用Perl6實現了一個

#!/usr/bin/env perl6

class StudentInfo {
    has Str $.id;
    has Str $.name;
    has Str $.gender;
    has Str $.age;
    has Str $.keshi;
    has Str $.date;
    has Str $.type;
    has Str $.diag;
    has %.index;

    method new (Str $line) {
        self.bless(|self.parse-line($line));
    }

    method parse-line(Str $line) {
        my @items = $line.split: ',';
        my @title = < id name gender age keshi date type diag >;
        my %hash;

        loop (my $i = +@title;$i < +@items;$i += 2) {
            if @items[$i] ne "" && @items[$i + 1] ne "" {        # 去除空的 proj re
                unless %hash{@items[$i]}:exists {
                    %hash{@items[$i]} = @items[$i + 1];
                }    
            }
        }
        my %ret = @title Z=> @items[0 .. +@title - 1];    # 拼接头部

        %ret<index> := %hash;

        return %ret;
    }

    method num-of-proj() {
        +%!index.keys;
    }

    method hash-key() {
        return $!id ~ $!name;
    }

    method meger(::?CLASS:D: $other) {
        for $other.index.keys -> $key {
            unless %!index{$key}:exists {
                %!index{$key} = $other.index{$key};    
            }
        }
    }

    # $max - 指标的个数参数
    method generate($max) {
        my @line = ($!id, $!name, $!gender, $!age, $!keshi, $!date, $!type, $!diag);

        my @keys := %!index.keys.sort;

        loop (my Int $i = 0;$i < $max;$i++) {
            if $i > @keys.elems - 1 {
                @line.append: ('', '');
            } else {
                @line.append: (~@keys[$i], ~%!index{@keys[$i]});
            }
        }
        return @line.join(',');
    }
}

#    o    输出
#    a    追加到    
#    i    指标个数
#    debug
#
sub MAIN(Str :o(:output($out))?, 
    Str :a(:append-to($append))?, 
    Int :i(:index-max($index)) = 8,
    Bool :d(:debug($debug)) = False, 
    *@files) {
    my %info;
    my @title;

    for @files -> $file {
        my @lines = $file.IO.lines;

        @title = @lines.shift.split: ',';

        for @lines -> $line {
            my StudentInfo $si .= new(~$line);    ## 

            note $si.perl if $debug;

            if %info{$si.hash-key}:exists {
                %info{$si.hash-key}.meger($si);
            } else {
                %info{$si.hash-key} := $si;
            }
        }
    }

    if $debug {
        for %info.values  {
            .note if $debug;
        }
    }

    @title = @title[^8];
    @title.append: (< PROJ_ RE_ > xx $index).flat Z~ ((1 ... $index) xx 2).flat.sort;

    if defined($append) || defined($out) {
        my $out-fh =  defined($append) ?? $append.IO.open(:a) !! $out.IO.open(:w);

        $out-fh.say(@title.join(',')) if defined($out);

        for %info.values -> $value {
            $out-fh.say: $value.generate($index) 
                if $value.num-of-proj >= $index;
        };

        $out-fh.close;
    } else {
        for %info.values -> $value {
            say $value.generate($index)
                if $value.num-of-proj >= $index;
        };
    }
}

使用方法

[root@localhost tmp]# ./meger.p6 --help
Usage:
  ./meger.p6 [-o|--output=<Str>] [-a|--append-to=<Str>] [-i|--index-max=<Int>] [-d|--debug] [<files> ...]  
[root@localhost tmp]# ./meger.p6 -o=out.put.log testSheet.csv testSheet.csv 
[root@localhost tmp]# cat out.put.log 
ID,NAME,GENDER,AGE,KESHI,DATE,TYPE,DIAG,PROJ_1,RE_1,PROJ_2,RE_2,PROJ_3,RE_3,PROJ_4,RE_4,PROJ_5,RE_5,PROJ_6,RE_6,PROJ_7,RE_7,PROJ_8,RE_8
179802,彭永彪,男,82,神经内科,2013/1/1,血清,脑梗塞,ALP,88,ALT,8,AST,18,DBIL,3.4,GGT,32,IBIL,8.9,TBIL,12.3,TP,59.4
179099,王元家,男,39,手足显微外科,2013/1/1,血清,足外伤,ALP,58,ALT,32,AST,19,DBIL,2.1,GGT,44,IBIL,12.2,TBIL,14.3,TP,61.5
181012,潘国华,男,94,心肺血管科,2013/1/1,血清,高血压,ALP,84,ALT,10,AST,13,DBIL,1.5,GGT,34,IBIL,2.6,TBIL,4.1,TP,52.8
180813,朱安清,男,40,骨二科,2013/1/1,血清,足外伤,ALP,73,ALT,36,AST,19,DBIL,3.9,GGT,24,IBIL,18.6,TBIL,22.5,TP,59.6
180188,刘田英,女,80,综合一科,2013/1/1,血清,高血压,ALP,92,ALT,25,AST,24,DBIL,3,GGT,78,IBIL,7.3,TBIL,10.3,TP,64.9
178748,邓晓运,女,77,肿瘤科,2013/1/1,血清,脑梗塞,ALP,48,ALT,13,AST,16,DBIL,1.8,GGT,48,IBIL,6.1,TBIL,7.9,TP,63.3
180974,王龙,男,25,骨一科,2013/1/1,血清,肱骨干骨折,ALP,82,ALT,34,AST,36,DBIL,4.1,GGT,38,IBIL,11.6,TBIL,15.7,TP,61.7
180940,赵金成,男,79,综合一科,2013/1/1,血清,冠心病,ALP,66,ALT,54,AST,26,DBIL,5.5,GGT,30,IBIL,12.1,TBIL,17.6,TP,59
181168,张永堂,男,63,骨二科,2013/1/1,血清,肱骨干骨折,ALP,59,ALT,25,AST,35,DBIL,5.2,GGT,33,IBIL,14.4,TBIL,19.6,TP,57.1
[root@localhost tmp]# 

可以把記錄都放到以ID和Date為key的字典裡去，如果字典裡沒有這個key，則直接放進去， 如果已經有了，則把「PROJ_1至RE_6有值的話就依次往後面加」。

我不太清楚你的「合併成一行」是什麼意思， 但是大致程式碼可以類似下面這樣，如果合併的方式不對，你可以自己修改：

import csv

result = {}
with open('/Volumes/MacDocuments/Downloads/testSheet.csv', 'r') as csvfile:
    reader = csv.reader(csvfile)
    for row in reader:
        print(row)
        print(len(row))
        key = '{}-{}'.format(row[0], row[5])
        if result.get(key, None):
            result[key].extend(row[8:])
        else:
            result[key] = row

print(result)