A kind of platelet aggregation detects analyser
One, technical field
The utility model relates to a kind of detection platelet aggregation and detects analyser, and this instrument is estimated the platelet aggregation level by detecting tested blood sample in the variation of assembling Platelet quantity.The utility model belongs to the clinical laboratory medicine field.
Two, background technology
Platelet aggregation (or aggregation rate) is a hematoblastic critical function in the blood, is an important indicator of evaluating blood coagulation function.Existing platelet aggregation function detecting instrument mainly is that platelet aggregation Plasma Before And After (whole blood) optical density (or light transmittance energy) changes in blood plasma or the whole blood by detecting (to be called for short: optical method), or electrode is put into whole blood to be checked observe blood sample and add after the induced polymerization inhibitor blood platelet and be adsorbed on the electrode resistance that causes on the electrode and change and (be called for short: electric method).These instruments are owing to all respectively have a certain defect, detect such as optical method, electric method instrument that operation is more loaded down with trivial details, resultant error is larger.Also have and use blood analyser to detect the EDTA anticoagulated whole blood, and contrast citrate anticoagulation blood adds the variation of platelet counts after the induced polymerization inhibitor, carry out the method that platelet aggregation detects.The method need to adopt two parts of blood samples, and operating process relies on the manual blood analyser that cooperates to be carried out, and its automaticity is lower, and testing conditions (such as time, sample blending, temperature etc.) control is relatively poor, can't reach higher detection repeatability level.Whole bliid platelet analyzer of the present utility model, after sample being placed on the instrument load sample platform sample position, instrument provides stationary temperature, the principle according to electrical impedance or laser under the time of controlling and mixing condition realizes detecting, and testing process does not need artificial participation fully, and therefore easy to operate, result is repeated better.
Three, summary of the invention
A kind of platelet aggregation of the present utility model detects analyser, comprises sample cup, diluted cup, detection cup, load sample platform, sampling probe, suction sample syringe, induced polymerization inhibitor diluter, dilution syringe; Described sample cup is used for storing blood sample; Described diluted cup is used for once diluting blood sample; Described detection cup is used for the secondary dilution blood sample and detects blood sample; Described load sample platform is used for placing sample cup; Described suction sample syringe is communicated with sampling probe, is used for drawing blood sample to sample cup; Described induced polymerization inhibitor diluter is communicated with the induced polymerization inhibitor bottle, is used for adding induced polymerization inhibitor to sample cup; Described dilution syringe is communicated with the dilution bottle, is used for to diluted cup and detects cup adding dilution; Described sampling probe, suction sample syringe, induced polymerization inhibitor diluter, dilution syringe are moved by Electric Machine Control respectively; Described sampling probe is communicated with by pipeline and valve inhales sample syringe and dilution syringe; Described sampling probe with inhale after the sample syringe is communicated with, the blood sample in the sample cup added diluted cup and detect glass; Described sampling probe is with after the diluter syringe is communicated with, and dilution is added diluted cup and detects in the cup.The utility model is to realize automatically that according to the principle of electrical impedance or laser directly platelet Counting is assembled forward and backward platelet counts, makes evaluation to the blood sample platelet aggregation according to the variation of platelet counts.This instrument is placed in the sample position of load sample platform the whole sample cups that only portion need to be equipped with fresh citrate anticoagulation blood sample that detect of the platelet aggregation of a blood sample, instrument can automatically to sample blending, constant temperature, sampling, detection, be finished detection and report to platelet aggregation.In the process that detects, the load sample platform can make sample cup stop at vertical position to be convenient to sample sampling and to add induced polymerization inhibitor, also can be by motor-driven load sample platform respectively to left and right the to-and-fro movement that respectively is not more than an angle of 90 degrees degree, so that blood sample obtains continuing mixing in the sample cup.By this blood sample is assembled forward and backward repeated detection, average to the platelet count certificate of assembling forward and backward detection acquisition respectively, according to these two groups of average aggregation rate values of platelet counts mean value calculation acquisition blood platelet of same sample.
Four, description of drawings
Fig. 1 is the primary structure figure that the utility model platelet aggregation detects analyser.
Fig. 2 is the load sample table apparatus structural drawing (having the mixing function) that the utility model platelet aggregation detects analyser.
As shown in Figure 1, the platelet aggregation that the utility model discloses a kind of semi-automation detects analyser, the primary structure of this instrument comprises: 1, load sample platform, 2, suction needle, 3, diluted cup, 4, detect cup, 5, detection probe, sample suction pump when 6, detecting, 7, inhale the sample syringe, 8, the dilution syringe, 9, the dilution bottle, 10, induced polymerization inhibitor diluter, 11, induced polymerization inhibitor bottle, 12, induced polymerization inhibitor control T-valve, 13, filling induced polymerization inhibitor pin, 14, control dilution T-valve, 15, the primary structure part such as sample cup.
Five, embodiment
Design is further described to this utility model below in conjunction with accompanying drawing:
As shown in Figure 1, getting one is equipped with the fresh citrate anticoagulation blood sample of 500ul cup 15 and is placed in the instrument load sample platform 1 loading grade, anticoagulation weight range in this sample cup is at 200-800ul, instrument load sample platform is respectively to left and right respectively being not more than an angle of 90 degrees degree left and right sides reciprocating rotation mixing blood sample, the load sample platform rotate or when static under the sample rim of a cup along being not less than in the sample cup plane on the blood sample.Sample instrument sampling probe 2 behind load sample platform mixing gos deep into taking out simultaneously in the sample cup blood sample a certain amount of blood sample (20ul) under the assistance of diluter 7, then sampling probe changes blood sample in the diluted cup 3 over to, instrument injects the 2ml dilution by the diluent reagent bucket by diluter 8 and T-valve 14 synergies simultaneously in diluted cup, also inject the 2ml dilution in the cup 4 to detecting simultaneously; Sampling probe 2 is transferred in the detection cup 4 by the dilution blood sample 20ul that takes out mixing in the diluted cup 3 under the assistance of diluter 7 again.Instrument detects platelet Counting quantity behind the blood sample mixing to detecting in the cup after the dilution automatically.Instrument once can be finished one-time detection according to above-mentioned process flow operation, the abandoned reagents after the subsequently automatic eliminating of instrument has detected, and the instrument pipeline washed automatically.Instrument is not to after adding induced polymerization inhibitor blood examination secondary or more times, instrument diluter 10 is collaborative lower valve 12, by drawing induced polymerization inhibitor in the aggregating agent prepared therefrom bottle 11, according to 9: 1 (blood: induced polymerization inhibitor) add induced polymerization inhibitor, instrument is also automatically to the blood sample mixing, constant-temperature incubation, and timing platelet counts the 60-480 time range second continuous detecting blood sample after adding induced polymerization inhibitor, instrument begins counting to blood sample, continuous several times is carried out the platelets analysis counting subsequently, the platelet count value (being no less than 3 times) that instrument will add the blood examination acquisition after the induced polymerization inhibitor automatically averages, and this mean value and the blood platelet reference value that adds the front detection acquisition of induced polymerization inhibitor are relatively calculated acquisition to this blood sample average platelet aggregation rate value.Calculating formula with the method testing result (average platelet aggregation rate) has following A, B dual mode:
We have developed a Functional analysys of blood platelet gathering instrument take counting method as principle in the laboratory according to above-mentioned flow scheme design, adopt the utility model instrument to carry out a collection of pattern detection, have obtained satisfied testing result.
Concrete operations are: randomly draw 20 parts of fresh blood samples, every part is divided into four parts of blood samples, and detects and record platelet counts and calculating aggregation rate according to this method flow process is automatic, and gathers each sample checkout discrepancy and carry out the statistical study processing.
Table 1 obtains platelet aggregation rate repeatability with average platelet aggregation rate method detection computations and observes table
* explanation: " A ", " B ", " C ", " D " then represent same sample and are divided into after 4 duplicate samples separately test result in the table, wherein process for ease of data, data behind each time platelet count mean value radix point 4 are given up 5 enter.
Data analysis and conclusion:
Adopt the inventive method that 20 samples are detected for 4 times respectively, cumulative errors are 75.49; The mean value of maximum error value is: 3.77 (%).Illustrate that the platelet aggregation rate result repeatability that adopts the utility model instrument to detect acquisition is better, can meet clinical needs preferably.