Halota W, Lapniewska E, Trzciński J, Opoka J
Kliniki Chorób Zakaźnych Ak. Med. w Bydgoszczy.
Wiad Lek. 1990 Jul 15;43(14):697-702.
In nine out of ten patients referred in the years 1982-1987 to the Infectious Diseases Department of the Medical Academy in Bydgoszcz with the diagnosis of chronic (sometimes lasting several years) intrahepatic cholestasis an extrahepatic etiology of cholestasis was recognised. The main causes of the made errors were, it seems, an excessive confidence in the results of laboratory examinations carried out by modern diagnostic methods and a not very careful analysis of the disease. Exploratory laparotomy should be the examination of decisive importance in cholestasis of unclear etiology.
在1982年至1987年转诊至比得哥什医学科学院传染病科、被诊断为慢性（有时持续数年）肝内胆汁淤积的患者中，十分之九被确认存在肝外胆汁淤积病因。出现误诊的主要原因似乎是对现代诊断方法所做实验室检查结果过度信任，以及对病情分析不够仔细。对于病因不明的胆汁淤积，探查性剖腹手术应是具有决定性意义的检查。
