CN102866258A - Urinary calculus pathogen diagnosis system and application method thereof - Google Patents
Urinary calculus pathogen diagnosis system and application method thereof Download PDFInfo
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Abstract
The invention relates to a urinary calculus pathogen diagnosis system, which comprises a biochemical analyzer, an electronic medical record system, a liquid-phase chromatographic instrument and a digital microscopic photography device, and the urinary calculus pathogen diagnosis system also comprises a central processing computer, wherein the biochemical analyzer, the electronic medical record system, the liquid-phase chromatographic instrument and the digital microscopic photography device are respectively connected with the central processing computer. The invention relates to an application method of the urinary calculus pathogen diagnosis system. The application method comprises the following steps that (1) ion concentration of urine of a patient is read through the liquid-phase chromatographic instrument, and a calculus component analysis result is called; (2) to (9) different data is detected; and (10) a final result is printed. The urinary calculus pathogen diagnosis system and the application method thereof have beneficial effects that complicated working flow of the pathogen both at home and abroad is firstly standardized and simplified, the complicated detection and diagnosis process is arranged to form automation, and an important significance for popularizing the pathogen diagnosis and the purposeful prevention of urinary calculus can be realized.
Description
Technical field
The present invention relates to a kind of medical diagnosis system and application process thereof, is a kind of stone in urinary system etiological diagnosis system and application process thereof specifically.
Background technology
Stone in urinary system is the disease of a complexity, multi-pathogenesis, the coefficient result of E﹠H factor, finish Iithiasic etiological diagnosis work by detecting the multinomial hematuria biochemics index of patient, can find the lithogenous main reason of patient, for further specific aim prevention and treatment provide foundation.But the etiological diagnosis complex steps of stone in urinary system is difficult to grasp at present, causes this diagnostic techniques popularity in China and even world wide limited.
Summary of the invention
The objective of the invention is to diagnose existing defective in order to solve in the prior art stone in urinary system, provide a kind of stone in urinary system etiological diagnosis system and application process thereof to solve the problems referred to above.
To achieve these goals, technical scheme of the present invention is as follows:
A kind of stone in urinary system etiological diagnosis system, comprise Biochemical Analyzer, electronic medical record system, liquid chromatograph and digital photomicrography device, it is characterized in that, also comprise for Intelligent Recognition, automatic input analysis data and draw diagnosis report and the central processing computer of prophylactic treatment suggestion, described Biochemical Analyzer, electronic medical record system, liquid chromatograph and digital photomicrography device connect respectively central processing computer.
Above-mentioned a kind of stone in urinary system etiological diagnosis system is characterized in that described liquid chromatograph is ion chromatograph.
Above-mentioned a kind of stone in urinary system etiological diagnosis system is characterized in that, also comprises the printer that prints for the diagnosis report that central processing computer is drawn and prophylactic treatment suggestion, and described printer connects central processing computer.
Above-mentioned a kind of stone in urinary system etiological diagnosis system is characterized in that, also comprises for the scanning device of input patient examining report, described scanning device connecting central processing computer; Also comprise manual load module, described manual load module connects central processing computer.
Above-mentioned a kind of stone in urinary system etiological diagnosis system, it is characterized in that, described scanning device comprises for the scanner that document is scanned and is used for the document after the scanning is carried out the text identification module that data read, and connects central processing computer after the described scanner connection text identification module again.
Above-mentioned a kind of stone in urinary system etiological diagnosis system, it is characterized in that, described Biochemical Analyzer comprises light source, sampling device, cuvette, detector, signal amplification converter and data processing module, described sampling device connects cuvette, light source and detector are arranged at by the cuvette, light source irradiation light out can see through cuvette and reach detector, detector connects signal amplification converter and data processing module successively, data processing module connects central processing computer, described Biochemical Analyzer comprises that also for the cleaning equipment that cleans cuvette and connecting line, cleaning equipment connects cuvette.
Above-mentioned a kind of stone in urinary system etiological diagnosis system, it is characterized in that, described liquid chromatograph comprises that injector, separating column, suppressed column, electricity lead detector, pump and drip washing equipment, described injector connects successively separating column, suppressed column and electricity and leads detector, drip washing equipment connects separating column by pump, and described electricity is led detector and connected central processing computer.
Above-mentioned a kind of stone in urinary system etiological diagnosis system, it is characterized in that, described digital photomicrography device comprises optical amplifier image-forming module, imageing sensor, A/D modular converter and dsp chip, described optical amplifier image-forming module is connection layout image-position sensor, A/D modular converter and dsp chip successively, and dsp chip connects central processing computer.
The application process of above-mentioned a kind of stone in urinary system etiological diagnosis system is characterized in that, comprises following steps:
(1) central processing computer reads the ion concentration of patient urine by liquid chromatograph, calculates each ion 24 hourly amount according to ion concentration and twenty-four-hour urine amount;
Central computer calls the stone composition analysis result by one of them of following four kinds of modes, the stone composition of measuring by manual load module input chemical method or Physical; The stone composition of measuring by scanning device input chemical method or Physical; By the case history situation input chemical method that calls patient in the electronic medical record system or the stone composition that Physical is measured; Obtain the stone composition analysis result with the computer networking of stone composition analytical equipment;
(2) central processing computer checks urine oxalic acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check patient's calculi in vivo whether printing opacity, whether the intestines problem medical history is arranged, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(3) central processing computer checks sour 24 hourly amounts of urinating in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(4) central processing computer checks urine citric acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(5) central processing computer checks urine calcium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, check again the content of blood PTH, blood calcium and serium inorganic phosphorus in the patient blood by Biochemical Analyzer, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(6) central processing computer checks urine magnesium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, transfer stone composition and analyze data, by the crystal habit in the digital photomicrography device inspection urine, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(7) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and featheriness or the crystallization of pine needle shape whether occur, transfer stone composition and analyze data, the clear and definite ammonium magnesium phosphate composition that whether includes, transfer the case history situation of patient in the electronic medical record system, obtain the data such as Urinary is conventional, urine cultivation, then central processing computer provides above-mentioned data, and assistance is further comprehensively judged, assigned a cause for an illness and provides the prophylactic treatment suggestion;
(8) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and the regular hexagon crystallization whether occurs, and then the result that analyzes of the case history situation by transferring patient in the electronic medical record system and the stone composition transferred, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(9) by manual load module input patient for three days on end, every day the pH value more than 3 times, if each pH value detects the constituent structure of patient urine all greater than 5.8 by liquid chromatograph; Transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo; And by the crystal habit in the digital photomicrography device inspection urine; When providing above-mentioned data, result in conjunction with the stone composition analysis of transferring, central processing computer provides next step etiological diagnosis flow process, diagnosis basis, Pathogeny types and corresponding prevention scheme, and the assistance clinician comprehensively judges, assigns a cause for an illness and provides the prophylactic treatment suggestion;
(10) by printer patient information, diagnostic result and corresponding prophylactic treatment scheme are printed.
The application process of above-mentioned a kind of stone in urinary system etiological diagnosis system, it is characterized in that, describedly check that by Biochemical Analyzer the patient blood index also can identify through scanning device automatically by good after testing sanguification verification certificate, be sent to central processing computer; The described case history situation of transferring patient in the electronic medical record system, check patient's calculi in vivo whether also can automatically identify through scanning device by good after testing X-ray report the test by printing opacity, be sent to central processing computer, described content by blood PTH, blood calcium and serium inorganic phosphorus in the Biochemical Analyzer inspection patient blood also can be identified through scanning device automatically by good after testing blood biochemical analysis result information, is sent to central processing computer; Detect patient's Results of Blood-gas by Biochemical Analyzer and also can automatically identify through scanning device by good after testing vim and vigour biochemical studies report, be sent to central processing computer.
Beneficial effect of the present invention is: this diagnostic system first workflow that etiological diagnosis is loaded down with trivial details standardization at home and abroad and oversimplifying, the arrangement of the process of loaded down with trivial details diagnosis and detection is formed robotization, etiological diagnosis and the applying of specific aim control of stone in urinary system had great significance.
Description of drawings
Fig. 1 is one-piece construction block diagram of the present invention;
Fig. 2 is the structured flowchart of Biochemical Analyzer;
Fig. 3 is the structured flowchart of liquid chromatograph;
Fig. 4 is the structured flowchart of digital photomicrography device;
Fig. 5 is the structured flowchart of scanning device;
Embodiment
Further understand and understanding for making architectural feature of the present invention and the effect reached had, cooperate detailed explanation in order to preferred embodiment and accompanying drawing, be described as follows:
Referring to Fig. 1, a kind of stone in urinary system etiological diagnosis system, comprise Biochemical Analyzer 100, electronic medical record system 200, liquid chromatograph 300 and digital photomicrography device 400, also comprise for Intelligent Recognition, automatic input analysis data and draw diagnosis report and the central processing computer 500 of prophylactic treatment suggestion, Biochemical Analyzer 100, electronic medical record system 200, liquid chromatograph 300 and digital photomicrography device are connected and are connected respectively central processing computer 500.Biochemical Analyzer 100 is for detection of the patient blood sample; Comprise patient's medical history in the past and the examining report data of other detections of doing in the electronic medical record system 200; Liquid chromatograph 300 is for detection of the concentration of relevant zwitterion in the patient urine; Digital photomicrography device 400 is for detection of the patient urine crystal form.In the time of work, control by central processing computer 500, Biochemical Analyzer 100, electronic medical record system 200, liquid chromatograph 300 and digital photomicrography device 400 input to the patient's that detects data in the central processing computer 500 automatically, abandoned that diagnosis algorithm was loaded down with trivial details in the past, the defective that is difficult to grasp, having reached only needs the doctor in the situation that comprehensive every detection data are diagnosed the cause of disease, perhaps directly by providing diagnosis report and prophylactic treatment suggestion behind the central processing computer 500 comparison related diseases factor data banks.
In the present invention, liquid chromatograph 300 is ion chromatograph, because in the process of stone in urinary system etiological diagnosis, most important test mode is to detect the concentration of relevant zwitterion in the patient urine, so ion chromatograph occupies vital position in the present invention.
Also comprise in the present invention the printer 600 that prints for the suggestion of the diagnosis report that central processing computer 500 is drawn and prophylactic treatment, printer 600 connects central processing computers 500.After central process computer 500 draws last result, can patient's personal information, the diagnosis report that draws and prophylactic treatment suggestion be printed by printer 600, form last diagnosis report.
The present invention also comprises for the scanning device 700 of input patient examining report, scanning device 700 connection central processing computers 500, the effect of scanning device 700 is can be directly by scanning device 700 data scanning of any result of laboratory test list to be sent to central processing computer 500, particularly when needs were used some patient's detection data, scanning device 700 can directly be changed data and be sent to central processing computer 500; Also comprise manual load module 800 in the system, manually load module 800 connects central processing computer 500, manually effect and the scanning device 700 of load module 800 are similar, also be the mode of a kind of data input, can cross manual load module 800 and input in the central processing computer 500 detecting arbitrarily data communication device.
Referring to Fig. 2, Biochemical Analyzer 100 comprises light source 110, sampling device 120, cuvette 130, detector 140, signal amplification converter 150 and data processing module 160, sampling device 120 connects cuvette 130, light source 110 and detector 140 are arranged at by the cuvette, light source irradiation light out can see through cuvette 130 and reach detector 140, detector 140 connects signal amplification converter 150 and data processing module 160 successively, data processing module 160 connects central processing computer 500, in the time of work, detect sample and from sampling device 120, enter into cuvette 130, light source 110 shines cuvettes 130 and light transmission cuvette 130 is shone detector 140, after detector 140 detects light through cuvette 130, transmit signals to signal amplification converter 150, signal amplification converter 150 sends to data processing module 160 with the signal amplification and after changing, and data processing module 160 sends in the central processing computer 500 after data preparation is become well the detection data.Biochemical Analyzer 100 also comprises for the cleaning equipment 170 that cleans cuvette and connecting line, cleaning equipment 170 connection cuvettes 130, and after one-time detection was finished, cleaning equipment 170 can clean pipeline and cuvette 130.
Referring to Fig. 3, liquid chromatograph 300 comprises that injector 310, separating column 320, suppressed column 330, electricity lead detector 340, pump 350 and drip washing equipment 360, injector 310 connects successively separating column 320, suppressed column 330 and electricity and leads detector 340, drip washing equipment 360 connects separating column 320 by pump 350, and electricity is led detector 340 and connected central processing computer 500.Institute's test sample product all inject from injector 310, and then enter separating column 320, relative affinity owing to various ion pair separating column 320 intermediate ion exchange resins when entering separating column 320 varies in size, sample is separated into discontinuous bands of a spectrum at separating column, and successively by the leacheate wash-out in the drip washing equipment 360, finally enter electricity and lead detector 340; Electricity is led the conductivity that detector 340 can detect solution, thereby calculates in the solution by the concentration of measured ion.Introduce the background conductance that suppressed column 330 can reduce leacheate in the drip washing equipment 360, the electricity that strengthens tested component is led, and measures precision thereby promote.
Referring to Fig. 4, digital photomicrography device 400 comprises optical amplifier image-forming module 410, imageing sensor 420, A/D modular converter 430 and dsp chip 440, optical amplifier image-forming module 410 is connection layout image-position sensor 420, A/D modular converter 430 and dsp chip 440 successively, and dsp chip 440 connects central processing computer 500.Observation sample 401 carries out the optical amplifier imaging by optical amplifier image-forming module 410, then optical amplifier image-forming module 410 transmits signals to imageing sensor 420, imageing sensor 420 is digital signal by A/D modular converter 430 with analog signal conversion, by dsp chip net result is sent in the central processing computer 500 at last.
Referring to Fig. 5, scanning device 700 comprises for the scanner 710 that document is scanned and is used for the document after the scanning is carried out the text identification module 720 that data read, and connects central processing computer 500 after scanner 710 connects text identification module 720 again.When using, 710 pairs of laboratory test reports 701 of scanner scan, and will detect data after then scanner 710 is identified the laboratory test report of scanning by text identification module 720 again and be sent in the central processing computer 500.
The application process of a kind of stone in urinary system etiological diagnosis system comprises following steps:
(1) central processing computer reads the ion concentration of patient urine by liquid chromatograph, calculates each ion 24 hourly amount according to ion concentration and twenty-four-hour urine amount;
Central computer calls the stone composition analysis result by one of them of following four kinds of modes, the stone composition of measuring by manual load module input chemical method or Physical; The stone composition of measuring by scanning device input chemical method or Physical; By the case history situation input chemical method that calls patient in the electronic medical record system or the stone composition that Physical is measured; Obtain the stone composition analysis result with the computer networking of stone composition analytical equipment;
(2) central processing computer checks urine oxalic acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check patient's calculi in vivo whether printing opacity, whether the intestines problem medical history is arranged, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(3) central processing computer checks sour 24 hourly amounts of urinating in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(4) central processing computer checks urine citric acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(5) central processing computer checks urine calcium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, check again the content of blood PTH, blood calcium and serium inorganic phosphorus in the patient blood by Biochemical Analyzer, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(6) central processing computer checks urine magnesium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, transfer stone composition and analyze data, by the crystal habit in the digital photomicrography device inspection urine, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(7) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and featheriness or the crystallization of pine needle shape whether occur, transfer stone composition and analyze data, the clear and definite ammonium magnesium phosphate composition that whether includes, transfer the case history situation of patient in the electronic medical record system, obtain the data such as Urinary is conventional, urine cultivation, then central processing computer provides above-mentioned data, and assistance is further comprehensively judged, assigned a cause for an illness and provides the prophylactic treatment suggestion;
(8) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and the regular hexagon crystallization whether occurs, and then the result that analyzes of the case history situation by transferring patient in the electronic medical record system and the stone composition transferred, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(9) by manual load module input patient for three days on end, every day the pH value more than 3 times, if each pH value detects the constituent structure of patient urine all greater than 5.8 by liquid chromatograph; Transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo; And by the crystal habit in the digital photomicrography device inspection urine; When providing above-mentioned data, result in conjunction with the stone composition analysis of transferring, central processing computer provides next step etiological diagnosis flow process, diagnosis basis, Pathogeny types and corresponding prevention scheme, and the assistance clinician comprehensively judges, assigns a cause for an illness and provides the prophylactic treatment suggestion;
(10) by printer patient information, diagnostic result and corresponding prophylactic treatment scheme are printed.
In the present invention, also can automatically identify through scanning device by good after testing sanguification verification certificate by Biochemical Analyzer inspection patient blood index, be sent to central processing computer; The described case history situation of transferring patient in the electronic medical record system, check patient's calculi in vivo whether also can automatically identify through scanning device by good after testing X-ray report the test by printing opacity, be sent to central processing computer, described content by blood PTH, blood calcium and serium inorganic phosphorus in the Biochemical Analyzer inspection patient blood also can be identified through scanning device automatically by good after testing blood biochemical analysis result information, is sent to central processing computer; Detect patient's Results of Blood-gas by Biochemical Analyzer and also can automatically identify through scanning device by good after testing vim and vigour biochemical studies report, be sent to central processing computer.
Beneficial effect of the present invention is: this diagnostic system first workflow that etiological diagnosis is loaded down with trivial details standardization at home and abroad and oversimplifying, the arrangement of the process of loaded down with trivial details diagnosis and detection is formed robotization, etiological diagnosis and the applying of specific aim control of stone in urinary system had great significance.
Above demonstration and described ultimate principle of the present invention, principal character and advantage of the present invention.The technician of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and the instructions is principle of the present invention; the present invention also has various changes and modifications without departing from the spirit and scope of the present invention, and these changes and improvements all fall in the claimed scope of the present invention.The protection domain that the present invention requires is defined by appending claims and equivalent thereof.
Claims (10)
1. stone in urinary system etiological diagnosis system, comprise Biochemical Analyzer, electronic medical record system, liquid chromatograph and digital photomicrography device, it is characterized in that, also comprise for Intelligent Recognition, automatic input analysis data and draw diagnosis report and the central processing computer of prophylactic treatment suggestion, described Biochemical Analyzer, electronic medical record system, liquid chromatograph and digital photomicrography device connect respectively central processing computer.
2. a kind of stone in urinary system etiological diagnosis according to claim 1 system is characterized in that, described liquid chromatograph is ion chromatograph.
3. a kind of stone in urinary system etiological diagnosis according to claim 1 and 2 system, it is characterized in that, also comprise the printer that prints for the suggestion of the diagnosis report that central processing computer is drawn and prophylactic treatment, described printer connects central processing computer.
4. a kind of stone in urinary system etiological diagnosis according to claim 3 system is characterized in that, also comprises for the scanning device of input patient examining report, described scanning device connecting central processing computer; Also comprise manual load module, described manual load module connects central processing computer.
5. a kind of stone in urinary system etiological diagnosis according to claim 4 system, it is characterized in that, described scanning device comprises for the scanner that document is scanned and is used for the document after the scanning is carried out the text identification module that data read, and connects central processing computer after the described scanner connection text identification module again.
6. according to claim 4 or 5 described a kind of stone in urinary system etiological diagnosis systems, it is characterized in that, described Biochemical Analyzer comprises light source, sampling device, cuvette, detector, signal amplification converter and data processing module, described sampling device connects cuvette, light source and detector are arranged at by the cuvette, light source irradiation light out can see through cuvette and reach detector, detector connects signal amplification converter and data processing module successively, data processing module connects central processing computer, described Biochemical Analyzer comprises that also for the cleaning equipment that cleans cuvette and connecting line, cleaning equipment connects cuvette.
7. a kind of stone in urinary system etiological diagnosis according to claim 6 system, it is characterized in that, described liquid chromatograph comprises that injector, separating column, suppressed column, electricity lead detector, pump and drip washing equipment, described injector connects successively separating column, suppressed column and electricity and leads detector, drip washing equipment connects separating column by pump, and described electricity is led detector and connected central processing computer.
8. a kind of stone in urinary system etiological diagnosis according to claim 7 system, it is characterized in that, described digital photomicrography device comprises optical amplifier image-forming module, imageing sensor, A/D modular converter and dsp chip, described optical amplifier image-forming module is connection layout image-position sensor, A/D modular converter and dsp chip successively, and dsp chip connects central processing computer.
9. the application process of a kind of stone in urinary system etiological diagnosis according to claim 1 system is characterized in that, comprises following steps:
(1) central processing computer reads the ion concentration of patient urine by liquid chromatograph, calculates each ion 24 hourly amount according to ion concentration and twenty-four-hour urine amount;
Central computer calls the stone composition analysis result by one of them of following four kinds of modes, the stone composition of measuring by manual load module input chemical method or Physical; The stone composition of measuring by scanning device input chemical method or Physical; By the case history situation input chemical method that calls patient in the electronic medical record system or the stone composition that Physical is measured; Obtain the stone composition analysis result with the computer networking of stone composition analytical equipment;
(2) central processing computer checks urine oxalic acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check patient's calculi in vivo whether printing opacity, whether the intestines problem medical history is arranged, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(3) central processing computer checks sour 24 hourly amounts of urinating in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(4) central processing computer checks urine citric acid 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(5) central processing computer checks urine calcium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, check again the content of blood PTH, blood calcium and serium inorganic phosphorus in the patient blood by Biochemical Analyzer, by the crystal habit in the digital photomicrography device inspection urine, the result that the stone composition of transferring is analyzed, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(6) central processing computer checks urine magnesium 24 hourly amounts in the urine by liquid chromatograph, then transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo, transfer stone composition and analyze data, by the crystal habit in the digital photomicrography device inspection urine, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(7) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and featheriness or the crystallization of pine needle shape whether occur, transfer stone composition and analyze data, the clear and definite ammonium magnesium phosphate composition that whether includes, transfer the case history situation of patient in the electronic medical record system, obtain the data such as Urinary is conventional, urine cultivation, then central processing computer provides above-mentioned data, and assistance is further comprehensively judged, assigned a cause for an illness and provides the prophylactic treatment suggestion;
(8) by the crystal habit in the digital photomicrography device inspection urine, check in the urine crystallization and the regular hexagon crystallization whether occurs, and then the result that analyzes of the case history situation by transferring patient in the electronic medical record system and the stone composition transferred, then central processing computer provides above-mentioned data, assists further comprehensively to judge, assign a cause for an illness and provide prophylactic treatment suggestion;
(9) by manual load module input patient for three days on end, every day the pH value more than 3 times, if each pH value detects the constituent structure of patient urine all greater than 5.8 by liquid chromatograph; Transfer the case history situation of patient in the electronic medical record system, check whether printing opacity of patient's calculi in vivo; And by the crystal habit in the digital photomicrography device inspection urine; When providing above-mentioned data, result in conjunction with the stone composition analysis of transferring, central processing computer provides next step etiological diagnosis flow process, diagnosis basis, Pathogeny types and corresponding prevention scheme, and the assistance clinician comprehensively judges, assigns a cause for an illness and provides the prophylactic treatment suggestion;
(10) by printer patient information, diagnostic result and corresponding prophylactic treatment scheme are printed.
10. the application process of a kind of stone in urinary system etiological diagnosis according to claim 9 system, it is characterized in that, describedly check that by Biochemical Analyzer the patient blood index also can identify through scanning device automatically by good after testing sanguification verification certificate, be sent to central processing computer; The described case history situation of transferring patient in the electronic medical record system, check patient's calculi in vivo whether also can automatically identify through scanning device by good after testing X-ray report the test by printing opacity, be sent to central processing computer, described content by blood PTH, blood calcium and serium inorganic phosphorus in the Biochemical Analyzer inspection patient blood also can be identified through scanning device automatically by good after testing blood biochemical analysis result information, is sent to central processing computer; Detect patient's Results of Blood-gas by Biochemical Analyzer and also can automatically identify through scanning device by good after testing vim and vigour biochemical studies report, be sent to central processing computer.
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CN114627994A (en) * | 2022-03-23 | 2022-06-14 | 中山大学附属第八医院(深圳福田) | Storage method of follow-up data for diagnosis and treatment of urinary calculus |
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Effective date of registration: 20161214 Address after: 430079 A7 Exhibition Center, No. 858, high tech Avenue, East Lake Development Zone, Hubei, Wuhan, China Patentee after: Five channel medical technology (Wuhan) Co., Ltd. Address before: 310013 Hangzhou, Zhejiang Province, Xihu District, Zhejiang Road, No. 38, No. Patentee before: Liu Guanlin |