Maizels M
Southern California Permanente Medical Group, Woodland Hills, California 91365, USA.
West J Med. 1998 Mar;168(3):203-12.
Headache is a ubiquitous complaint, yet it is one that often elicits anxiety in both patients and physicians. When a patient presents with headache, the clinician must answer the following questions: (1) Is the headache "worrisome" (secondary to underlying disease)? (2) If the headache is benign, what type is it? (3) How is the acute headache best treated? and (4) How may future headaches be prevented? The following review is intended to aid primary care physicians in answering these questions.
头痛是一种极为常见的症状,但它常常引发患者和医生的焦虑。当患者出现头痛症状时,临床医生必须回答以下问题:(1)该头痛是否“令人担忧”(继发于潜在疾病)?(2)如果头痛是良性的,它属于哪种类型?(3)如何最佳治疗急性头痛?以及(4)如何预防未来的头痛发作?以下综述旨在帮助初级保健医生回答这些问题。