Hoffmann L
Med Klin. 1978 Apr 21;73(16):571-8.
Differing patterns of morbidity are demonstrated in a group of 181 foreign patients (from Turkey, Jugoslavia, Portugal, Italy, Spain) compared to an age matched group of native Germans hospitalized during a given time in the meidcal department of a regional urban hospital. In non-Germans peptic ulcers and severe infections more often lead to hospitalization than native patients. The expected statistical frequency of hospitalization is not different in the two groups investigated. Epidemiologic differences between the two populations are demonstrated by a higher percentage of tuberculosis and work accidents in the foreign group. At present there are no special obstetric problems leading to differing maternal or neonatal mortality. Concomitant imported infections do lead to complications in single cases in the foreign patient group. Parasitic infestation is more often found in the foreign group. Herditary diseases such as minor thalassemia or G-6-PD deficiency are rare as well in foreign patients. Chain infections due to imported poliomyelitis wild virus or salmonellosis have been observed in the foreign population. Epidemiologic progress may be highlighted by the decreasing percentage of hepatitis A and B antibody-positive-population in the central European countries.
与在某地区城市医院内科同一时期住院的年龄匹配的德国本土患者组相比,181名外国患者(来自土耳其、南斯拉夫、葡萄牙、意大利、西班牙)呈现出不同的发病模式。在非德国人中,消化性溃疡和严重感染导致住院的情况比本土患者更为常见。在调查的两组中,预期的住院统计频率并无差异。外国人群中结核病和工伤事故的比例较高,表明了这两个人群在流行病学上的差异。目前,没有特殊的产科问题导致孕产妇或新生儿死亡率不同。外来感染确实在外国患者组的个别病例中引发了并发症。寄生虫感染在外国人群中更为常见。诸如轻度地中海贫血或G-6-PD缺乏症等遗传性疾病在外国患者中也很少见。在外国人群中观察到了由输入性脊髓灰质炎野生病毒或沙门氏菌病引起的连锁感染。中欧国家甲型和乙型肝炎抗体阳性人群比例的下降可能凸显了流行病学的进展。