Studies on the blood concentration in hematuria have been reported only by a few investigators, the only reliable research having been published by Sugimoto (1956) under the title of “Experimental studies on the estimation of blood present in urine.” This investigator accomplished successfully his aim by first converting the blood into HbO
2 or HiCN and by estimating spectrophotometrically the extinction at 576mμ and 540mμ respectively, the values obtained being calculated in terms of heme concentration on a standard nomogram. This author also attempted to construct a simple colorimetric device for clinical use and elucidated the principle underlyingg the construction of this apparatus. However, the difficulty in obtaining a suitable filter for colorimetric use has greatly hindered the practical use of this instrument up to the present, This situation has prompted the present author to examine and analyze the previous work of Sugimoto, by performing additional experiments, for the purpose perfecting the construction of a simple colorimetric apparatus. The present report sets forth the outcome of this endeavor, which is considered to be satisfactory for practical use.
The methods for estimating the color of solutions may be broadly classified into three types, namely, spectrophotometry, photoelectric colorimetry and trichromatic colorimetry. Each of these methods has its own advantages as well as disadvantages, making it difficult for immediate decision in its adoption. After a considerable amount of study, the author has chosen the last method utilizing a visual color scale for this colorimetric device. When hematuria is converted into HiCN, the absorption band at 540mμ which is characteristics to this solution in the absorption curve is at times indistinct and may tend to be either above or below the standard curve according to the changes of heme concentration. On the contrary, with HbO
2 solution the absorption maxima appear clearly in the neighborhood of 576mμ and the movement of the color intensity always followed along the curve. Moreover, considering its ready availability, ease for keeping and low cost, the author has investigated the problem by the HbO
2 method. The construction and use of this colorimeter may be briefly described as follows (see accompanying illustration):
The beam of light from the source, after having been reflected by the mirror placed on the right side, passes through the cell containing the solution to be examined, enters the integral sphere by the action of condensor lens, and reaches the right half of the matching visual field after having been homogeneously mixed. The light on the left side is like the one on the right side but passes through the filter instead of the solution and reaches the matching visual field after having been mixed in the integral sphere Thus, in actual, manipulation, 20cc of urine to be tested and converted into HbO
2 are placed in the cell, and then, by adjusting the handle of the colorimeter so as to match the colors of the two visual fields, the dominant wave length (λ
D) and excitation purity (Pe) are read, From λ
D and Pe the density of the test solution is determined by constructing the color coordinates of the solution.
In clinical cases, however, in an effort to facilitate the ready estimation of the density desired. a table which can be used for rapidly converting the heme concentration is attached. By utilizing this colorimeter the concentration of test solutions prepared from many instances of hematuria has been determined. The relationship between the value so obtained and the density estimated from the extinction of 576mμ on the spectrophotometer has been analyzed for the purpose of ascertaining the quality of this instrument.
In regard to the heme concentration, the comparison of 64 tests performed revealed approximately an even distribution.
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