diff --git a/src/Shentun.WebPeis.Application.Contracts/MedicalPackages/MedicalPackageCheckTypeWithAsbitemsDto.cs b/src/Shentun.WebPeis.Application.Contracts/MedicalPackages/MedicalPackageCheckTypeWithAsbitemsDto.cs
index 05088d5..ddba5ff 100644
--- a/src/Shentun.WebPeis.Application.Contracts/MedicalPackages/MedicalPackageCheckTypeWithAsbitemsDto.cs
+++ b/src/Shentun.WebPeis.Application.Contracts/MedicalPackages/MedicalPackageCheckTypeWithAsbitemsDto.cs
@@ -7,24 +7,38 @@ namespace Shentun.WebPeis.MedicalPackages
 {
     public class MedicalPackageCheckTypeWithAsbitemsDto
     {
+        /// <summary>
+        /// 检查类别
+        /// </summary>
         public char CheckTypeFlag { get; set; }
+        /// <summary>
+        /// 检查类别名称
+        /// </summary>
         public string CheckTypeFlagName { get; set; }
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
         public int DisplayOrder { get; set; }
 
-        public List<MedicalPackageAsbitem> Asbitems = new List<MedicalPackageAsbitem>();
+        public List<MedicalPackageAsbitem> Asbitems { get; set; }  = new List<MedicalPackageAsbitem>();
 
     }
-
+    /// <summary>
+    /// 套餐包含的组合项目
+    /// </summary>
     public class MedicalPackageAsbitem
     {
+        /// <summary>
+        /// 检查类别
+        /// </summary>
         public char CheckTypeFlag {  get; set; }
         /// <summary>
-        /// 编号
+        /// 组合项目编号
         /// </summary>
         public Guid AsbitemId { get; set; }
 
         /// <summary>
-        /// 名称
+        /// 组合项目名称
         /// </summary>
         public string AsbitemName { get; set; } = null!;
 
@@ -66,12 +80,24 @@ namespace Shentun.WebPeis.MedicalPackages
         /// 是检查项目
         /// </summary>
         public char IsCheck { get; set; }
+        /// <summary>
+        /// 警告提示
+        /// </summary>
 
         public string? Warn { get; set; }
+        /// <summary>
+        /// 疾病筛查类别
+        /// </summary>
 
         public Guid? DiseaseScreeningTypeId { get; set; }
+        /// <summary>
+        /// 简码
+        /// </summary>
 
         public string? SimpleCode { get; set; }
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
 
         public int DisplayOrder { get; set; }
 
diff --git a/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs b/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
index 589490a..c48aa78 100644
--- a/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
+++ b/src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
@@ -20,19 +20,22 @@ namespace Shentun.WebPeis.AppointPatientRegisters
     public class AppointPatientRegisterAppService : ApplicationService
     {
         private readonly IRepository<AppointPatientRegister> _repository;
+        private readonly IRepository<AppointRegisterAsbitem> _appointRegisterAsbitemRepository;
         private readonly IRepository<ItemType> _itemTypeRepository;
         private readonly CacheService _cacheService;
         private readonly AppointPatientRegisterManager _appointPatientRegisterManager;
         public AppointPatientRegisterAppService(IRepository<AppointPatientRegister> repository,
              CacheService cacheService,
              IRepository<ItemType> itemTypeRepository,
-             AppointPatientRegisterManager appointPatientRegisterManager
+             AppointPatientRegisterManager appointPatientRegisterManager,
+             IRepository<AppointRegisterAsbitem> appointRegisterAsbitemRepository
            )
         {
             _repository = repository;
             _cacheService = cacheService;
             _itemTypeRepository = itemTypeRepository;
             _appointPatientRegisterManager = appointPatientRegisterManager;
+            _appointRegisterAsbitemRepository = appointRegisterAsbitemRepository;
 
         }
 
@@ -43,7 +46,9 @@ namespace Shentun.WebPeis.AppointPatientRegisters
             var asbitems = ObjectMapper.Map<List<CreateAppointRegisterAsbitemDto>, List<AppointRegisterAsbitem>>(input.Asbitems);
             entity.AppointRegisterAsbitems = asbitems;
             entity = await _appointPatientRegisterManager.CreateAsync(entity);
+            entity.AppointRegisterAsbitems = null;
             await _repository.InsertAsync(entity);
+            await _appointRegisterAsbitemRepository.InsertManyAsync(asbitems);
             var result = ObjectMapper.Map<AppointPatientRegister, AppointPatientRegisterDto>(entity);
             return result;
         }
diff --git a/src/Shentun.WebPeis.Domain/Models/AppointRegisterAsbitem.cs b/src/Shentun.WebPeis.Domain/Models/AppointRegisterAsbitem.cs
index 6c8960b..edbb321 100644
--- a/src/Shentun.WebPeis.Domain/Models/AppointRegisterAsbitem.cs
+++ b/src/Shentun.WebPeis.Domain/Models/AppointRegisterAsbitem.cs
@@ -1,9 +1,11 @@
 using System;
 using System.Collections.Generic;
+using Volo.Abp.Domain.Entities.Auditing;
+using Volo.Abp.Domain.Entities;
 
 namespace Shentun.WebPeis.Models;
 
-public partial class AppointRegisterAsbitem
+public partial class AppointRegisterAsbitem : AuditedEntity, IHasConcurrencyStamp
 {
     public Guid AppointRegisterAsbitemId { get; set; }
 
@@ -23,13 +25,12 @@ public partial class AppointRegisterAsbitem
 
     public string? ConcurrencyStamp { get; set; }
 
-    public DateTime CreationTime { get; set; }
-
-    public Guid CreatorId { get; set; }
-
-    public DateTime LastModificationTime { get; set; }
-
-    public Guid LastModifierId { get; set; }
+   
 
     public virtual AppointPatientRegister AppointPatientRegister { get; set; } = null!;
+
+    public override object?[] GetKeys()
+    {
+        return [AppointRegisterAsbitemId];
+    }
 }