Lance J W
Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, NSW.
Med J Aust. 2000 May 1;172(9):450-5. doi: 10.5694/j.1326-5377.2000.tb125700.x.
A systematic case history is the primary diagnostic tool for headache problems. An acute ("thunderclap") headache or progressive subacute headache may have sinister implications and warrants urgent investigation. Common recurrent headaches (tension-type, migraine and cluster headaches) are not life-threatening but can destroy the enjoyment of life. Specific medications are available for acute treatment and prophylaxis for most types of recurrent headache. General practitioners should be well informed about management, as they are the most appropriate people to deal with most headache patients.
系统的病史是诊断头痛问题的主要工具。急性(“霹雳样”)头痛或进行性亚急性头痛可能有严重的意义,需要紧急检查。常见的复发性头痛(紧张型、偏头痛和丛集性头痛)虽不危及生命,但会破坏生活乐趣。对于大多数类型的复发性头痛,有特定的药物可用于急性治疗和预防。全科医生应充分了解相关治疗方法,因为他们是处理大多数头痛患者的最合适人选。