return AjaxResult.success(msg);
     }
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/vo/patientinfoimport/PatientInfoImportVO.java b/postdischarge-manage/src/main/java/com/xinelu/manage/vo/patientinfoimport/PatientInfoImportVO.java
index de8cd15e..fcd1715b 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/vo/patientinfoimport/PatientInfoImportVO.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/vo/patientinfoimport/PatientInfoImportVO.java
@@ -23,6 +23,11 @@ public class PatientInfoImportVO extends BaseEntity {
      */
     private String sn;
 
+    /**
+     * 导入总数
+     */
+    private Integer count;
+
     /**
      * 科室别名集合
      */
diff --git a/postdischarge-manage/src/main/resources/mapper/manage/residentinfo/ResidentInfoMapper.xml b/postdischarge-manage/src/main/resources/mapper/manage/residentinfo/ResidentInfoMapper.xml
index 4f68e647..749faa5a 100644
--- a/postdischarge-manage/src/main/resources/mapper/manage/residentinfo/ResidentInfoMapper.xml
+++ b/postdischarge-manage/src/main/resources/mapper/manage/residentinfo/ResidentInfoMapper.xml
@@ -235,4 +235,17 @@
             )
         </foreach>
     </insert>
+
+	<select id="selectResidentInfoByPhoneList" resultType="com.xinelu.manage.domain.residentinfo.ResidentInfo">
+        select
+        patient_name,
+        patient_phone
+        from resident_info
+        <where>
+            (patient_name, patient_phone) IN
+            <foreach item="list" index="index" collection="list" open="(" separator="," close=")">
+                (#{list.patientName}, #{list.patientPhone})
+            </foreach>
+        </where>
+    </select>
 </mapper>
\ No newline at end of file