Studies on the chemistry of serous effusions / by Albert A. Epstein.

  • Epstein, Albert Arthur, 1880-1965.
Date:
[1914]
Catalogue details

Licence: In copyright

Credit: Studies on the chemistry of serous effusions / by Albert A. Epstein. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    TABLE III. Pleural Effusions. Case No. Total protein. Incoagu- lable nitrogen. Total globu- lin. Euglob- ulin. Pseudo- globu- lin. Albu- min. Chlor- ides. J Ash Ratio of globulin to albumin. Per cent, of globulin in protein. Gm. per 100 c.c. of fluid. Inflammatory. Unknown etiology. 20 4.4OO 0.046 1.780 0.470 1.310 2.620 0.362 0.650 1:1.5 40 21 3969 0.080 1.882 0.392 1.490 2.087 0-355 0.650 III.I 47.6 60 3-831 0.050 1-437 0.650 0.787 2.394 0.404 i :i.6 39-3 6l 3.412 0.045 2-537 0.569 1.968 0.875 0.412 1:0.34 74-3 54 4.781 0.067 2.056 0.881 1-175 2.715 0-397 1:1.3 43 80 5-487 O.O49 2.625 0.822 1.803 2.862 0.412 1:1.1 47.6 204 6-775 0.022 2.187 4-588 0.391 112.14 32 Inflammatory. Tuberculosis. 52 4-275 0.022 2-387 1.181 1.206 ! 1.888 0-372 1:0.8 53 6.250 0.056 2.969 0.812 2-157 3-291 0.376 III.I 206 5231 0.039 3-506 1-725 0.405 1:0.48 Inflammatory. Empyema. 30 | 5.019 | 0.086 1.027 I 0.625 0.402 1 3.992 1 0.372 ! | 1:3.8 20.8 Non-Inflammatory. Nephritis. 3-S8i 0.060 I 1.469 j 0.631 0.838 2.112 0.426 1... .. 1:1.4 I 1-250 0.164 0-875 1 0.375 0.426 [.... --I 1:0.3 Non-Inflammatory. Neoplasms. 63 202 4- 250 5- 023 0.053 0.038 1.776 0.490 1.280 2.484 0.390 0.440 0-433 1:1.4 41.8 203 4-950 0.048 Four fluids in this series are of special interest (20, 21, 60, and 61). They represent fluids which were obtained from two patients upon whom the paracentesis was repeated. Fluids 20 and 21 were removed from the chest of a patient at an interval of three days. Notwithstanding the short interval the two fluids show considerable differences in composition. The fluid from the second paracentesis (21) contains less protein than the first—3.969 grams as compared with 4.400 grams per 100 cubic centimeters; but the ratio of globulin to albumin is higher by 7.6 per cent, than that present in the fluid from the first paracentesis. The incoagulable nitrogen in the second fluid is almost double that of the first. The chloride content, on the other hand, is slightly lower. 1 he ash content is the same in
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