Precht K, Schulze B D, Sydow K, Mohnike A
Z Gesamte Inn Med. 1985 Nov 15;40(22):668-71.
The permanently growing demands on clinic and laboratory constrain to considerations concerning a rational diagnostics. The spectrum of clinical interrogations which needs a clarification by laboratory diagnostics increases continuously. For the nephrologic diagnostics is again oriented to a step programme, which is adapted to the centrally published references to the development of a comprehensive system of the renal dispensary. It takes into consideration the possibilities of the diagnostics of the specialist for general medicine up to the subspecialist in a county hospital. As to the invasive diagnostics, particularly the renal biopsy, one must be reversed. This is indicated then, when from the result consequences would arise concerning the therapy to be performed or the choice calling etc.
临床和实验室不断增长的需求促使人们对合理诊断进行思考。需要通过实验室诊断加以澄清的临床问诊范围在持续扩大。肾脏科诊断再次遵循一个分阶段方案，该方案与中央发布的关于建立肾脏门诊综合系统的参考标准相适应。它考虑到了从全科医学专家到县级医院专科医生的诊断可能性。至于侵入性诊断，尤其是肾活检，必须谨慎对待。只有当诊断结果会对即将进行的治疗或选择等产生影响时，才进行肾活检。
