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THE RELATION OF THE SPLEEN TO BLOOD DESTRUCTION AND REGENERATION AND TO HEMOLYTIC JAUNDICE

机译:脾脏与血液破坏和再生以及溶血性黄疸的关系

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摘要

1. In four animals with a bile duct-ureter anastomosis and without disturbance due to obstruction or absorption, the total quantity of bile pigment output during a day under normal conditions varied from 0.0618 to 0.0678 gm. These figures are practically identical with those of Stadelmann (9, 10) but lower than those given by Hooper and Whipple (7), who find that the average bile pigment excretion amounts to about 1 mg. per pound of body weight per 6 hours. 2. In all the experiments there is definite evidence of a decrease in bile pigment elimination after splenectomy. This is true not only of the elimination when no hemolytic agent is administered but also when excessive blood destruction is caused. Under the latter circumstances the amount of bile pigment is greatly increased but never reaches the high level of blood destruction before splenectomy. 3. These observations appear to show conclusively that the absence of the spleen influences the formation of bile pigment. To what extent the influence is mechanical, i.e., change in the course of the blood to the liver, and to what extent due to anemia, cannot be stated at present.
机译:1.在四只胆管输尿管吻合的动物中,没有因梗阻或吸收引起的干扰,正常条件下一天中胆汁色素的输出总量在0.0618至0.0678 gm之间变化。这些数字实际上与Stadelmann(9,10)相同,但低于Hooper和Whipple(7)给出的数字,后者发现胆汁色素平均排泄量约为1 mg。每6小时每磅体重。 2.在所有实验中,有明确的证据表明脾切除后胆汁色素清除减少。这不仅适用于不使用溶血剂时的消除方法,而且适用于引起过多血液破坏的情况。在后一种情况下,脾切除前胆汁色素的量大大增加,但从未达到高水平的血液破坏。 3.这些观察结果似乎表明,脾脏的缺乏会影响胆汁色素的形成。目前尚不能确定影响的程度是机械的,即血液流向肝脏的过程中的变化,以及由于贫血引起的程度。

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