Kehrl H R
U.S. Environmental Protection Agency, Research Triangle Park, North Carolina 27711, USA.
Environ Health Perspect. 1997 Mar;105 Suppl 2(Suppl 2):443-4. doi: 10.1289/ehp.97105s2443.
Multiple diagnostic laboratory tests are frequently used in the clinical evaluation of persons with multiple chemical sensitivity without a clear a priori hypothesis. In addition, many of these tests are performed despite a lack of understanding of the test technical performance characteristics or the clinical significance (test sensitivity and specificity). The result is a plethora of laboratory data that have little clinical relevance and that can be both misleading and misused.
在对具有多重化学敏感性的患者进行临床评估时,常常在没有明确先验假设的情况下使用多种诊断性实验室检测。此外,尽管对检测的技术性能特征或临床意义(检测敏感性和特异性)缺乏了解,许多此类检测仍在进行。结果是产生了大量几乎没有临床相关性的实验室数据,这些数据可能会产生误导并被滥用。