Grimaldi Daniela, Cevoli Sabina, Cortelli Pietro
Department of Neurological Science, Bologna University, Via U. Foscolo 7, 40123 Bologna, Italy.
Neurol Sci. 2008 May;29 Suppl 1:S103-6. doi: 10.1007/s10072-008-0899-0.
Patients presenting to the emergency department (ED) with a chief complaint of headache are common and are frequently clinically challenging. The primary role of ED physicians is to discriminate between the most common primary benign headaches and secondary potentially life-threatening headaches. There are several tools at the physician's disposal to corroborate the diagnosis (anamnesis, examination, neuroimaging, lumbar puncture), but in the busy setting of the ED they are often inadequately used with respect to published standards and recommendations. In 2004 a multidisciplinary workgroup of the Emilia-Romagna region proposed a consensus-based diagnostic algorithm structured in four clinical scenarios aimed at reducing the variability exhibited by ED physicians in management of non-traumatic headache, improving clinical decision-making and optimising the use of limited resources.
以头痛为主诉前往急诊科（ED）就诊的患者很常见，且在临床上常常具有挑战性。急诊科医生的主要职责是区分最常见的原发性良性头痛和继发性潜在危及生命的头痛。医生可使用多种工具来辅助诊断（问诊、检查、神经影像学检查、腰椎穿刺），但在繁忙的急诊科环境中，这些工具往往未按照已发表的标准和建议充分使用。2004年，艾米利亚 - 罗马涅地区的一个多学科工作组提出了一种基于共识的诊断算法，该算法分为四种临床情况，旨在减少急诊科医生在非创伤性头痛管理中表现出的变异性，改善临床决策并优化有限资源的使用。
