Davies D
Br Med J. 1976 Oct 16;2(6041):925-7. doi: 10.1136/bmj.2.6041.925.
When pneumoconiosis makes a material contribution to a miner's death benefit is paid to his widow. Doctors from the Department of Health and Social Security have argued that extensive pneumoconiosis not only does not increase the risks of death if coronary thrombosis develops but also that it may exert a beneficial effect. This view has been put to the National Insurance Commissioners on at least three occasions recently. There are however, several reasons for coming to the opposite conclusion. THERE IS NO EVIDENCE THAT PROGRESSIVE MASSIVE FIBROSIS Reduces mortality or the development of atheroma, and until such evidence is produced it is unwise to believe that the presence of any severe disease improves anyone's changes of surviving coronary thrombosis. Rather, it should be recongised that any disease which produces a high mortality is inevitably associated with a lower mortality from other conditions. As doctors from the Department will continue to argue that severe pneumoconiosis does not increase the risk of death from coronary thrombosis informed readers are asked to adjudicate between the conflicting views.
当尘肺病对矿工的死亡有实质性影响时，会向其遗孀支付抚恤金。卫生与社会保障部的医生认为，广泛性尘肺病不仅在冠状动脉血栓形成时不会增加死亡风险，而且可能会产生有益效果。这种观点最近至少已向国家保险专员提出过三次。然而，有几个理由可得出相反的结论。没有证据表明进行性大块纤维化会降低死亡率或动脉粥样硬化的发生，在有此类证据之前，认为任何严重疾病能提高患冠状动脉血栓者的存活几率是不明智的。相反，应该认识到，任何导致高死亡率的疾病必然与其他疾病导致的较低死亡率相关。由于该部门的医生会继续辩称严重尘肺病不会增加冠状动脉血栓形成导致的死亡风险，现请有见识的读者在相互冲突的观点之间作出评判。
