法医学杂志 ›› 2019, Vol. 35 ›› Issue (4): 455-458.DOI: 10.12116/j.issn.1004-5619.2019.04.015

• 综述 • 上一篇    下一篇

过劳死的概念、现状及法医病理学思考

杨博帆1, 史婧卓1, 李倩璟1, 夏凉瓷1, 张付2, 余彦耿2, 肖宁1, 李冬日1   

  1. 1. 南方医科大学法医学院,广东 广州 510515; 2. 广东省公安厅,广东 广州 510050
  • 发布日期:2019-08-25 出版日期:2019-08-28
  • 通讯作者: 李冬日,男,医学博士,副教授,主要从事法医病理学、法医临床学教学、科研和鉴定;E-mail:m13826034910@163.com
  • 作者简介:杨博帆(1995—),男,主要从事法医学教学和科研;E-mail:1162354297@qq.com
  • 基金资助:
    大学生创新创业训练计划资助项目(201612121085);公安部重点实验室开放课题资助项目(GAFYBL201601)

The Concept, Status Quo and Forensic Pathology of Karoshi

YANG Bo-fan1, SHI Jing-zhuo1, LI Qian-jing1, XIA Liang-ci1, ZHANG Fu2, YU Yan-geng2, XIAO Ning1, LI Dong-ri1   

  1. 1. School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China; 2. Guangdong Provincial Public Security Department, Guangzhou 510050, China
  • Online:2019-08-25 Published:2019-08-28

摘要: 过劳死一词源于二十世纪六七十年代日本经济腾飞时期,通常被认为是由于长期超负荷的劳动导致疲劳蓄积,最终诱发潜在疾病的突然发作而死亡。过劳死多发生在30~60岁青壮年人群,因此给社会和家庭带来极大的危害。日本于2001年首次将过劳死列入了工伤范畴,并在社会学和医学领域展开研究,但在法医病理学诊断方面几乎是空白。我国对过劳死的认识是从二十世纪九十年代开始,与改革开放和经济发展密切相关。据不完全统计,我国每年有60万人死于过劳,居世界首位。过劳死已经成为我国现阶段非常严重的社会问题之一,急待社会学和医学层面的系统研究。本文总结过劳死的过去与现状,并从法医病理学角度思考过劳死的司法鉴定中应注意和关注的问题。

关键词: 法医病理学, 死亡原因, 心血管疾病, 农业工人疾病, 过劳死, 综述

Abstract: “Karoshi” originates from Japan’s economic take-off period in the 1960s and 1970s. It is generally believed that overwork lead to the accumulation of fatigue, which triggers the outbreak of potential diseases, and results in sudden death. Karoshi causes great harm to both the community and families because it occurs primarily in 30 to 60 year old young adults. Japan put Karoshi into the category of industrial injury for the first time in 2001 and started to undertake a series of studies in the sociological and pathological fields. However, there is a tremendous gap in the forensic pathological diagnosis domain. In China, research on Karoshi started from the 1990s and is closely related to the reform and opening up policy as well as economic development. According to the incomplete statistics, 600 thousand people die from overwork each year in China, the highest in the world. Karoshi has become one of the most serious social problems in China at the present stage, thus a systematic study in the sociology and forensic pathology fields is urgently required. This paper summarizes the past and present status of Karoshi, and puts forward the problems that need attention during the judicial expertise of Karoshi from forensic pathology perspective.

Key words: forensic pathology, cause of death, cardiovascular disease, agricultural workers&rsquo, diseases, Karoshi, review