Back pain and gasping for breath may be caused by rib fracture, pneumonia, pleurisy, coronary heart disease and other reasons. 1. Rib fracture: when the patient has a major accident resulting in rib fracture, which pierces the pleural cavity, causing a large amount of gas to enter the pleural cavity, resulting in an imbalance of the negative pressure in the pleural cavity compressing the normal lung tissues and leading to tension pneumothorax, so the phenomenon of back pain and gasping for breath will occur. 2. Pneumonia: Pneumonia refers to the inflammation of the terminal airways, alveoli and interstitium of the lungs, and the patient will have cough, dyspnea, and in severe cases, chest pain and back pain. 3. Pleurisy: pleurisy refers to the inflammation of the pleura caused by pathogenic factors that stimulate the pleura, and patients will experience chest pain, back pain, dyspnea and other symptoms. 4. Coronary heart disease: atherosclerotic lesions in the coronary arteries cause narrowing or obstruction of the vascular lumen, resulting in myocardial ischemia caused by the patient will have chest pain, back pain and other symptoms, some patients will also have fever, vomiting. When the patient appears back pain gasping for breath, should go to the hospital in time for examination, clear cause and actively cooperate with the doctor treatment.