Gardinali M, Bernareggi M, Magni S
Dipartimento di Medicina Interna, Pronto Soccorso ed Osservazione, Ospedale San Gerardo, Via Donizetti 106, I-20052 Monza, Italy.
Neurol Sci. 2004 Oct;25 Suppl 3:S192-5. doi: 10.1007/s10072-004-0284-6.
Patients with headache commonly seek care at an emergency department (ED). Patients with headache in fact account for between 1 and 2% of admissions to an ED. Therefore the ED physician must recognize symptoms and characteristics of headache that signal a potential significant organic problem in order to select appropriate tests and treatment. Key to the correct management of headache in ED is a careful, thorough history of the patient. This article summarizes what the ED physician should take into consideration in order to distinguish who simply needs reassurance and analgesia and who needs further investigation.
头痛患者通常会前往急诊科（ED）就诊。事实上，头痛患者占急诊科收治人数的1%至2%。因此，急诊科医生必须识别出那些预示着可能存在重大器质性问题的头痛症状和特征，以便选择合适的检查和治疗方法。在急诊科正确处理头痛的关键是对患者进行仔细、全面的病史询问。本文总结了急诊科医生在区分哪些患者只需安慰和止痛、哪些患者需要进一步检查时应考虑的因素。
