select icdid, icdcode, lastflag, chimedflag, icdname, icdpym, icdwbm, orgid, del_flag, create_by, create_time, update_by, update_time, pid, guid from icd10 and icdcode = #{icdcode} and lastflag = #{lastflag} and chimedflag = #{chimedflag} and icdname like concat('%', #{icdname}, '%') and icdpym = #{icdpym} and icdwbm = #{icdwbm} and orgid = #{orgid} and pid = #{pid} and guid = #{guid} where icdid = #{icdid} insert into icd10 icdcode, icdname, icdpym, icdwbm, orgid, del_flag, create_by, create_time, update_by, update_time, pid, guid, lastflag, chimedflag, #{icdcode}, #{icdname}, #{icdpym}, #{icdwbm}, #{orgid}, #{delFlag}, #{createBy}, #{createTime}, #{updateBy}, #{updateTime}, #{pid}, #{guid}, #{lastflag}, #{chimedflag}, update icd10 icdcode = #{icdcode}, icdname = #{icdname}, icdpym = #{icdpym}, icdwbm = #{icdwbm}, orgid = #{orgid}, del_flag = #{delFlag}, create_by = #{createBy}, create_time = #{createTime}, update_by = #{updateBy}, update_time = #{updateTime}, pid = #{pid}, guid = #{guid}, lastflag = #{lastflag}, chimedflag = #{chimedflag}, where icdid = #{icdid} delete from icd10 where icdid = #{icdid} delete from icd10 where icdid in #{icdid}