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1 临床特点①老年男性 ,左腰部至腹部疼痛半年 ,持续发作 ,呈针刺或刀割样 ,对各种治疗反应差 ;②既往 3年前有肺癌病史 ;③查体 :明显消瘦 ,疼痛区域呈单侧、节段性分布 (为典型的神经根性疼痛 )。2 应考虑的诊断及进一步检查2 .1 应考虑的诊断 根据患者的疼痛特点及分布
1 Clinical characteristics 1 Older males suffered pain for six months from the left waist to the abdomen and continued to attack. They presented with acupuncture or knife cuts and had poor response to various treatments; 2 had a history of lung cancer 3 years ago; 3 physical examination: marked weight loss, pain area Unilateral, segmental distribution (typical of radicular pain). 2 Diagnosis to be considered and further examination 2.1 Diagnosis to be considered Based on the characteristics and distribution of pain in patients