Of the instruments for measuring the depth of colour of the blood, the
double pipette of Hoppe-Seyler is quite the most delicate. A solution of
carbonic oxide haemoglobin, accurately titrated, serves as the standard
of comparison. The reliable preparation and conservation of the normal
solution is however attended with such difficulties, that this method is
not clinically available. In the last few years, Langemeister, a pupil
of Kuehne's, has invented a method for colorimetric purposes, also
applicable to haemoglobin estimations. The instrument depends on the
principle, that from the thickness of the layer in which the solution to
be tested has the same colour intensity as a normal solution, the amount
of colour can be calculated. As a normal solution Langemeister uses a
glycerine solution of methaemoglobin prepared from pig's blood. To our
knowledge this method has not yet been applied clinically. Its
introduction would be valuable, for in practice we must at present be
content with methods that are less exact, in which coloured glass or a
stable coloured solution serves as a measure for the depth of colour of
the blood. There are a number of instruments of this kind, of which the
"haemometer" of Fleischl, and amongst others, the "haemoglobinometer" of
Gowers, distinguished by its low price, are specially used for clinical
purposes. Both instruments give the percentage of the haemoglobin of
normal blood which the blood examined contains, and are sufficiently
exact in their results for practical purposes and for relative values;
although errors up to 10% and over occur with unpractised observers.
(Cp. K. H. Mayer.) Quite recently Biernacki has raised the objection to
the colorimetric methods of the quantitative estimation of haemoglobin,
that the depth of colour of the blood is dependent not only on the
quantity of haemoglobin but also on the colour of the plasma, and the
greater or less amount of proteid in the blood. These errors are quite
inconsiderable for the above-mentioned instruments, since here the blood
is so highly diluted with water that the possible original differences
are thereby reduced to zero.
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