Department of Radiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Department of Radiology, Addenbrooke's Hospital, Cambridge, UK.
Br J Hosp Med (Lond). 2023 Oct 2;84(10):1-9. doi: 10.12968/hmed.2023.0063. Epub 2023 Oct 25.
Low back pain is the leading cause of disability worldwide. This article highlights the importance of succinct history taking and a thorough clinical examination when managing a patient with lower back pain in hospital. Furthermore, it encourages the clinician to consider the pertinent causes of low back pain such as age-related degeneration, malignancy, trauma, infection and seronegative inflammatory spondyloarthropathies, and looks at the diagnosis, imaging features and key management options which are available in secondary care.
腰痛是全球导致残疾的主要原因。本文强调了在医院管理腰痛患者时，简明扼要的病史采集和彻底的临床检查的重要性。此外，鼓励临床医生考虑与年龄相关的退变、恶性肿瘤、创伤、感染和血清阴性炎性脊柱关节病等相关的腰痛病因，并探讨了在二级保健中可用的诊断、影像学特征和关键管理选择。
