Michl M, Michl G M
Medizinische Klinik und Poliklinik III für Innere Medizin, Hämatologie und Onkologie, Klinikum Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
Praxis für Innere Medizin, Hämatologie und Onkologie München-Solln, München, Deutschland.
Internist (Berl). 2017 Sep;58(9):892-899. doi: 10.1007/s00108-017-0279-z.
Headaches can be so severe that patients and doctors often fear life-threatening underlying cerebral pathologies. The spectrum of causes of headache is very heterogeneous and ranges from harmless situations to severe diseases, so that it is very difficult to consider all differential diagnoses simultaneously; however, a few targeted questions and physical examinations are sufficient to be able to make a better classification of the leading symptom headache. The following article serves as a quick guide for identification of patients at risk. It describes basic findings, red flags and specials warning signs that must immediately lead to emergency admission for further diagnostics.
头痛可能会非常严重，以至于患者和医生常常担心存在危及生命的潜在脑部病变。头痛的病因范围非常广泛，从无害情况到严重疾病都有，因此很难同时考虑所有鉴别诊断；然而，一些有针对性的问题和体格检查足以对主要症状头痛进行更好的分类。以下文章可作为识别高危患者的快速指南。它描述了基本检查结果、危险信号和特殊警示标志，这些情况必须立即导致患者紧急入院进行进一步诊断。
