摘要
头痛系常见的临床症状,其中部分头痛者属于继发性。头痛发作是多种颅内病变的共同表现形式,如颅脑创伤、脑血管病、脑瘤或脑炎等。颅内病变引起头痛的主要机制包括占位效应、炎症反应、血管活性物质刺激、颅内压降低等因素。此外,头面及颈部病变、多种药物、呼吸循环系统等全身各系统的病变均可能引起头痛。经询问病史和查体,多可确定头痛的病因和类型。对疑为继发性头痛者,需结合血液生化、影像学及腰椎穿刺等检查寻找病因,并进行相应的治疗。
Headache is a common clinical symptom. Some headache disorders belong to secondary category. Many intracranial disorders, such as head trauma, cerebral vascular diseases,intracranial tumors and inflammation, can lead to headache due to＂ mass effect, inflammation reaction, stimulation of vasoactive substances and decreased intracranial pressure. Furthermore,many drugs and other substances, disorders of eyes, nose, ear, mouth, neck and other systemic disorders can also cause headache. Many headache disorders can be determined by detailed case history and physical examination. Blood test,lumber puncture, CT, MRI and other imaging examinations are necessary methods for finding the causes and the treatment of diseases.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2010年第6期509-512,共4页
Chinese Journal of Practical Internal Medicine
关键词
继发性头痛
颅内病变
secondary headache
intracranial disorders
