Schobitz Erik, Qureshi Faiqa, Lewis Donald
Curr Pain Headache Rep. 2006 Oct;10(5):391-6. doi: 10.1007/s11916-006-0066-3.
Headache is a common presenting complaint in the pediatric emergency department. Although the majority of headaches are benign in nature, headache may be secondary to more serious pathology, such as tumor, meningitis, hemorrhage, or brain abscess. A systematic history will elicit the temporal pattern of the headache, guiding the development of an appropriate differential diagnosis. Thorough physical and neurologic examinations will disclose the objective signs that dictate the need for further diagnostic testing.
头痛是儿科急诊科常见的就诊主诉。尽管大多数头痛本质上是良性的,但头痛可能继发于更严重的病变,如肿瘤、脑膜炎、出血或脑脓肿。系统的病史询问将得出头痛的时间模式,有助于进行适当的鉴别诊断。全面的体格检查和神经系统检查将揭示决定是否需要进一步诊断性检查的客观体征。