About the Book
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 edition. Excerpt: ...cells, 5,440; hemoglobin 26 per cent.; polymorphonuclears 50 per cent.; eosinophils, 0.4 per cent.; basophils, 0.4 per cent.; small mononuclears, 28.8 per cent; large mononuclears, 2.8 per cent; transitionals 0.8 per cent.; myelocytes 13.6 per cent.; unclassified, 32 per cent.; red blood cells January 7, 1,088,000; hemoglobin 25 per cent; Gastric analysis showed no free hydrochlorates; stool examination was negative; eye grounds normal except for pallor of the disks. January 10, red blood cells 1,288,000; hemoglobin 23 per cent. The repeated systematic transfusion has been carried out only during the past year. The results, however, have been so encouraging that we feel that the life of a patient with pernicious anemia may be indefinitely prolonged if the spleen is removed as soon as the patient is in condition to stand the operation, and sometimes we have to transfuse several times before splenectomy. TABLE 6.--EFFECT OF TRANSFUSIONS ON THE PATIENT H. P., CASE 3 Date, Amt.Hemoglobin, per Cent.Red Blood Cells BeforeAlterChangeBeforeAlterChange Loss 11/12200262381,224,0001,440,000216,000 21/21300212651,440,0001,448,0008,000 t 1/24682298672,352,0002,608,000256,000 41/286403850142,352,0002,416,00064,000 52/ 2630GO5552,416,0002,484,00018,000 82/ 76605465113,040,0004,680,0001,640,000 72/l45065?1 2,482,0002,726,000244,000 82/2636063't 8,072,0001? 98/ 6600707668,752,0003,824,00072,000 108/134507186153,584,0004,736,0001,152,000 Splenectomy was performed February 12. After the spleen is removed if there is not a rapid improvement in the blood picture, we would advocate transfusion until the hemoglobin is as high as 90 per cent, or more, never allowing it to fall below 75 per cent. As remissions often last several months or a year, not many..
