diff --git a/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs b/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
index 7f7dc50..61e8c50 100644
--- a/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
+++ b/src/Shentun.Pacs.Application/PacsBusiness/PacsBusinessAppService.cs
@@ -4,12 +4,14 @@ using Microsoft.EntityFrameworkCore;
 using Microsoft.Extensions.Configuration;
 using Microsoft.Extensions.Logging;
 using NPOI.POIFS.Storage;
+using NPOI.SS.Formula.Functions;
 using NPOI.Util;
 using NUglify.Helpers;
 using Shentun.Pacs.ColumnReferenceCodes;
 using Shentun.Pacs.CustomerOrgs;
 using Shentun.Pacs.Devices;
 using Shentun.Pacs.Enums;
+using Shentun.Pacs.Migrations;
 using Shentun.Pacs.Models;
 using Shentun.Pacs.PatientRegisters;
 using Shentun.Pacs.Patients;
@@ -1706,21 +1708,35 @@ namespace Shentun.Pacs.PacsBusiness
 
                         string pictureFilename = $"{shareAddress}{item.PictureFilename.Replace(pacsRequestPath, "/").Replace("//", "/").Replace("/", @"\")}";
 
-                        int maxId = await oldDb.Ado.GetIntAsync("select isnull(max(check_picture_id),0) from check_picture");
 
-                        await oldDb.Ado.ExecuteCommandAsync("insert into check_picture(check_picture_id,patient_register_id,asbitem_id,device_id,picture_filename,print_flag," +
-                     "local_store_flag,display_order,is_new_pacs) VALUES (@check_picture_id,@patient_register_id,@asbitem_id,@device_id,@picture_filename,@print_flag,@local_store_flag,@display_order,@is_new_pacs);",
-                     new List<SugarParameter>() {
-                     new SugarParameter("patient_register_id",registerCheckFirst.registerCheckAsbitem.OldPatientRegisterId),
-                     new SugarParameter("asbitem_id",registerCheckFirst.registerCheckAsbitem.OldAsbitemId),
-                     new SugarParameter("device_id",null),
-                     new SugarParameter("picture_filename",pictureFilename),
-                     new SugarParameter("print_flag",'Y'),
-                     new SugarParameter("local_store_flag",'Y'),
-                     new SugarParameter("display_order",registerCheckPictureList.IndexOf(item)+1),
-                     new SugarParameter("is_new_pacs",'Y'),
-                     new SugarParameter("check_picture_id",maxId+1),
-                   });
+                        string maxIdString = oldDb.Ado.UseStoredProcedure().GetString("proc_getprimarykey", new List<SugarParameter>() {
+                            new SugarParameter("@primarykey_builder_id","check_picture_id"),
+                            new SugarParameter("@serial_no_len",10),
+                            new SugarParameter("@null_date_string",'1')
+
+                       });
+
+                        int maxId;
+
+                        bool isMaxId = int.TryParse(maxIdString, out maxId);
+
+                        if (isMaxId)
+                        {
+                            await oldDb.Ado.ExecuteCommandAsync("insert into check_picture(check_picture_id,patient_register_id,asbitem_id,device_id,picture_filename,print_flag," +
+                        "local_store_flag,display_order,is_new_pacs) VALUES (@check_picture_id,@patient_register_id,@asbitem_id,@device_id,@picture_filename,@print_flag,@local_store_flag,@display_order,@is_new_pacs);",
+                        new List<SugarParameter>() {
+                            new SugarParameter("patient_register_id",registerCheckFirst.registerCheckAsbitem.OldPatientRegisterId),
+                            new SugarParameter("asbitem_id",registerCheckFirst.registerCheckAsbitem.OldAsbitemId),
+                            new SugarParameter("device_id",null),
+                            new SugarParameter("picture_filename",pictureFilename),
+                            new SugarParameter("print_flag",'Y'),
+                            new SugarParameter("local_store_flag",'Y'),
+                            new SugarParameter("display_order",registerCheckPictureList.IndexOf(item)+1),
+                            new SugarParameter("is_new_pacs",'Y'),
+                            new SugarParameter("check_picture_id",maxId)
+                        });
+                        }
+
                     }
 
                     #endregion
@@ -1873,6 +1889,7 @@ namespace Shentun.Pacs.PacsBusiness
         }
 
         #endregion
+         
 
         /// <summary>
         /// 转换老系统性别