insert into xk_transfuse_apply_before( dept_id, zone_id, agreement_ink, blood_loss, assess_data, assess_person, blood_breed, blood_num, unit, intent, diagnoses, patient_bed, anemia, metabolism, cruor, bqgy, hos_id, bill_no, beinhos_id,bill_status ) values( #{dept_id}, #{zone_id}, #{agreement_ink}, #{blood_loss}, #{assess_data}, #{assess_person}, #{blood_breed}, #{blood_num}, #{unit}, #{intent}, #{diagnoses}, #{patient_bed}, #{anemia}, #{metabolism}, #{cruor}, #{bqgy}, #{hos_id}, #{bill_no}, #{beinhos_id},#{bill_status} ) update xk_transfuse_apply_before dept_id = #{dept_id}, zone_id = #{zone_id}, agreement_ink = #{agreement_ink}, blood_loss = #{blood_loss}, assess_data = #{assess_data}, assess_person = #{assess_person}, blood_breed = #{blood_breed}, blood_num = #{blood_num}, unit = #{unit}, intent = #{intent}, diagnoses = #{diagnoses}, patient_bed = #{patient_bed}, anemia = #{anemia}, metabolism = #{metabolism}, cruor = #{cruor}, bqgy = #{bqgy}, bill_status = #{bill_status}, hos_id = #{hos_id}, bill_no = #{bill_no} where bill_no = #{bill_no} delete from xk_transfuse_apply_before where bill_no = #{bill_no}