diff --git a/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs b/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
index c299e1c..a389513 100644
--- a/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterCheckItems/RegisterCheckItemAppService.cs
@@ -4,7 +4,9 @@ using Microsoft.EntityFrameworkCore;
 using Shentun.Peis.Enums;
 using Shentun.Peis.GuideTypes;
 using Shentun.Peis.Models;
+using Shentun.Peis.PatientRegisters;
 using Shentun.Peis.ReferenceRanges;
+using Shentun.Peis.RegisterCheckAsbitems;
 using System;
 using System.Collections.Generic;
 using System.Linq;
@@ -33,6 +35,9 @@ namespace Shentun.Peis.RegisterCheckItems
         private readonly IRepository<Unit, Guid> _unitRepository;
         private readonly RegisterCheckItemManager _registerCheckItemManager;
         private readonly ReferenceRangeManager _referenceRangeManager;
+        private readonly IRepository<RegisterCheck, Guid> _registerCheckRepository;
+        private readonly IRepository<RegisterCheckAsbitem, Guid> _registerCheckAsbitemRepository;
+        private readonly IRepository<AsbitemDetail> _asbitemDetailRepository;
         private readonly CacheService _cacheService;
         public RegisterCheckItemAppService(
             IRepository<RegisterCheckItem> registerCheckItemRepository,
@@ -42,7 +47,10 @@ namespace Shentun.Peis.RegisterCheckItems
                IRepository<PatientRegister, Guid> patientRegisterRepository,
                IRepository<ReferenceRange, Guid> referenceRangeRepository,
                IRepository<Unit, Guid> unitRepository,
-               CacheService cacheService)
+               CacheService cacheService,
+               IRepository<RegisterCheck, Guid> registerCheckRepository,
+               IRepository<RegisterCheckAsbitem, Guid> registerCheckAsbitemRepository,
+               IRepository<AsbitemDetail> asbitemDetailRepository)
         {
             this._registerCheckItemRepository = registerCheckItemRepository;
             this._userRepository = userRepository;
@@ -52,6 +60,9 @@ namespace Shentun.Peis.RegisterCheckItems
             this._referenceRangeRepository = referenceRangeRepository;
             _unitRepository = unitRepository;
             _cacheService = cacheService;
+            _registerCheckRepository = registerCheckRepository;
+            _registerCheckAsbitemRepository = registerCheckAsbitemRepository;
+            _asbitemDetailRepository = asbitemDetailRepository;
         }
 
         /// <summary>
@@ -223,5 +234,117 @@ namespace Shentun.Peis.RegisterCheckItems
             await _registerCheckItemManager.CheckAndDeleteAsync(RegisterCheckId, ItemId);
         }
 
+        /// <summary>
+        /// 同步明细项目
+        /// </summary>
+        /// <returns></returns>
+        [HttpPost("api/app/RegisterCheckItem/SyncRegisterCheckItem")]
+        public async Task SyncRegisterCheckItemAsync(PatientRegisterIdInputDto input)
+        {
+            var query = (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 patientRegister.Id == input.PatientRegisterId
+                         && patientRegister.CompleteFlag != PatientRegisterCompleteFlag.SumCheck
+                         && registerCheck.CompleteFlag == RegisterCheckCompleteFlag.UnChecked
+                         select new
+                         {
+                             registerCheckId = registerCheck.Id,
+                             asbitemId = registerCheckAsbitem.AsbitemId
+                         }).ToList();
+
+            if (query.Any())
+            {
+
+                List<RegisterCheckItem> registerCheckItemList = new List<RegisterCheckItem>();
+
+                foreach (var item in query)
+                {
+                    //增加register_check_item
+                    var asbitemDetails = (await _asbitemDetailRepository.GetQueryableAsync()).Where(o => o.AsbitemId == item.asbitemId).ToList();
+                    foreach (var asbitemDetail in asbitemDetails)
+                    {
+                        var registerCheckItem = new RegisterCheckItem()
+                        {
+                            RegisterCheckId = item.registerCheckId,
+                            ItemId = asbitemDetail.ItemId,
+                            ResultStatusId = ResultStatusFlag.Normal
+                        };
+                        registerCheckItemList.Add(registerCheckItem);
+                    }
+                }
+
+                //删除原有的明细
+                await _registerCheckItemRepository.DeleteAsync(d => query.Select(s => s.registerCheckId).Contains(d.RegisterCheckId), true);
+
+                //增加新的明细
+                await _registerCheckItemRepository.InsertManyAsync(registerCheckItemList);
+
+            }
+            else
+            {
+                throw new UserFriendlyException("该人员已总检或者项目已检查");
+            }
+
+        }
+
+
+        /// <summary>
+        /// 临时处理明细项目  
+        /// </summary>
+        /// <param name="AsbitemId">组合项目ID</param>
+        /// <returns></returns>
+        /// <exception cref="UserFriendlyException"></exception>
+        [HttpPost("api/app/RegisterCheckItem/TempHandRegisterCheckItem")]
+        public async Task TempHandRegisterCheckItemAsync(Guid AsbitemId)
+        {
+            var query = (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 registerCheckAsbitem.AsbitemId == AsbitemId
+                         && patientRegister.CompleteFlag != PatientRegisterCompleteFlag.SumCheck
+                         && registerCheck.CompleteFlag == RegisterCheckCompleteFlag.UnChecked
+                         && patientRegister.MedicalStartDate > Convert.ToDateTime("2024-05-01")
+                         select new
+                         {
+                             registerCheckId = registerCheck.Id,
+                             asbitemId = registerCheckAsbitem.AsbitemId
+                         }).ToList();
+
+            if (query.Any())
+            {
+
+                List<RegisterCheckItem> registerCheckItemList = new List<RegisterCheckItem>();
+
+                foreach (var item in query)
+                {
+                    //增加register_check_item
+                    var asbitemDetails = (await _asbitemDetailRepository.GetQueryableAsync()).Where(o => o.AsbitemId == item.asbitemId).ToList();
+                    foreach (var asbitemDetail in asbitemDetails)
+                    {
+                        var registerCheckItem = new RegisterCheckItem()
+                        {
+                            RegisterCheckId = item.registerCheckId,
+                            ItemId = asbitemDetail.ItemId,
+                            ResultStatusId = ResultStatusFlag.Normal
+                        };
+                        registerCheckItemList.Add(registerCheckItem);
+                    }
+                }
+
+                //删除原有的明细
+                await _registerCheckItemRepository.DeleteAsync(d => query.Select(s => s.registerCheckId).Contains(d.RegisterCheckId), true);
+
+                //增加新的明细
+                await _registerCheckItemRepository.InsertManyAsync(registerCheckItemList);
+
+            }
+            
+        }
+
     }
 }