diff --git a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/ChargeRequestPlugInsGem.cs b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/ChargeRequestPlugInsGem.cs
index 54c1066..a0e4d92 100644
--- a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/ChargeRequestPlugInsGem.cs
+++ b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/ChargeRequestPlugInsGem.cs
@@ -245,7 +245,8 @@ namespace Shentun.Peis.PlugIns.Gem
             {
                 try
                 {
-                  var result =   SyncChargeRequestFlagFromInterfaceAsync(chargeRequest.ChargeRequestId);
+                   SyncChargeRequestFlagFromInterfaceAsync(chargeRequest.ChargeRequestId)
+                        .GetAwaiter().GetResult();
                 }
                 catch(Exception ex)
                 {
@@ -267,18 +268,18 @@ namespace Shentun.Peis.PlugIns.Gem
             if (payStatus == "1" && chargeRequest.ChargeRequestFlag != ChargeRequestFlag.RefundRequest)
             {
                 charRequstFlag = ChargeRequestFlag.AlreadyCharge;
-                SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
+                await  SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
 
             }
             else if (payStatus == "2")
             {
                 charRequstFlag = ChargeRequestFlag.AlreadyCancelCharge;
-                SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
+                await SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
             }
             else if (payStatus == "3")
             {
                 charRequstFlag = ChargeRequestFlag.AlreadyRefund;
-                SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
+                await SetAppChargeRequestFlagAsync(chargeRequest, charRequstFlag);
             }
             else
             {
diff --git a/src/Shentun.ColumnReferencePlugIns/ChargeRequestPlugInsBase.cs b/src/Shentun.ColumnReferencePlugIns/ChargeRequestPlugInsBase.cs
index dcf38e6..6b91c3f 100644
--- a/src/Shentun.ColumnReferencePlugIns/ChargeRequestPlugInsBase.cs
+++ b/src/Shentun.ColumnReferencePlugIns/ChargeRequestPlugInsBase.cs
@@ -166,7 +166,7 @@ where patient.id = patient_register.patient_id and
                 sql = @" update charge_request set charge_request_flag =" + chargeRequestFlag +
                         @" where  id = @ChargeRequestId and concurrency_stamp = @ConcurrencyStamp		
                       ";
-                conn.Execute(sql,
+                await conn.ExecuteAsync(sql,
                   new { ChargeRequestId = chargeRequestForPlugIns.ChargeRequestId,
                         ConcurrencyStamp = chargeRequestForPlugIns.ConcurrencyStamp
                   });
@@ -178,7 +178,7 @@ where patient.id = patient_register.patient_id and
                         sql = @" update register_check_asbitem set is_charge = 'Y' 
                           where  charge_request_id = @ChargeRequestId and concurrency_stamp = @ConcurrencyStamp	
                       ";
-                        conn.Execute(sql,
+                        await conn.ExecuteAsync(sql,
                            new { ChargeRequestId = chargeRequestForPlugIns.ChargeRequestId,
                                ConcurrencyStamp = chargeRequestAsbitem.ConcurrencyStamp
                            });
@@ -188,7 +188,7 @@ where patient.id = patient_register.patient_id and
                         sql = @" update register_check_asbitem set is_charge = 'N' 
                             where  charge_request_id = @ChargeRequestId	and concurrency_stamp = @ConcurrencyStamp		
                       ";
-                        conn.Execute(sql,
+                        await conn.ExecuteAsync(sql,
                            new
                            {
                                ChargeRequestId = chargeRequestForPlugIns.ChargeRequestId,
diff --git a/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs b/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
index cf34a79..e58e48d 100644
--- a/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
+++ b/src/Shentun.Peis.Application/ImportLisResults/ImportLisResultAppService.cs
@@ -7,6 +7,7 @@ using Shentun.Peis.DiagnosisFunctions;
 using Shentun.Peis.Enums;
 using Shentun.Peis.Items;
 using Shentun.Peis.Models;
+using Shentun.Peis.PatientRegisters;
 using Shentun.Peis.PlugIns;
 using Shentun.Peis.ReferenceRanges;
 using Shentun.Peis.RegisterCheckItems;
@@ -268,6 +269,11 @@ namespace Shentun.Peis.ImportLisResults
             }
 
 
+        }
+
+        public async Task ImportResultByPatientRegisterIdAsync(PatientRegisterIdInputDto input)
+        {
+
         }
 
         private async Task UpdateItemReferenceRangeValueAsync(Guid itemId, char sexId, int? age, string referenceRangeValue)