Singleton Jennifer, Edlow Jonathan A
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Place, Boston, MA 02115, USA.
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Place, Boston, MA 02115, USA.
Emerg Med Clin North Am. 2016 Nov;34(4):743-757. doi: 10.1016/j.emc.2016.06.015. Epub 2016 Sep 3.
Acute back pain is a common presenting complaint in the emergency department that leads to a great deal of resource utilization. The differential diagnosis is long and most cases are caused by benign pathology that will resolve on its own. Imaging is over-used and rarely helps. This article presents an algorithmic approach using red flags in the history and physical examination that will help physicians better identify the small of patients with serious conditions that, if untreated, will result in significant neurological damage.
急性背痛是急诊科常见的就诊主诉，会导致大量资源的使用。鉴别诊断范围广，大多数病例由良性病变引起，可自行缓解。影像学检查被过度使用，且很少有帮助。本文提出一种基于病史和体格检查中的警示信号的算法方法，这将有助于医生更好地识别一小部分患有严重疾病的患者，这些患者若不治疗，将导致严重的神经损伤。
