Magro Isabelle, Nurimba Margaret, Doherty Joni K
Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Otolaryngol Clin North Am. 2022 Jun;55(3):681-696. doi: 10.1016/j.otc.2022.02.013. Epub 2022 Apr 27.
Headache is a common symptom in pregnancy. The differential diagnosis for headache in pregnancy is broad and includes conditions that range in acuity and severity. Most headaches in pregnancy are migraine or tension-type headaches. However, pregnant women are at an increased risk of vascular causes of headache due to hormone changes and increased hypercoagulability in pregnancy. A careful history, physical examination, and possible diagnostic workup should be performed. Treatment of headache in pregnancy varies according to the etiology, but care should be taken when performing diagnostic studies and considering pharmacologic treatments, given the possible risk to the mother and fetus.
头痛是孕期常见症状。孕期头痛的鉴别诊断范围广泛，包括急性和严重程度各异的病症。孕期的大多数头痛为偏头痛或紧张型头痛。然而，由于孕期激素变化和血液高凝性增加，孕妇发生血管性头痛的风险升高。应进行详细的病史询问、体格检查以及可能的诊断性检查。孕期头痛的治疗因病因不同而异，但鉴于对母亲和胎儿可能存在的风险，在进行诊断性检查和考虑药物治疗时应谨慎。
