耳鼻咽喉科領域に於ける動脈注射療法の綜合成績

　緒言

　昭和17年瀨尾，中山教授によつて発表提唱せられて以來動脈注射療法は各科各方面より種々の実驗的証明や治療成績等の発表が行はれ，我が科領域に於ても柏戸教室の水槌現象，仁科の炎症竈網状毛細血管異常透過性等の諸説を始め既に多数の症例報告を見るに至り，時代の寵兒として治療界に登場しているが我教室に於ても1年有余に亘り本療法を施行して幸に成果の見るべきものを得たので治療成績の判然としている60例のみを集録して茲に報告する．特に血管神経性鼻炎，術後性神経痛，顏面神経麻痺，喉頭結核の治療成績には或程度興味ある結果を招來したものと信ずる．

Harada treated 60 cases of inflammatory dise-ases in various stages of infection, 36 cases of which in the acute and 24 cases in chronic stage, by intra-arterial injections of strong dextrose solution as basal therapeutic agent. By this me-thod of treatment early cases were cured by administration of one or two injections, while the late cases in which inflammation had advan-ced to the stage of pus formation resulted in more copious discharge of pus which eventually led to cure. However, complicated cases that had developed sub-mandibular lymphadenitis or Bezold abcess from mastoiditis necessarily re-duired proper surgical interventions. In chronic infections the results were favorable in otitis media which showed continuous discharge of thin pus or polypoid growths through the perfo-ration of tympanic membrane. Particularly was the treatment favorable towards alleviating po-stoperative neuritic pains which resulted from radical maxillary sinus operations and for reliving symptoms of vasomotor rhinitis, the improve-ment of which was shown by marked decrease of eosinophile counts. Relief of pain and subsi-dence of edema was also seen in treatment of laryngeal tuberculosis but, cases in which ulce-rations were found the results were less favora-ble and questionable.