Rüger K, Meyer K, Eberle J
Z Gesamte Inn Med. 1980 Nov 15;35(22):819-22.
Between 1 Jan 1977 and 31 Dec 1979 459 patients were admitted as cases of hepatitis and with suspicion of hepatitis. Opposite to this number stood 613 patients with diseases of the biliary ducts. Only by the large-scale use of invasive-diagnostic methods we could perform and adequate diagnostics, the results of which are demonstrated in this paper. Clinic and results of serological examinations, the value of which is without doubt, are at the present date not yet suited to substitute the liver blind puncture and the laparoscopy in the same value. Recently decisive progress was achieved in the field of diagnosis by the introduction of sensitive radiotests and enzyme immune tests for the proof of virus hepatitides. By means of these new investigation methods prerequisites have been created to reduce the still high dark number in cases of anicteric hepatitis and subclinical cases of hepatitis.
1977年1月1日至1979年12月31日期间，459名患者因肝炎或疑似肝炎入院。与之相对的是，613名患有胆管疾病的患者。只有通过大规模使用侵入性诊断方法，我们才能进行充分的诊断，本文展示了其诊断结果。临床和血清学检查结果的价值毋庸置疑，但目前还不适合以同样的价值替代肝盲穿和腹腔镜检查。最近，通过引入用于检测病毒性肝炎的灵敏放射性检测和酶免疫检测，在诊断领域取得了决定性进展。借助这些新的调查方法，已经创造了前提条件来减少无黄疸型肝炎和亚临床型肝炎病例中仍然很高的漏诊率。
