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(Chest. 1996;110:759-761.)
© 1996 American College of Chest Physicians

Profile of Chest Injuries Arising From the 1995 Southern Hyogo Prefecture Earthquake

Naoki Yoshimura MD1; Shinichi Nakayama MD2; Keitaro Nakagiri MD1; Takashi Azami MD1; Keiji Ataka MD1; and Noboru Ishii MD2

1 From the Department of Surgery, Division II, Kobe University School of Medicine, Kobe, Japan
2 From the Department of Surgery, and Emergency Division, Kobe University School of Medicine, Kobe, Japan

Study objective: To better understand the types of chest injuries that are likely to occur following a major earthquake in the urban environment, we analyzed the pattern of chest injuries arising from the earthquake that struck the southern part of Hyogo Prefecture in Japan at 5:46 AM on January 17, 1995 and registered 7.2 on the Richter scale.

Design and setting: The medical records of 487 patients with injuries who were referred to Kobe University Hospital from January 17 to January 23 were reviewed.

Results: Of the 487 patients, 63 (12.9%) were found to have chest injuries. Of these 63, eight patients with severe chest compression were dead on arrival at the hospital. Eight patients were admitted to our hospital, two of whom developed crush syndrome. The remaining 47 (74.6%) patients had light to moderate injuries and were treated in the emergency department on an outpatient basis.

Conclusions: Minor trauma was the most common type of chest injury. However, there were severely injured patients who were trapped in collapsed buildings.

Key Words: chest injury • crush syndrome • earthquake

Submitted on November 11, 1995
Accepted on April 9, 1996




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