Miao Qi, Li Jing, Pan Yu-Peng, Yu Yan-Geng, Zhang Fu, Xiao Ning, Li Dong-Ri
From the School of Forensic Medicine, Southern Medical University.
Key Laboratory of Forensic Pathology, Ministry of Public Security, Guangzhou, Guangdong.
Am J Forensic Med Pathol. 2020 Dec;41(4):305-308. doi: 10.1097/PAF.0000000000000600.
Karoshi is a term used to describe unexplained sudden death associated with overwork and has become a serious public health issue in China. Cases have occurred in physicians, university professors, engineers in high-tech companies, and blue-collar workers. The mechanisms associated with death by overwork are very complex. According to most researchers, karoshi is considered to be caused by an excessive workload that induces deterioration of underlying hypertension or atherosclerosis. These conditions inevitably lead to death from cardiovascular or cerebrovascular diseases. However, in our own experience, we have found that in some cases, the victims of karoshi were in a chronic state of overwork but without a history of cardiovascular or cerebrovascular diseases. In support of this, we have found that even autopsies have revealed few positive findings except for cardiac hypertrophy. In this article, we report 3 typical cases of karoshi but without the typical pathomorphological features of cardiovascular or cerebrovascular disease.
过劳死是一个用于描述与过度劳累相关的不明原因猝死的术语，在中国已成为一个严重的公共卫生问题。此类案例发生在医生、大学教授、高科技公司的工程师以及蓝领工人身上。与过劳死相关的机制非常复杂。根据大多数研究人员的观点，过劳死被认为是由过度的工作量导致潜在的高血压或动脉粥样硬化恶化所致。这些情况不可避免地导致心血管或脑血管疾病死亡。然而，根据我们自己的经验，我们发现，在某些情况下，过劳死的受害者处于长期过度劳累状态，但没有心血管或脑血管疾病史。支持这一点的是，我们发现即使尸检也几乎没有发现除心脏肥大以外的阳性结果。在本文中，我们报告了3例典型的过劳死病例，但没有心血管或脑血管疾病的典型病理形态学特征。
