鼻出血の治療

Therapy of Epistaxis

　I．はじめに

　鼻出血は平凡な疾患であるにもかかわらず，しばしば耳鼻科医を苦しめ，また他科においても不快な合併症として嫌われることが多い。

　私は20年ほど前に，鼻出血患者が常に激しい鼻咽腔炎を合併し，その治療によって奇蹟的に止血する現象を発見し，当時教室から3例ほどを報告して貰ったことがある。しかしその後，この治療を行う者はほとんどなく，私だけがこの止血法を行っているが，極めて有効であり，奇蹟的な止血がしばしば経験されることもあるのでここに再度報告し，御批判を仰ごうと考える次第である。

　The author reported that epistaxis was cured by local treatment of inflammation of the nasopharynx. The inflammation of nasopharynx is usually ignored even when it is so severe. And this inflammation is mostly hidden from the routine otolaryngological examinations. However, the direct abrasion of the nasopharynx with a cotton applicator will confirm the diagnosis of inflammation by the pathological examination of smear.

　In most cases of idiopathic epistaxis, severe inflammation was discovered by the above mentioned abrasion method of the nasopharynx. The bleeding after the abrasion was always noticed in the cases of cpistaxis. And the local treatment of the nasopharynx with application of 1% of ZnCl₂ solution with cotton applicator through the nasal and pharyngeal cavity can cure or at least improve this inflammation remarkably.

　It was found that epistaxis was remarkably cured with the local treatment of this inflammation. Even profuse bleeding was controlled immediately after the local treatment of the inflammation of the nasopharynx, and by repeated treatment, recurrent epistaxis was completely cured even in children. The interesting fact is that the vicarious epistaxis of menstruation can be controlled by this treatment without any other medication.