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