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Computed tomography angiography for acute headache may be more painful than lumbar puncture.

作者信息

Perry Jeffrey J, Sinclair John, Wakai Abel

机构信息

Clinical Epidemiology Unit, Departments of Emergency Medicine and School of Epidemiology, Public Health and Preventative Medicine, University of Ottawa, Ottawa Hospital Research Institute, The Ottawa Hospital, F647, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada.

Division of Neurosurgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.

出版信息

CJEM. 2022 Apr;24(3):241-242. doi: 10.1007/s43678-022-00294-0. Epub 2022 Apr 11.

DOI:10.1007/s43678-022-00294-0
PMID:35403988
Abstract
摘要

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1
Computed tomography angiography for acute headache may be more painful than lumbar puncture.用于急性头痛的计算机断层扫描血管造影可能比腰椎穿刺更痛苦。
CJEM. 2022 Apr;24(3):241-242. doi: 10.1007/s43678-022-00294-0. Epub 2022 Apr 11.
2
Tried and True and Still the Best: Lumbar Puncture, Not Computed Tomography Angiogram, for the Diagnosis of Subarachnoid Hemorrhage.久经考验且依然最佳：诊断蛛网膜下腔出血时，腰椎穿刺优于计算机断层血管造影。
Ann Emerg Med. 2016 Jun;67(6):774-775. doi: 10.1016/j.annemergmed.2016.01.025.
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Subarachnoid hemorrhage diagnosed by lumbar puncture after negative computed tomography angiography head.腰穿诊断阴性 CT 血管造影头部后蛛网膜下腔出血。
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Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan?脑 CT 血管造影能否替代阴性颅脑 CT 扫描后急性发作头痛患者的腰椎穿刺？
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What are the unintended consequences of changing the diagnostic paradigm for subarachnoid hemorrhage after brain computed tomography to computed tomographic angiography in place of lumbar puncture?将脑计算机断层扫描后蛛网膜下腔出血的诊断模式从腰椎穿刺改为计算机断层血管造影会产生哪些意外后果？
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Computed Tomography Angiography of the Head Is a Reasonable Next Test After a Negative Noncontrast Head Computed Tomography Result in the Emergency Department Evaluation of Subarachnoid Hemorrhage.在急诊科对蛛网膜下腔出血进行评估时，若头部非增强计算机断层扫描结果为阴性，头部计算机断层扫描血管造影是合理的下一步检查。
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Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule.前瞻性实施渥太华蛛网膜下腔出血规则和 6 小时计算机断层扫描规则。
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Can the combination of a negative computed tomography result and a negative lumbar puncture safely exclude the diagnosis of subarachnoid hemorrhage in patients with thunderclap headache?对于霹雳样头痛患者，计算机断层扫描结果为阴性且腰椎穿刺结果为阴性，二者结合能否安全地排除蛛网膜下腔出血的诊断？
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Lumbar puncture in subarachnoid haemorrhage: a necessary evil?蛛网膜下腔出血时的腰椎穿刺：一种必要的无奈之举？
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引用本文的文献

1
Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021.2015 年至 2021 年急诊科头痛诊断检测的变化。
JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373.