Now Kurloff in the course of extremely careful and laborious
researches, estimated the total number of leucocytes, and then
from the percentage numbers, the total quantity of
pseudoeosinophil, neutrophil, eosinophil, vacuole containing
cells, and lymphocytes, and could thus demonstrate that in
uncomplicated cases of removal of the spleen, where
inflammatory processes, accompanied by an increase of the
polynuclear neutrophil corpuscles, were avoided, a =gradual
increase of the lymphocytes= alone in course of time results.
This may be a two- or threefold increase, whereas the numbers
of all other elements remain unchanged.
Kurloff obtained his figures as follows: first he estimated the relative
proportion of the different kinds of white blood corpuscles one to
another in a large number of cells (500 to 1000). A count of this kind
however gives no evidence as to whether one or other kind of cell is
absolutely increased or diminished. A fall in the percentage of the
lymph cells may be brought about by two quite different factors: (1) by
a diminished production of lymphocytes, (2) by an increased influx of
polynuclear forms, which naturally lowers the relative count of the
lymphocytes. It was therefore necessary to obtain a method which would
show alterations in the absolute number of the individual forms of
leucocytes. Kurloff used for this purpose the "comparative field"; that
is, he counted by the aid of a moveable stage the different forms which
lay on a definite area (22 sq. mm.) of the dried blood preparation. This
procedure gave very exact results, as only faultlessly prepared, and
regularly spread preparations were used. The following figures (from
Exp. II.) illustrate the method and its results:
April 12 52% pseudo-eos. 10% lymphocytes counted.
Sept. 2 (one month
after the operation) 22% " 53% " "
By the aid of the comparative surface, these figures were supplemented
by the following averages. On each surface used for comparison were
found:
April 12 38 white = 19.8 pseudo-eos. 10.6 lymphocytes.
Sept. 2 81 " 18.0 " 46.9 "
From this example it follows without doubt, that the =total number of the
white blood corpuscles had about doubled itself=, but that in this
increase the lymphocytes exclusively were concerned, and the
pseudo-eosinophil cells had not undergone the smallest increase.
The results which Kurloff obtained by means of this method in animals
whose spleens had been removed, may be illustrated by one of his
original researches and its accompanying chart and table.
Exp. I. Young female, weight 234 gr. Number of red corpuscles
in a cubic millimeter of blood 5,780,000. Number of white
10,700. On April 19, 1888, the spleen was removed, the wound
healed by first intention. The results of the further
investigation of the blood are found in the following table.
Public-domain text, read in full here on John Shaqi.
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