insert into xk_transfuse_apply_approval ( Archiater, Archiater_CheckTime, Medical_Dept, Medical_CheckTime, ApplyLevel, Flag, bill_no )values ( #{Archiater}, #{Archiater_CheckTime}, #{Medical_Dept}, #{Medical_CheckTime}, #{ApplyLevel}, #{Flag}, #{billNo} ) update xk_transfuse_apply_approval set Archiater = #{Archiater}, Archiater_CheckTime = #{Archiater_CheckTime}, Medical_Dept = #{Medical_Dept}, Medical_CheckTime = #{Medical_CheckTime}, ApplyLevel = #{ApplyLevel}, Flag = #{Flag}, bill_no = #{Bill_No} where bill_no = #{Bill_No} delete from xk_transfuse_apply_approval where bill_no = #{billNo}