insert into xk_transfuse_apply_testitem(
item_name,item_result,Item_unit,test_date,upload_flag,
bill_no,sid,hos_id
)values (
#{item_name},#{item_result},#{Item_unit},#{test_date},#{upload_flag},
#{bill_no},#{sid},#{hos_id}
)
update xk_transfuse_apply_testitem set
item_result=#{item_result},Item_unit=#{Item_unit},test_date=#{test_date},upload_flag=#{upload_flag},
item_name=#{item_name},hos_id = #{hos_id}
where bill_no=#{bill_no}
and sid=#{sid}
delete from xk_transfuse_apply_testitem where bill_no=#{bill_no}
and sid=#{sid}