The invention provides a microfluidic detection device which comprises a rack, a centrifugal module, an automatic card loading module, an automatic card unloading module, a card loading station, a card unloading station, a waiting station corresponding to the card loading station, and a guide channel arranged between the waiting station and the card loading station, the automatic card feeding module comprises a card pushing piece and a first driving mechanism, the output end of the first driving mechanism is connected with the card pushing piece, and the card pushing piece is in surface contact with the micro-fluidic chip in the card pushing process, so that the stressed area is large, and the card can be stably and accurately pushed; the pushing force is large, so that in the process of stably pushing the micro-fluidic chip, the reaction cavity can be pushed to be close to the puncture structure, and automatic puncture is realized.