diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
index 2ec6982c2..cb81e7677 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
@@ -133,9 +133,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         List<EncounterAccountDto> list = adviceManageAppMapper.getAmount(AccountType.PERSONAL_CASH_ACCOUNT.getCode(),
                 ChargeItemStatus.BILLABLE.getValue(), ChargeItemStatus.BILLED.getValue(),
                 ChargeItemStatus.REFUNDED.getValue(), wrapper);
-        // 转换为Map,key = encounter_id
+        // 转换为Map,key = encounter_id（同一encounterId存在多条账户记录时取第一条）
         Map<Long, EncounterAccountDto> dtoMap
-                = list.stream().collect(Collectors.toMap(EncounterAccountDto::getEncounterId, e -> e));
+                = list.stream().collect(Collectors.toMap(EncounterAccountDto::getEncounterId, e -> e, (existing, replacement) -> existing));
         regPatientMainInfo.getRecords().forEach(e -> {
             // 设置费用详情
             if (dtoMap.containsKey(e.getEncounterId())) {