diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/excel/ImportEpidemicSpecialAttention.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/excel/ImportEpidemicSpecialAttention.java
index 2f690d2d7c..52135be6e5 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/excel/ImportEpidemicSpecialAttention.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/excel/ImportEpidemicSpecialAttention.java
@@ -45,6 +45,9 @@ public class ImportEpidemicSpecialAttention extends ExcelVerifyInfo {
     @Excel(name = "备注")
     private String remark;
 
+    @Excel(name = "隔离状态")
+    private String isolatedState;
+
     @ExcelIgnore
     private Integer attentionType;
 
diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcEpidemicSpecialAttentionServiceImpl.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcEpidemicSpecialAttentionServiceImpl.java
index 490219bcb9..d41cf26726 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcEpidemicSpecialAttentionServiceImpl.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcEpidemicSpecialAttentionServiceImpl.java
@@ -380,7 +380,6 @@ public class IcEpidemicSpecialAttentionServiceImpl extends BaseServiceImpl<IcEpi
     @Async
     public void importFile(TokenDto tokenDto, InputStream inputStream, Integer attentionType, String taskId) {
         List<EpidemicSpecialAttentionErrorModel> errorInfo = new ArrayList<>();
-
         try {
             List<ImportEpidemicSpecialAttention> list = ExcelPoiUtils.importExcel(inputStream, 0,1,ImportEpidemicSpecialAttention.class);
             if (CollectionUtils.isEmpty(list)){
@@ -414,7 +413,17 @@ public class IcEpidemicSpecialAttentionServiceImpl extends BaseServiceImpl<IcEpi
                     list.get(i).setAddStatus(true);
                     continue;
                 }
+                if (attentionType.compareTo(NumConstant.TWO) == NumConstant.ZERO && StringUtils.isBlank(list.get(i).getIsolatedState()) && !list.get(i).getAddStatus()){
+                    errorInfo.add(getErrorInfo(list.get(i), "隔离状态不能为空",i+1));
+                    list.get(i).setAddStatus(true);
+                    continue;
+                }
             }
+            Result<List<SysDictDataDTO>> isolatedState = epmetAdminOpenFeignClient.dictDataList("isolatedState");
+            if (!isolatedState.success()){
+                throw new EpmetException("查询字典表数据失败..."+"isolatedState");
+            }
+            Map<String, String> dictMap = isolatedState.getData().stream().collect(Collectors.toMap(SysDictDataDTO::getDictLabel, SysDictDataDTO::getDictValue));
             if (list.size() > errorInfo.size()){
                 Map<String, Long> groupByIdCard = list.stream().collect(Collectors.groupingBy(ImportEpidemicSpecialAttention::getIdCard, Collectors.counting()));
                 groupByIdCard.forEach((idCard,count) -> {
@@ -428,6 +437,7 @@ public class IcEpidemicSpecialAttentionServiceImpl extends BaseServiceImpl<IcEpi
                     }
                 });
                 List<String> idCards = list.stream().map(m -> m.getIdCard()).collect(Collectors.toList());
+                List<IcEpidemicSpecialAttentionEntity> existsEntities = new ArrayList<>();
                 List<String> existList = baseDao.getExistList(attentionType, idCards);
                 if (CollectionUtils.isNotEmpty(existList)){
                     for (String s : existList) {
@@ -436,10 +446,17 @@ public class IcEpidemicSpecialAttentionServiceImpl extends BaseServiceImpl<IcEpi
                                 // 按照产品指示，去除提示错误信息，并不做操作
 //                                errorInfo.add(getErrorInfo(list.get(i),"数据已存在",list.get(i).getNum()));
                                 list.get(i).setAddStatus(true);
+                                if (attentionType.compareTo(NumConstant.TWO) == NumConstant.ZERO){
+                                    list.get(i).setIsolatedState(dictMap.get(list.get(i).getIsolatedState()));
+                                    existsEntities.add(ConvertUtils.sourceToTarget(list.get(i),IcEpidemicSpecialAttentionEntity.class));
+                                }
                                 continue;
                             }
                         }
                     }
+                    if (attentionType.compareTo(NumConstant.TWO) == NumConstant.ZERO && CollectionUtils.isNotEmpty(existsEntities)) {
+                        baseDao.addExistAttention(existsEntities, attentionType);
+                    }
                 }
             }
             Map<Boolean, List<ImportEpidemicSpecialAttention>> groupByStatus = list.stream().collect(Collectors.groupingBy(ImportEpidemicSpecialAttention::getAddStatus));
@@ -447,6 +464,9 @@ public class IcEpidemicSpecialAttentionServiceImpl extends BaseServiceImpl<IcEpi
             if (CollectionUtils.isNotEmpty(needInsert)){
                 List<IcEpidemicSpecialAttentionEntity> entities = ConvertUtils.sourceToTarget(needInsert, IcEpidemicSpecialAttentionEntity.class);
                 entities.forEach(e -> {
+                    if (attentionType.compareTo(NumConstant.TWO) == NumConstant.ZERO){
+                        e.setIsolatedState(dictMap.get(e.getIsolatedState()));
+                    }
                     e.setIsAttention(NumConstant.ONE);
                     e.setOrgId(agencyInfo.getId());
                     e.setPid(agencyInfo.getPid());
diff --git a/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.70__default_ic_epidemic_special_attention.sql b/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.70__default_ic_epidemic_special_attention.sql
new file mode 100644
index 0000000000..99e215885a
--- /dev/null
+++ b/epmet-user/epmet-user-server/src/main/resources/db/migration/V0.0.70__default_ic_epidemic_special_attention.sql
@@ -0,0 +1,5 @@
+UPDATE ic_epidemic_special_attention
+SET UPDATED_TIME = NOW(),
+    ISOLATED_STATE = '1'
+WHERE ISOLATED_STATE IS NULL
+  AND ATTENTION_TYPE = 2;
\ No newline at end of file
diff --git a/epmet-user/epmet-user-server/src/main/resources/excel/attention_nat_template.xlsx b/epmet-user/epmet-user-server/src/main/resources/excel/attention_nat_template.xlsx
index e41ebaf0a7..ee99d3be89 100644
Binary files a/epmet-user/epmet-user-server/src/main/resources/excel/attention_nat_template.xlsx and b/epmet-user/epmet-user-server/src/main/resources/excel/attention_nat_template.xlsx differ