diff --git a/表同步 注意.txt b/表同步 注意.txt
new file mode 100644
index 000000000..8da881347
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+++ b/表同步 注意.txt	
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+
+阅片相关表
+OrganInfo, 
+ReadingQuestionCriterionSystem,
+ReadingQuestionSystem,
+ReadingTableQuestionSystem,
+CriterionNidus,
+ReadingCriterionDictionary,
+ReadingMedicineSystemQuestion
+
+ 注意  
+CriterionNidus  和
+ReadingCriterionDictionary  只用同步系统数据 IsSystemCriterion
+
+可以  删除 在添加
+
+delete CriterionNidus   where IsSystemCriterion=1
+
+delete ReadingCriterionDictionary  where IsSystemCriterion=1
+
+
+
+插入完成之后
+
+
+delete CriterionNidus    where   (select count(1) as num from ReadingQuestionCriterionTrial where ReadingQuestionCriterionTrial.Id = CriterionNidus.CriterionId) = 0 and IsSystemCriterion=0
+delete ReadingCriterionDictionary  where   (select count(1) as num from ReadingQuestionCriterionTrial where ReadingQuestionCriterionTrial.Id = ReadingCriterionDictionary.CriterionId) = 0 and IsSystemCriterion=0
+
+