抄録
In this paper, the results of investigation about the findings of nasal cavity and tonsil in the children with bronchial asthma were reported, considering the relationship between the asthma and the nose or tonsil. The subjects were 192 cases with the bronchial asthma in children aged 6 to 13 years old who had visited to the summer school established for the treatment of bronchial asthma in Kamiamakusa Hospital. The enquete and the group examination for symptoms and findings about the nasal cavity and tonsil in the children were performed as the methods of investigation.
As the symptoms related to nasal allergy in these cases, there were founded the sneeze in 75.8 %, the snivel in 70.7 % and the nasal obstruction in 81.8 %. In many cases, the color of the nasal mucosa was pale and nasal discharge was serous. The positive cases in examination of eosinophilic cells in the discharge were observed in 42.2%.
As the tonsil type in the children, the flat type was highest in 41.2 96, then spherical and suspension types showed relatively high persentage, in opposition to the spherical type was highest in the healthy children of corresponding ages. The size of tonsils as for the exposure into the pharynx were less second degree (Nosakas's classification) in almost cases. These findings would be influenced by the use of adrenocortical hormones for the treatments of the asthma. The caseous plugs in the crypts were founded in many cases and the adenoid were founded in 50.8 %. Habitual angina was found in 45.0 % and the aggravation of asthma in many cases related to the acute exacerbation of tonsillitis.
The symptoms of the asthma were improved by the tonsillectomy in many cases, so that the tonsillectomy under the correct indication was performed in spite of the asthma.
