Querzani P
Department of Neurology, Ravenna Hospital, Via A. Missiroli 10, I-48100 Ravenna, Italy.
Neurol Sci. 2004 Oct;25 Suppl 3:S190-1. doi: 10.1007/s10072-004-0283-7.
Headache is a common problem in an emergency department. The main task of the emergency room (ER) doctor is to differentiate the primary forms from the secondary ones. Given that secondary headaches can manifest themselves in such a wide variety of ways, a differential diagnosis can then become extremely difficult. Guidelines can be found in the literature which help ER doctors with this task. Here we propose a procedure whereby four different clinical scenarios are defined for nontraumatic headache and then evidence-based suggestions are given for managing them in the emergency department.
头痛是急诊科常见的问题。急诊室医生的主要任务是区分原发性头痛和继发性头痛。鉴于继发性头痛有多种表现形式，鉴别诊断可能会变得极其困难。文献中有可帮助急诊室医生完成此项任务的指南。在此，我们提出一种方法，针对非创伤性头痛定义四种不同的临床情况，然后给出在急诊科处理这些情况的循证建议。
