Upper back pain may be caused by lung diseases, but also pleural diseases, trauma, cardiovascular diseases, should consult a doctor in time to clarify the cause of the disease. 1. Lung diseases: common lung diseases that can cause upper back pain include pneumonia, tuberculosis, lung tumors, patients with pneumonia will have fever and cough, patients with tuberculosis will have low-grade fever and night sweating, and patients with lung tumors will have hemoptysis and other symptoms, and the patients should consult the doctor in time to get the appropriate treatment. 2. Pleurisy: A common pleural disease that can cause pain in the upper back is pleurisy, and patients will have chest pain, chest tightness, dyspnea and other symptoms, if it is caused by bacterial infection, you can use penicillin, metronidazole and other drugs for treatment. 3. Trauma: If the patient has suffered trauma before the occurrence of upper back pain, and there are obvious localized skin lesions, it should be considered to be caused by trauma, and the local wound should be treated. 4. Heart disease: a common heart disease that can cause pain in the upper back is coronary heart disease, mostly seen in middle-aged and elderly people, the pain can occur in the activity, the patient will also have a sense of pressure in the chest, dyspnea and other symptoms, you can use nitroglycerin and other drugs for treatment. All of the above drugs should be used under the guidance of a doctor.