Moriarty-Sheehan M
Greater Baltimore Medical Center, 6565 North Charles Street, Suite 313, Towson, Maryland, USA.
Lippincotts Prim Care Pract. 2000 Nov-Dec;4(6):580-94.
Headache is one of the most common complaints in primary care, virtually affecting all persons at some point. Headache may be a symptom of other pathology (secondary headache) or due to a primary headache disorder. Tension headaches, migraines, and cluster headaches are three primary headache syndromes, in order of most frequently occurring to least. The key to effective management of these chronic syndromes is differential diagnosis through history, physical exam, and possibly diagnostic studies. Pharmacologic management may include abortive, adjunctive, and prophylactice medications.
头痛是初级保健中最常见的主诉之一，几乎在某个阶段会影响所有人。头痛可能是其他病理状况的症状（继发性头痛），也可能是由原发性头痛疾病引起的。紧张性头痛、偏头痛和丛集性头痛是三种原发性头痛综合征，按发生频率从高到低排列。有效管理这些慢性综合征的关键是通过病史、体格检查以及可能的诊断性研究进行鉴别诊断。药物治疗可能包括发作期、辅助性和预防性药物。
