In a paper which has quite recently appeared Diabella has investigated
these relations very thoroughly, and his results partly correct, and
partly confirm those of Hammerschlag. Diabella found from his
comparative estimations that differences of 10% haemoglobin (Fleischl)
correspond in general to differences of 4.46 per thousand in the
specific gravity (Hammerschlag's method). Nevertheless with the same
amount of haemoglobin, differences up to 13.5 per thousand are to be
observed; and these departures are greater the richer the blood in
haemoglobin. Regular differences exist between men and women; the latter
have, with the same amount of haemoglobin, a specific gravity lower by 2
to 2.5.
Should the parallelism between the number of red blood corpuscles and
the amount of haemoglobin be considerably disturbed, the influence of the
stroma of the red discs on the specific gravity of the blood will then
be recognisable. Diabella calculates, that with the same amount of
haemoglobin in two blood testings, the stroma may effect differences of
3-5 per thousand in the specific gravity.
Hence the estimation of the specific gravity is often sufficient for the
determination of the relative amount of haemoglobin of a blood. It is
only in cases of nephritis and in circulatory disturbances, and in
leukaemia, that the relations between specific gravity and quantity of
haemoglobin are too much masked by other influences.
The physiological variations which the specific gravity undergoes under
the influence of the taking in and excretion of fluid do not exceed
0.003 (Schmaltz). From what has been said, it follows that all
variations must correspond with similarly occurring variations in the
factors that underlie the amount of haemoglobin and the number of
corpuscles.
More recent authors, in particular Hammerschlag, v. Jaksch, v. Limbeck,
Biernacki, Dunin, E. Grawitz, A. Loewy, have avoided an omission of many
earlier investigators; for besides the estimation of the specific
gravity of the total blood, they have carried out that of one at least
of its constituents, either of the corpuscles or of the serum. The red
blood corpuscles have consistently shewn themselves as almost
exclusively concerned with variations in the specific gravity of the
total blood; partly by variations in number, or changes in their
distribution; partly by their chemical instability; loss of water and
absorption of water, and variations in the amount of iron.
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