头痛的诊断与管理
Diagnosis and management of headache.
作者信息
Lewis J B, Frohman E M
机构信息
Department of Medicine, University of Tennessee at Memphis, Memphis, Tennessee, USA.
出版信息
Obstet Gynecol Clin North Am. 2001 Jun;28(2):205-24, v. doi: 10.1016/s0889-8545(05)70197-2.
Migraine and tension headaches are among the most common diagnoses in women's health. Secondary causes of headache such as brain tumor, subarachnoid hemorrhage, and meningitis are uncommon but must not be missed. A careful history and physical examination, use of diagnostic criteria, and certain facts about the serious causes of headache are the keys to diagnosis and treatment. Neuroimaging should be limited to patients displaying signs or symptoms of a secondary headache cause. Menstrual migraine can be managed similarly to nonmenstrual migraine.
偏头痛和紧张性头痛是女性健康领域最常见的诊断病症。诸如脑肿瘤、蛛网膜下腔出血和脑膜炎等继发性头痛病因并不常见，但绝不能漏诊。详细的病史和体格检查、诊断标准的运用以及关于头痛严重病因的某些事实是诊断和治疗的关键。神经影像学检查应仅限于有继发性头痛病因体征或症状的患者。月经性偏头痛的治疗方法与非月经性偏头痛相似。
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