Selz Amaudruz Florence, Morard Marc, Buchard Pierre-Alain, Frochaux Vincent
Département des urgences. SUVA, CHCVs, site de Sion, 1950 Sion.
Rev Med Suisse. 2010 Aug 25;6(259):1540-2, 1544-5.
Low back pain and sciatica are common causes of medical consultation. The medical history and the physical examination are essential in their management. The primary care physician initiates treatment and relies on his physical examination to identify "red flags" that require further investigations. Regarding sciatica, it is essential to identify 3 clinical entities that require prompt referral to the emergency department for prompt neurosurgical management. These include hyperalgic sciatica, sciatica with motor deficits and the cauda equina syndrome. Sciatica with sensory deficits do not require emergency department referral.
腰痛和坐骨神经痛是常见的就医原因。病史和体格检查对其治疗至关重要。初级保健医生开始治疗，并依靠体格检查来识别需要进一步检查的“警示信号”。关于坐骨神经痛，识别3种需要迅速转诊至急诊科进行紧急神经外科治疗的临床情况至关重要。这些情况包括痛性坐骨神经痛、伴有运动功能障碍的坐骨神经痛和马尾综合征。伴有感觉功能障碍的坐骨神经痛不需要转诊至急诊科。
