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アスベスト健康被害申請を行った法医解剖の1例
https://uoeh-u.repo.nii.ac.jp/records/737
https://uoeh-u.repo.nii.ac.jp/records/7370ad2db56-b345-4954-b4f1-5b1cff0e7b7e
名前 / ファイル | ライセンス | アクション |
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S00038109 (8.3 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-08-03 | |||||
タイトル | ||||||
タイトル | アスベスト健康被害申請を行った法医解剖の1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A Forensic Autopsy Case Applied for Asbestos-Related Disease | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | アスベスト | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 肺癌 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 石綿小体 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 石綿救済法 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | asbestos | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | lung cancer | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | asbestos body | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | act on asbestos health damage relief | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
記事区分 | ||||||
値 | 症例報告 | |||||
著者 |
槇原 , 康亮
× 槇原 , 康亮× 濱田 , 哲夫× 笠井 , 謙多郎× 田中 , 敏子× 佐藤 , 寛晃× Makihara, Kosuke× Hamada, Tetsuo× Kasai, Kentaro× Tanaka, Toshiko× Sato, Hiroaki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 法医解剖後にアスベストの健康被害申請を行うために医学的検査を実施した事例を経験した.事例は,アスベスト作業歴のある60歳代の男性で,受診歴や健診歴はない.同居人は「数ヶ月前から咳や呼吸苦を生じて死亡した.」と話しているが,死因不明のために法医解剖に付された.左右の壁側胸膜に広範囲にわたる胸膜プラークと左右の肺に多発腫瘤を認め,死因を「肺癌」と診断した.後日,遺族から「石綿救済法」によるアスベストの健康被害申請のための医学的検査の依頼があり,石綿小体計測を行ったところ,乾燥肺重量1gあたり石綿小体を4,860本検出したものの認定に必要な5,000本は検出できなかった.石綿小体は病変部を含まない,肺実質の末梢側に蓄積されやすいとされている.解剖時に摘出・保存した肺組織は中枢側の病変部周囲であったため,計測結果がより低値になった可能性が考えられた.我が国ではアスベスト関連肺疾患発症者や法医解剖体数が増加している.法医解剖時に原発性肺癌を認めた場合には,アスベストの健康被害申請が行われる可能性を考慮して,肺の適切な部位の採取・保存を周知する必要があると考える. We had a forensic autopsy case that required additive pathological examination for the asbestos-related lung disease compensatory application afterwards. A man in his sixties with a history of occupational asbestos inhalation who had neither visited a hospital nor received a physical examination received forensic autopsy because of his death from unknown cause. An inmate said, “He developed cough and dyspnea, and died in the progression of the symptoms.” The autopsy revealed widespread pleural plaques on both sides of the parietal pleura and multiple tumors in both sides of the lungs. The cause of death was diagnosed as lung cancer. Additional pathological examination was asked by his family to certify that he had suffered from asbestos-related lung disease in order to apply to the Asbestos-related Damage Relief Law. The Japanese criteria of the compensation law of asbestos-related lung cancer is the detection of more than 5,000 asbestos bodies per gram of dry lung tissue, while his number of asbestos bodies was 4,860. Asbestos bodies were reported to be accumulated in the distal lung parenchyma with no pathological changes. The present lung samples were collected from proximal section around the tumor, which might have made the number of asbestos bodies less than the criteria. Both the number of patients suffering from asbestosrelated lung disease and the number of forensic autopsy cases have increased in Japan. Collecting lung samples from the appropriate lung section is essential and should be noted when the lung cancer is suspected at forensic autopsy in order to apply for asbestos-related lung disease compensation. |
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書誌情報 |
産業医科大学雑誌 en : Journal of UOEH 巻 38, 号 1, p. 65-69, 発行日 2016-03-01 |
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出版者 | ||||||
出版者 | 産業医科大学(産業医科大学学会) | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | ISSN 0387-821X(PRINT), ISSN 2187-2864(ONLINE) | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.uoeh-u.ac.jp/kouza/journal/intro_e.html | |||||
関連名称 | Journal of UOEH | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.uoeh-u.ac.jp/kouza/journal/intro_j.html | |||||
関連名称 | 産業医科大学雑誌 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |