Application of pathological diagnosis in death cases ofoccupational pneumoconiosis
- Author:
ZHANGJing ZHANGShen ding LIUZhan zhan QISi nan XUShu ru CHENGuang ZHUXu yang XUXiang
- Publication Type:Journal Article
- Keywords:
Pneumoconiosis Dust Occupationaldiseases Forensicpathology Causeofdeath
- From:
China Occupational Medicine
2022;51(03):315-
- CountryChina
- Language:Chinese
-
Abstract:
Abstract: Objective
To analyze the application value of pathological diagnosis in analyzing the reason of death in a case of
Methods ， ，
occupationalpneumoconiosis. Theoccupationhistory occupationalexposurehistory clinicaldataandpathological
- Results
data of a dead patient with occupational pneumoconiosis were retrospectively analyzed. The patient was exposed to
，
inorganic dust for more than ten years in a private factory. In January 2019 the computed tomography showed diffuse nodular
mass with dense shadows in both lungs and left pneumothorax. He was admitted to a number of hospitals and the clinical
diagnosis suspected that he suffers from occupational pneumoconiosis. He eventual died of bilateral pneumothorax in a local
hospital in December 2020. The forensic identification of the cause of death confirmed that the lungs of the deceased had
，
pathologicalchangesconsistentwithoccupationalpneumoconiosisstage Ⅱ secondarybilateralspontaneouspneumothoraxand
（ ），
bilateral pleural effusion significant on the left side and the primary cause of death was severe lung disease. According to
GBZ 25-2014 Pathological Diagnosis Criteria of Pneumoconiosis，the
medical examiner diagnosed that the deceased had
（ ） Conclusion
suffered from pneumoconiosis before death pneumoconiosis stage Ⅱ . Pathological diagnosis can provide
，
objectiveevidenceforthediagnosis differentialdiagnosisandcauseofdeathduetopneumoconiosis.
