Clinical sample automatic analytical instrument and analytical approach
Technical field
The present invention relates to a kind of clinical sample automatic analytical instrument and analytical approach, especially relate to clinical sample automatic analytical instrument and the analytical approach of the body fluid such as a kind of blood, urine, saliva.
Background technology
In the automatic analysis field that medical treatment detects, automatic analysing apparatus adds reagent in the examined sample of the blood, urine etc. of people, measures the concentration of inspection item desired by being included in examined sample.In recent years, the milligram ammonia of the high efficiency requiring biochemical analysis and immune serum to check, cost cutting and reactant liquor.Therefore, it is desirable to come at a high speed with less automatic analysing apparatus and correctly check inspection item as much as possible.
Medical treatment uses an analytical equipment for various detected state in detecting sometimes.Detection sample in container, when carrying out the detection of multiple test item to a kind of detected material of user, segments by automatic analysing apparatus usually, then according to the login sequence of project, carries out the analysis detecting sample.But, detect sample size less time, when such as, detection sample for child, may have that to detect sample size not enough, cause to carry out situation about analyzing for all test items.In prior art, in order to solve the problem, in prior art, the patent documentation of JP Laid-Open 9-257804 proposes operator's mensuration priority set in advance to the function of the dispensing and mensuration of implementing sample.Propose in CN100545656 and provide the amount of analysis that reduces sample to operator or cancel part inspection item, thus carry out the method analyzed.
In said method of the prior art, preset order by system or determined method or the order of analysis by operator, but due to the disease of different patient and test item all different, and operator cannot can both know definite priority for all disease detection projects usually, be all adopt fixing priority usually.But these fixing priority are not all applicable for all patients, practical effect possibility is also improper.
Summary of the invention
The invention provides a kind of clinical sample automatic analytical instrument and analytical approach, it according to patient profiles, when detecting sample size and being not enough, can select most suitable detection priority automatically.
As one aspect of the present invention, provide a kind of clinical sample automatic analytical instrument, comprising: load module, container module, sensor assembly, memory module, detection module and control module; The inspection item that described load module will detect for inputting clinical sample; Described container module is for holding clinical sample; Described sensor assembly is for measuring the clinical sample volume in container module; Described memory module is for storing the volume of required clinical sample in various inspection item; Described control module is used for the information provided according to load module, sensor assembly and memory module, selects the analytical approach of clinical sample; It is characterized in that: described memory module also stores the detected person inspection item that does and result before this checks; Described control module, also according to the detected person stored in the memory module inspection item that does and result before this checks, selects detection module described in the analytical approach of clinical sample to be used for detecting for clinical sample according to analytical approach.
Preferably, described clinical sample comprises one or more among blood, urine and saliva.
Preferably, when the inspection item that described clinical sample volume is less than input is volume required, the inspection item that the detected person stored in described control module reading memory module did before this checks and result, if the inspection item existed before this checks and result, and exist positive in result, select wherein testing result to be positive inspection item, select in this inspection item with before testing result be that the identical and inspection item that is associated of the inspection item of the positive is as preferential inspection item.
Preferably, the inspection item be associated described in is the inspection item be associated in clinical diagnosis.
Preferably, if needed for the described identical and inspection item that is associated, the volume of clinical sample is still greater than the volume of clinical sample in described container module, using described identical inspection item as prepreerence inspection item.
Preferably, for the described inspection item be associated, obtain spended time priority of disposing order needed for testing result according to it.
Preferably, the priority that needed for testing result, spended time is more is obtained higher.
Preferably, if the inspection item existed before this checks and result, but there is no the positive in testing result, select in this inspection item with before the identical inspection item of inspection item as preferential inspection item.
Preferably, if there is no this check before inspection item and result, the mode that one of control module choice for use is following checks: reducing portion is divided the clinical sample use amount in inspection item or cancelled part inspection item.
As another aspect of the present invention, provide a kind of clinical sample automatic analysis method, comprise the steps: a: clinical sample is placed into container module; B. by the load module input clinical sample inspection item that will detect; C. the volume of clinical sample in sensor assembly inspection instrument module is used; D. the information that provides according to load module, sensor assembly and memory module of control module, selects the analytical approach of clinical sample.
Preferably, described control module also according to the detected person stored in the memory module inspection item that does and result before this checks, selects the analytical approach of clinical sample.
As another aspect of the present invention, provide a kind of clinical sample automatic analysis method, comprise the steps: 100) clinical sample is placed into container module; 200) by the load module input clinical sample inspection item that will detect; 300) volume of clinical sample in sensor assembly inspection instrument module is used; 400). the inspection item that control module is done before checking according to the volume of inspection item, clinical sample and this and result, select the analytical approach of clinical sample: 410) when the inspection item that described clinical sample volume is greater than input is volume required, all inspection items are normally detected; 420) when the inspection item that described clinical sample volume is less than input is volume required, the inspection item done before judging whether there is this inspection in storer and result; 421) if the inspection item existed before this checks and result, and exist positive in result, select wherein testing result to be positive inspection item, select in this inspection item with before testing result be that the identical and inspection item that is associated of the inspection item of the positive is as preferential inspection item; 422) if the volume of clinical sample is still greater than the volume of clinical sample in described container module, using described identical inspection item as prepreerence inspection item needed for the described identical and inspection item that is associated; For the described inspection item be associated, obtain spended time priority of disposing order needed for testing result according to it, obtain the priority that needed for testing result, spended time is more higher; 423) if the inspection item existed before this checks and result, but there is no the positive in testing result, select in this inspection item with before the identical inspection item of inspection item as preferential inspection item; 424) if there is no this check before inspection item and result, the mode that one of control module choice for use is following checks: reducing portion is divided the clinical sample use amount in inspection item or cancelled part inspection item.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of the clinical sample automatic analytical instrument of the embodiment of the present invention.
Fig. 2 is the process flow diagram of the clinical sample automatic analysis method of the embodiment of the present invention.
In order to be illustrated more clearly in technical scheme of the present invention, below use embodiment is introduced simply to the present invention, apparently, in the following describes is only one embodiment of the present of invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other technical scheme can also be obtained according to these embodiments, also belong to open scope of the present invention.
As shown in Figure 1, clinical sample automatic analytical instrument, comprising embodiments of the invention: load module, container module, sensor assembly, memory module, detection module and control module.The inspection item that load module will detect for inputting clinical sample, inspection item can be biochemical analysis for human body fluid or immune serum inspection.Container module is for holding clinical sample.Clinical sample can be blood, urine, saliva or human body puncture the body fluid sample obtained.
Sensor assembly can use conventional volume sensor or weight sensor, and for measuring the sample size of the clinical sample in container module, sensor assembly sends the sample size detected to control module.Memory module, for storing in various inspection item the sample size of required clinical sample, also stores inspection item and result that detected person did before this checks simultaneously in memory module.
The information that control module provides according to load module, sensor assembly and memory module, judges the whether enough detections for all inspection items of clinical sample amount in container module.If the clinical sample quantity not sufficient in control module is enough in the detection of all inspection items, then reads in memory module and also store the inspection item and result that detected person did before this checks.If the inspection item existed before this checks and result, and exist positive in result, select wherein testing result to be positive inspection item, select in this inspection item with before testing result be that the identical and inspection item that is associated of the inspection item of the positive is as preferential inspection item.The inspection item be associated is the inspection item be associated in clinical diagnosis, such as, in lesion detection, if detect that AFP is abnormal, then usually needs to detect the relevant project of other tumours as CEA, CA199, CA125 etc.Such as, in last time testing result, AFP is positive, and there is AFP in this inspection item, CEA, CA199, CA125 and other inspection items, then by AFP, CEA, CA199, CA125 as preferential inspection item.If the detection of clinical sample amount AFP, CEA, CA199, CA125 not enough, then using AFP as prepreerence inspection item.Remaining CEA, in CA199, CA125, obtains spended time priority of disposing order needed for testing result according to it, obtains the priority that needed for testing result, spended time is more higher.By such setting, when detecting sample size and being not enough, the test item that patient can be needed most as priority, thus avoids the situation that patient's results needed cannot obtain; On the other hand, in associated item, obtain spended time priority of disposing order needed for testing result according to it, obtain the priority that needed for testing result, spended time is more higher, make patient in upper once inspection, result can be obtained by the fastest acquisition inspection item.
See Fig. 2, clinical sample automatic analysis method of the present invention, comprises the steps: 100) clinical sample is placed into container module; 200) by the load module input clinical sample inspection item that will detect; 300) volume of clinical sample in sensor assembly inspection instrument module is used; 400). the inspection item that control module is done before checking according to the volume of inspection item, clinical sample and this and result, select the analytical approach of clinical sample: 410) when the inspection item that described clinical sample volume is greater than input is volume required, all inspection items are normally detected; 420) when the inspection item that described clinical sample volume is less than input is volume required, the inspection item done before judging whether there is this inspection in storer and result; 421) if the inspection item existed before this checks and result, and exist positive in result, select wherein testing result to be positive inspection item, select in this inspection item with before testing result be that the identical and inspection item that is associated of the inspection item of the positive is as preferential inspection item; 422) if the volume of clinical sample is still greater than the volume of clinical sample in described container module, using described identical inspection item as prepreerence inspection item needed for the described identical and inspection item that is associated; For the described inspection item be associated, obtain spended time priority of disposing order needed for testing result according to it, obtain the priority that needed for testing result, spended time is more higher; 423) if the inspection item existed before this checks and result, but there is no the positive in testing result, select in this inspection item with before the identical inspection item of inspection item as preferential inspection item; 424) if there is no this check before inspection item and result, the mode that one of control module choice for use is following checks: reducing portion is divided the clinical sample use amount in inspection item or cancelled part inspection item.
In all documents incorporated by reference all in this application that the present invention mentions, just quoted separately as a reference as each section of document.In addition should be understood that those skilled in the art can make various changes or modifications the present invention, and these equivalent form of values fall within the application's appended claims limited range equally after having read above-mentioned instruction content of the present invention.