法医学杂志

法医学杂志 ›› 2015, Vol. 31 ›› Issue (5): 343-346.DOI: 10.3969/j.issn.1004-5619.2015.05.003

• 论著 • 上一篇    下一篇

过劳死与劳动强度、心血管事件风险的相关性分析1例（英文）

刘宁国1，王  涛1，2，黄  平1，秦志强1，张建华1，陈忆九1   

  1. （1. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063； 2. 苏州大学医学部法医学系，江苏 苏州 215123）
  • 发布日期:2015-10-25 出版日期:2015-10-28

Karoshi Related to Labor Intensity and Risk of Cardiovascular Events: A Case Report

LIU NING-GUO1, WANG TAO1,2, HUANG PING1, QING ZHI-QIANG1, ZHANG JIAN-HUA1, CHEN YI-JIU1   

  1. （1. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai, 200063, China; 2. Department of Forensic Science, Medical School of Soochow University, Soochow 215123, China）
  • Online:2015-10-25 Published:2015-10-28
  • Contact: CHEN Yi-jiu, professor, major in forensic pathology; E-mail: yijiuchen@gmail.com
  • About author:LIU Ning-guo （1970—）, research fellow, major in forensic pathology; E-mail: liung@ssfjd.cn

摘要： 过劳死在法医学鉴定中是较为棘手的案件之一。此类案件不仅涉及临床医学，同时也与社会医学相关。日本学者首先开展了心源性猝死与慢性疲劳以及高强度工作相关性的研究。本文中，一名从事搬运水泥袋工作的55岁男性，在持续11天高强度体力劳动后被发现死亡。他的家人状告水泥厂并要求对其死亡进行赔偿。难题在于中国没有此类案例的胜诉先例，也没有相关的法规条例来鉴定死亡与高强度工作的相关性。然而，这些问题最终通过尸体解剖和劳动强度的计算而得以解决。本案成为中国大陆内首例过劳死相关的法庭胜诉案例。

关键词: 法医病理学；过劳死；劳动强度；猝死, 心源性

Abstract: Karoshi remains one of the most troublesome issues in forensic identification. It is rather a social medicine than a clinical disease. Japanese scholars pioneered examining the relation between sudden cardiac death （SCD） and chronic fatigue from long time and/or high-tension work. In the current case, a 55-year-old man, whose job was loading and carrying heavy cement bags, was found dead after 11 days of continuous hard work. His family members sued the cement factory for his death and claimed for compensation. The problem was the difficulty of identifying the causative relation without the precedent or the relevant regulations. However, the forensic problems were finally acknowledged after autopsy and calculation of labor intensity. The lawsuit was won as the first case pertaining to Karoshi in the Chinese court.

Key words: forensic pathology, karoshi, labor intensity, death, sudden, cardiac

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