The plasma of the blood on the contrary--and there is no essential
difference between plasma and serum (Hammerschlag)--is much more
constant. Even in severe pathological conditions, in which the total
blood has become much lighter, the serum preserves its physiological
constitution, or undergoes but relatively slight variations in
consistence. Considerable diminutions in the specific gravity of the
serum are much less frequently observed in primary blood diseases, than
in chronic kidney diseases, and disturbances of the circulation. E.
Grawitz has lately recorded that in certain anaemias, especially
posthaemorrhagic and those following inanition, the specific gravity of
the serum undergoes perceptible diminutions[3].
There are still therefore many contradictions in these results, and it
is evidently necessary in a scientific investigation always to give the
specific gravity of the serum and of the corpuscles, in addition to
that of the total blood.
A method closely related to the estimation of the specific gravity is
the direct estimation of the dried substance of the total blood,
"HYGRAEMOMETRY"; the clinical introduction of which we owe to Stintzing
and Gumprecht. This method is really supplementary to those so far
mentioned, and like them can be carried out with the small amounts of
blood obtainable at the bedside without difficulty. Small quantities of
blood are received in weighed glass vessels: which are then weighed,
dried at 65 deg.-70 deg. C. for 24 hours and then weighed again. The figures so
obtained for the dried substance have a certain independent importance;
for they do not run quite parallel with those of the specific gravity,
amount of haemoglobin or number of corpuscles. The normal values are, for
men 21.26%, for women 19.8%.
A further procedure for obtaining indirect evidence of the amount of
haemoglobin is the DETERMINATION OF THE VOLUME OF BLOOD CORPUSCLES IN 100
PARTS OF TOTAL BLOOD. For this estimation a method is desirable, which
allows of the separation of the corpuscles from plasma in blood, that is
as far as possible unaltered. The older methods do not fulfil this
requirement; since they recommend either defibrination of the blood
(quite impossible with the quantities of blood which are generally
clinically available); or keeping it fluid by the addition of sodium
oxalate or other substances which prevent coagulation. The separation of
the two constituents can be effected by simply allowing the blood to
settle, or with the centrifugal machine, specially constructed for the
blood by Blix-Hedin and Gaertner ("Haematocrit").
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