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儿童偏头痛。鉴别诊断与治疗。

Childhood migraine. Differential diagnosis and treatment.

作者信息

MacDonald J T

出版信息

Postgrad Med. 1986 Oct;80(5):301-4, 306. doi: 10.1080/00325481.1986.11699578.

Abstract

Migraine headaches may be confused with other types of headache, namely, those caused by tension and by organic disorders, but several features often set them apart. For one, migraines are often accompanied by other symptoms, such as nausea and vomiting. Also, they often are present in the family history. Treatment can involve such methods as biofeedback, diet, and limitation of exercise, and a number of medications are available for both treatment and prophylaxis. Studies of drug treatment of childhood migraine are few, so clinicians must tailor treatment to the individual case, watching for side effects and limiting the duration of treatment as much as possible.

摘要

偏头痛可能会与其他类型的头痛相混淆,即由紧张和器质性疾病引起的头痛,但有几个特征通常能将它们区分开来。一方面,偏头痛常伴有其他症状,如恶心和呕吐。此外,偏头痛在家族病史中也较为常见。治疗方法包括生物反馈、饮食调整和运动限制等,还有多种药物可用于治疗和预防。关于儿童偏头痛药物治疗的研究较少,因此临床医生必须根据个体情况调整治疗方案,留意副作用并尽可能缩短治疗时间。

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