diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccinePrarmeterDao.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccinePrarmeterDao.java
index c5bdfcdbf7..a0a579e1cb 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccinePrarmeterDao.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccinePrarmeterDao.java
@@ -6,6 +6,7 @@ import com.epmet.dto.IcVaccinePrarmeterDTO;
 import com.epmet.dto.form.VaccinePrarmeterListFormDTO;
 import com.epmet.entity.IcVaccinePrarmeterEntity;
 import org.apache.ibatis.annotations.Mapper;
+import org.apache.ibatis.annotations.Param;
 
 import java.util.List;
 import java.util.Map;
@@ -28,4 +29,6 @@ public interface IcVaccinePrarmeterDao extends BaseDao<IcVaccinePrarmeterEntity>
      */
     List<IcVaccinePrarmeterDTO> getPhrasePage(Map<String, Object> params);
 
+    void deleteByIdCard(@Param("isCardList") List<String> isCardList);
+
 }
diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
index 5f2590c1eb..4c4da7574b 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
@@ -241,12 +241,21 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
             List<IcVaccinePrarmeterImportExcel> needInsert = groupByStatus.get(false);
             if (CollectionUtils.isNotEmpty(needInsert)){
                 List<IcVaccinePrarmeterEntity> entities = ConvertUtils.sourceToTarget(needInsert, IcVaccinePrarmeterEntity.class);
+                // 要删除的身份证号
+                List<String> isCardList = new ArrayList<String>();
                 entities.forEach(e -> {
                     // 设置客户ID
                     e.setCustomerId(tokenDto.getCustomerId());
                     // 设置审核状态为待审核
                     e.setCheckState("0");
+                    // 存储删除身份证号
+                    isCardList.add(e.getIdCard());
                 });
+
+                // 先根据身份证号删除
+                baseDao.deleteByIdCard(isCardList);
+
+                // 再新增
                 insertBatch(entities);
             }
             if (CollectionUtils.isNotEmpty(errorInfo)){
diff --git a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccinePrarmeterDao.xml b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccinePrarmeterDao.xml
index ebbebfe289..0a82a1f665 100644
--- a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccinePrarmeterDao.xml
+++ b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccinePrarmeterDao.xml
@@ -185,5 +185,13 @@
         order by CREATED_TIME desc
     </select>
 
+    <update id="deleteByIdCard">
+        update ic_vaccine_prarmeter set DEL_FLAG = '1' , UPDATED_TIME = now()
+        where ID_CARD IN
+        <foreach collection="isCardList" index="index" item="idCard" open="(" separator="," close=")">
+            #{idCard}
+        </foreach>
+    </update>
+
 
 </mapper>