diff --git a/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs b/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
index 7ce24b7..48cdf66 100644
--- a/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterChecks/RegisterCheckAppService.cs
@@ -25,6 +25,7 @@ using Volo.Abp.Domain.Repositories;
 using Volo.Abp.Guids;
 using Volo.Abp.Identity;
 using Volo.Abp.ObjectMapping;
+using Volo.Abp.Uow;
 using Volo.Abp.Users;
 using static Microsoft.EntityFrameworkCore.DbLoggerCategory;
 
@@ -58,6 +59,8 @@ namespace Shentun.Peis.RegisterChecks
         private readonly IRepository<LisRequest, Guid> _lisRequestRepository;
         private readonly FollowUpAppService _followUpAppService;
         private readonly IRepository<DoctorSignIn, Guid> _doctorSignInRepository;
+        private readonly IRepository<GuideType, char> _guideTypeRepository;
+        private readonly UnitOfWorkManager _unitOfWorkManager;
 
         public RegisterCheckAppService(IRepository<RegisterCheck, Guid> registerCheckRepository,
             IRepository<RegisterCheckItem> registerCheckItemRepository,
@@ -78,7 +81,9 @@ namespace Shentun.Peis.RegisterChecks
             IRepository<ItemType> itemTypeRepository,
             IRepository<LisRequest, Guid> lisRequestRepository,
             FollowUpAppService followUpAppService,
-            IRepository<DoctorSignIn, Guid> doctorSignInRepository)
+            IRepository<DoctorSignIn, Guid> doctorSignInRepository,
+            IRepository<GuideType, char> guideTypeRepository,
+            UnitOfWorkManager unitOfWorkManager)
         {
             _registerCheckRepository = registerCheckRepository;
             _userRepository = userRepository;
@@ -100,6 +105,8 @@ namespace Shentun.Peis.RegisterChecks
             _lisRequestRepository = lisRequestRepository;
             _followUpAppService = followUpAppService;
             _doctorSignInRepository = doctorSignInRepository;
+            _guideTypeRepository = guideTypeRepository;
+            _unitOfWorkManager = unitOfWorkManager;
         }
 
         /// <summary>
@@ -580,7 +587,10 @@ namespace Shentun.Peis.RegisterChecks
                               join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
                               join registerCheckAsbitem in await _registerCheckAsbitemRepository.GetQueryableAsync() on registerCheck.Id equals registerCheckAsbitem.RegisterCheckId
                               join asbitem in await _asbitemRepository.GetQueryableAsync() on registerCheckAsbitem.AsbitemId equals asbitem.Id
+                              join itemType in await _itemTypeRepository.GetQueryableAsync() on asbitem.ItemTypeId equals itemType.Id
+                              join guideType in await _guideTypeRepository.GetQueryableAsync() on itemType.GuidTypeId equals guideType.Id
                               where input.PatientRegisterIds.Contains(patientRegister.Id) && asbitem.IsCheck == 'Y'
+                              orderby guideType.DisplayOrder, asbitem.DisplayOrder
                               select new SimpleAsbitemDto
                               {
                                   AsbitemId = registerCheckAsbitem.AsbitemId,
@@ -656,28 +666,85 @@ namespace Shentun.Peis.RegisterChecks
             if (!input.CheckDoctorDetail.Any())
                 throw new UserFriendlyException("需要修改的信息不能为空");
 
-            var registerCheckAsbitemList = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
-                                            join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
-                                            join registerCheckAsbitem in await _registerCheckAsbitemRepository.GetQueryableAsync() on registerCheck.Id equals registerCheckAsbitem.RegisterCheckId
-                                            where input.PatientRegisterIds.Contains(patientRegister.Id)
-                                            select registerCheckAsbitem).ToList();
+            //每次处理100条
+            int handNum = 100;
 
-            if (registerCheckAsbitemList.Any())
+            //处理多少次
+            int handCount = Convert.ToInt32(Math.Ceiling(Convert.ToDecimal(input.PatientRegisterIds.Count) / Convert.ToDecimal(handNum)));
+
+            for (int i = 0; i < handCount; i++)
             {
-                foreach (var registerCheckAsbitem in registerCheckAsbitemList)
+                using (var uow = _unitOfWorkManager.Begin(requiresNew: true, isTransactional: true))
                 {
-                    var checkDoctorEnt = input.CheckDoctorDetail.FirstOrDefault(f => f.AsbitemId == registerCheckAsbitem.AsbitemId);
-                    if (checkDoctorEnt != null)
+
+                    var tempPatientRegisterIds = input.PatientRegisterIds.Skip(i * handNum).Take(handNum).ToList();
+
+                    var registerCheckAsbitemList = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
+                                                    join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
+                                                    join registerCheckAsbitem in await _registerCheckAsbitemRepository.GetQueryableAsync() on registerCheck.Id equals registerCheckAsbitem.RegisterCheckId
+                                                    where tempPatientRegisterIds.Contains(patientRegister.Id)
+                                                    select registerCheckAsbitem).ToList();
+
+                    if (registerCheckAsbitemList.Any())
                     {
-                        var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(f => f.Id == registerCheckAsbitem.RegisterCheckId);
-                        if (registerCheckEnt != null)
+                        foreach (var registerCheckAsbitem in registerCheckAsbitemList)
                         {
-                            registerCheckEnt.CheckDoctorId = checkDoctorEnt.CheckDoctorId;
-                            await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+                            var checkDoctorEnt = input.CheckDoctorDetail.FirstOrDefault(f => f.AsbitemId == registerCheckAsbitem.AsbitemId);
+                            if (checkDoctorEnt != null)
+                            {
+                                var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(f => f.Id == registerCheckAsbitem.RegisterCheckId);
+                                if (registerCheckEnt != null)
+                                {
+                                    registerCheckEnt.CheckDoctorId = checkDoctorEnt.CheckDoctorId;
+                                    await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+                                }
+                            }
                         }
                     }
+
+
+                    await uow.CompleteAsync();
                 }
             }
+
+            //using (var uow = _unitOfWorkManager.Begin(requiresNew: true, isTransactional: true))
+            //{
+            //    var isUploadReport = WebDb0520.Ado.GetDataTable($"select patient_register_id,report_file from patient_register where patient_register_id='{item}' and report_file is null ").Rows.Count;
+            //    if (isUploadReport == 1)
+            //    {
+            //        await SyncPatientRegisterReportByPatientRegisterIdAsync(new PatientRegisterIdInputDto
+            //        {
+            //            PatientRegisterId = item
+            //        });
+            //    }
+
+            //    await uow.CompleteAsync();
+            //}
+
+
+
+            //var registerCheckAsbitemList = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
+            //                                join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
+            //                                join registerCheckAsbitem in await _registerCheckAsbitemRepository.GetQueryableAsync() on registerCheck.Id equals registerCheckAsbitem.RegisterCheckId
+            //                                where input.PatientRegisterIds.Contains(patientRegister.Id)
+            //                                select registerCheckAsbitem).ToList();
+
+            //if (registerCheckAsbitemList.Any())
+            //{
+            //    foreach (var registerCheckAsbitem in registerCheckAsbitemList)
+            //    {
+            //        var checkDoctorEnt = input.CheckDoctorDetail.FirstOrDefault(f => f.AsbitemId == registerCheckAsbitem.AsbitemId);
+            //        if (checkDoctorEnt != null)
+            //        {
+            //            var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(f => f.Id == registerCheckAsbitem.RegisterCheckId);
+            //            if (registerCheckEnt != null)
+            //            {
+            //                registerCheckEnt.CheckDoctorId = checkDoctorEnt.CheckDoctorId;
+            //                await _registerCheckRepository.UpdateAsync(registerCheckEnt);
+            //            }
+            //        }
+            //    }
+            //}
         }