食用酢の点鼻による吃逆の治療  [in Japanese] Hiccup Treated by Administration of Intranasal Vinegar  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

重度脳性麻痺, 重度精神遅滞, 症候性てんかんを基礎疾患にもつ3歳女児に長時間続く吃逆発作が繰り返し出現した. 気管切開・喉頭気管分離術の施行後に発症し, 合併症として呼吸停止がみられた. 薬物治療に抵抗性であったが, 微量の食用酢を点鼻することで速やかに吃逆は消失した. 機序として吃逆の反射弓の求心路と考えられている舌咽神経咽頭枝が分布する鼻咽頭背側領域への刺激の関与が推察された. 安全かつ簡便に施行できることから, 薬物療法が無効な場合には非薬物療法のひとつとして試みてもよい方法であると考えられた.

A three-year old girl, who had severe cerebral palsy, severe mental retardation, and symptomatic epilepsy, was suffering from intractable hiccup that lasted for more than an hour since she was 2 years and 10 months old when she undertook tracheotomy and laryngotracheal separation. Sometimes this intractable hiccup was followed by respiratory arrest. Although the hiccup was resistant to conventional medications, the nose drops of small amount of vinegar showed a favorable effect on the hiccup. Intranasal vinegar might stimulate dorsal wall of nasopharynx where the pharyngeal branch of the glossopharyngeal nerve, which is thought as an afferent of the reflex arch of hiccup, is distributed. The administration of intranasal vinegar is a safe and handy method to stimulate dorsal wall of nasopharynx. We believe that intranasal vinegar administration could be a useful nonpharmacologic therapy to cease intractable hiccup.

Journal

  • NO TO HATATSU

    NO TO HATATSU 39(3), 202-205, 2007-05-01

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

References:  16

Codes

Page Top