The influence of tonsillar massage and ultra-short-wave irradiation upon the leukocyte count was observed for 3 hours after provocations.
Results obtained were as follows:
Changes at 3 hours after the provocation by the massage were most remarkable also, changes 45 minutes after five-minute-irradiation and 3 hours after 15 minute irradiation were remarkable.
Ultra-short-wave stimulation was preferable than tousillar massage and irradiation for 15 minutes was most desirable.
The stimulation upon the patients with tonsillar systemic diseases showed great effects but the examination 5 minutes and at 15 minutes after the provocation was of little significance.
As for tonsillar systemic diseases, the temporary increase in lenkocyte count through provocation was recognized especially in patients with slight fever, rheumatoid arthritis and nephritis, being not so remarkable with the other systemic diseases.
In the control group, temporary increase of leukocyte count due to provocation was not more than 1000 cells per cu. mm, whereas in the case of chronic tonsillitis without any tonsillar diseases, the increase of leukocyte count was higher than 1000 cells per cu. mm., but not more than 2000 per cu. mm. In those with some tonsillar complications, the increase of lenkocyte count was 2000 to 3000 in 9 to 14% by the massage and in 14 to 17% by the ultra-short-wave irradiation.
From the results above mentioned, in patients with chronic tonsillitis (either those who have some systemic disease or not), the temporary increase of leukocyte count more than 1000 cu. mm., examined 15 minutes after ultra-short-wave stimulation may be one of the most favorable diagnostic standards.
The changes of the differential leukoyte count by the provocation were as follows:
Before the stimulation, in patients of chronic tonsillitis with some or without any tonsillar diseases, increase of lymphocytes, neutrophils and eosinophils were observed and but there was no increase of monocytes and basophils. Increase of plasma cells was found in those who had sytemic complicatioes.
After the stimuiation, in patients of chronic tonsillitis with some or without any tonsillar diseases, increase of lymphocytes, neutrophils and eosinophils were most remarkable 3 hours after the stimulation in those who had systemic cemplications. The plasma cells were also increased.
In the patients of the rheumatoid arthritis increase of lymphocytes and neutrophils were observed after the stimulation and in those who had rheumatoid arthritis, slight fever and heart disease, the plasma cells were increased.
From the results above mentioned, the apdearance of plasma cells and the increase of neutrophils 3 hours after the provocation were proved to be diagnostically significant.
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