[Acid-base disorders in status asthmaticus (author's transl)].
In 85 patinets withstatus asthmaticus, the authors have studied the acid-base balance, the blood gas tensions and various humoral parameters. The values were classified into two groups according to the PaCO2 level: below or equal to 44 torr (Group I), higher than 44 torr (Group II). In the 58 cases of Group II, there was a very close positive correlation between PaCO2 and H + ions, practically the same as that established by BRACKETT et al. [3] in experimental acute hypercapnia in man. On the contrary, the correlation derived from cases of status asthmaticus in the literature showed, in some cases, a metabolic component in acidosis. In the present work, the mean value of lactates was close to normal; there was a slow increase in protein content and hematocrit, in the two groups. The prognosis of the status asthmaticus depends on the degrees of hypercapnia: when it reaches 70 torr, mechanical ventilation is urgently needed and is the main part of the treatment; the use of additional drugs remains a matter of specific case.
D000137:Acid-Base Imbalance / Q000097:blood*; D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000097:blood*; D001769:Blood; D001798:Blood Proteins / Q000032:analysis; D002245:Carbon Dioxide / Q000097:blood; D002713:Chlorine / Q000097:blood; D005260:Female; D006400:Hematocrit; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007773:Lactates / Q000097:blood; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D011773:Pyruvates / Q000097:blood; D012964:Sodium / Q000097:blood
D001798:Blood Proteins; D007773:Lactates; D011773:Pyruvates; D002245:Carbon Dioxide; D002713:Chlorine; D012964:Sodium; D010100:Oxygen
Les désordres acido-basiques dans l'état de mal asthmatique