Rösch W
Leber Magen Darm. 1980 Jun;10(3):154-8.
At present there are two special situations which offer considerable difficulties in expert judging of gastro-intestinal disease: (1) patients with gastro-intestinal disease acquired during the war or in the immediate post-war period, and (2) quantification of functional disorders. Gastro-intestinal disorders do have considerable importance in social medicine. Physical unfitness for special professional work was caused in 3.5-4% of all male cases by gastro-intestinal disease during the last decade, physical unfitness for work in general in 2.2-2.6% of all male cases, the corresponding figures for female persons being 1.6-2.0% and 2.2-1.5%. General rules for establishing an expert opinion cannot be given; some points however are made in regard to how a diagnosis can be established and how unfitness caused by gastro-intestinal disease may be ascertained or excluded.
目前,有两种特殊情况给胃肠疾病的专家诊断带来了相当大的困难:(1)在战争期间或战后不久患上胃肠疾病的患者,以及(2)功能障碍的量化。胃肠疾病在社会医学中确实具有相当重要的意义。在过去十年中,所有男性病例中有3.5% - 4%因胃肠疾病而无法胜任特殊专业工作,在所有男性病例中有2.2% - 2.6%因胃肠疾病而总体上无法工作,女性的相应比例分别为1.6% - 2.0%和2.2% - 1.5%。无法给出形成专家意见的一般规则;然而,关于如何做出诊断以及如何确定或排除由胃肠疾病导致的身体不适,提出了一些要点。