If the blood, when extracted from the vein, is received into a vessel
containing a solution of glauber’s salt, coagulation is prevented,
as the fibrine remains dissolved, and by filtering the liquor so
obtained, the serum and water pass off and the globules remain,
mixed only with little of the salt. The globuline cannot, however, be
separated from hematosine, except by acids, which, as described in
the preparation of hematosine, then combine with the globuline.
_Alteration of the Blood in disease._—The examination of the state
of the blood in disease, although presenting important relations
to pathology and to practice, has been conducted in a manner too
disconnected and superficial to produce any satisfactory results.
This branch of chemical pathology has, however, been taken up by the
illustrious Andral and Gavaret, who have published the result of the
analysis of the blood in three hundred and sixty cases of disease.
Their researches have enabled them to recognize four classes of
diseases, in which the composition of the blood is essentially
altered, though in different ways.
The first class presents as a constant alteration, an increase in
the quantity of fibrine; it includes diseases remarkably different
in their locality and form, but all belonging to the class of acute
inflammations in some cases of morbid deposition, as in tubercle and
cancer, a similar increase in the quantity of fibrine is found, but
it may be doubted whether it be due to abnormal growth or to the
inflammatory action which accompanies it.
In the second class the fibrine remains stationary, or even
diminishes in quantity, while the globules increase in proportion to
the fibrine. The diseases which belong to this class, are, continued
fevers without local inflammation, and some form of cerebral
hemorrhages.
_Cerebral Hemorrhages._—In the third class, the fibrine remaining
unchanged, there is a remarkable diminution in the quantity of
globules; of these diseases, chlorosis may be taken as an example,
and in the fourth class it is no longer the fibrine or the globules
which are the subject of the morbid change, but the quantity of the
albumen in the serum is diminished; of this class of affections is
Bright’s disease.
It has been observed, that in cholera the blood becomes so thick as
to arrest the circulation, and contains from thirty to forty-five per
cent. of solid matter; it is then, also, less strongly alkaline than
healthy blood; this is connected probably with the matters vomited
and evacuated, which are strongly alkaline, and contain a quantity of
albumen.
The blood has been found, occasionally, in cases of Diabetes
Mellitus, to contain traces of sugar. The great discordance of the
results obtained, may result, perhaps, from the sugar contained in
the blood only for a short time after meals, and then being rapidly
evacuated by the kidneys. In the jaundice the green coloring matter
of the bile has been found mixed with the blood.
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