[Anaphylactic form of status asthmaticus in bronchial asthma]

A total of 203 patients in asthmatic state were studied. Out of the patients studied 98 (48.27%) were in stage I of asthmatic state, 87 (42.85%) in stage II and 18 (8.86%) in stage III. In 7 patients (3.44%), the asthmatic state advanced quickly with generalized bronchospasm. The patients were in hypoxemic coma in the course of several minutes, with a drastic deterioration of the clinical picture, resembling anaphylactic shock. That clinical picture is accepted as anaphylactic form of asthmatic state. According to our studies that form is responsible for 3.44% of all patients in asthmatic state. In addition to the contact with the allergen, some other unspecific irritants--chemical, physical, stress situations, physical loading, etc. are admitted as provoking moments in the development of the anaphylactic form of asthmatic state. Emergency inclusion of adrenaline, high doses of corticosteroids are considered as urgent therapeutic measures in that form of asthmatic state as well as the inclusion of xanthine derivatives in the proper moment and when necessary--artificial pulmonary ventilation.