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头痛的诊断思路与方法：《国际头痛分类第三版》的应用
The clinic reasoning of headache:application of The International Classification of Headache Disorders 3rd Edition
- 重庆医科大学学报 2021年46卷第7期 页码：773-776
- 作者机构：
1.重庆医科大学附属第一医院神经内科，重庆 400016
2.重庆医科大学附属第一医院第一分院神经内科，重庆 400015
- 作者简介：
[ "周冀英，博士，教授，博导，重庆医科大学附属第一医院神经内科主任医师，现任重庆医科大学附属第一医院科研处处长。中国医师协会神经内科分会常务委员、中国偏头痛指南专家组成员、重庆市头痛防治学会会长，Headache、《中国疼痛医学杂志》等杂志编委和审稿专家。主持国家自然科学基金5项，重庆市各级项目10余项。获得四川省科技进步一等奖1项、重庆市科技进步二等奖1项、中国中西医结合学会科学技术奖三等奖1项、重庆市卫生局医学科技成果一等奖1项。2016年获得“重庆市有突出贡献的中青年专家”人才称号。以通信作者在头痛领域国际标志性杂志Cephalalgia、Headache等期刊上发表论文30余篇。研究方向：头痛及眩晕疾病的发病机制、诊断和治疗。Email：zheadache@163.com。" ]
- 基金信息：国家自然科学基金面上资助项目(81971063)
DOI：10.13406/j.cnki.cyxb.002799
中图分类号： R741.041纸质出版日期：2021-07-28，
收稿日期：2021-02-03，
扫 描 看 全 文
周冀英, 贺维. 头痛的诊断思路与方法：《国际头痛分类第三版》的应用[J]. 重庆医科大学学报, 2021,46(7):773-776.
Jiying Zhou, Wei He. The clinic reasoning of headache:application of The International Classification of Headache Disorders 3rd Edition[J]. Journal of Shanxi Agricultural Sciences, 2021,46(7):773-776.
周冀英, 贺维. 头痛的诊断思路与方法：《国际头痛分类第三版》的应用[J]. 重庆医科大学学报, 2021,46(7):773-776. DOI： 10.13406/j.cnki.cyxb.002799.
Jiying Zhou, Wei He. The clinic reasoning of headache:application of The International Classification of Headache Disorders 3rd Edition[J]. Journal of Shanxi Agricultural Sciences, 2021,46(7):773-776. DOI： 10.13406/j.cnki.cyxb.002799.
摘要
头痛是临床上最常见的主诉症状之一，临床表现复杂，病因多样，正确的诊断思路和方法十分重要。要掌握头痛的诊断分类，识别常见头痛疾病的临床特点，临床实践中首先要进行详细的病史询问，了解头痛的发作性质和类型、持续时间、伴随症状及相关病史；其次应进行相关的体格检查和针对性辅助检查，不加选择的辅助检查并无助于诊断。本文结合《国际头痛分类第三版》的诊断标准，阐述如何通过病史询问、体格检查和辅助检查建立头痛疾病的诊断思路。
Abstract
Headache is one of the most common clinical complaints
with complex clinical manifestations and diverse causes. Correct clinical reasoning and methods are very important. Therefore
it is necessary to grasp the diagnostic classification of headaches and identify the clinical characteristics of common headache diseases. Firstly
a detailed medical history inquiry is required to understand the nature and type of headache
duration
accompanying symptoms and related medical history in clinical practice. Secondly
relevant physical examinations and targeted auxiliary examinations should be carried out
and indiscriminate auxiliary examinations can’t contribute to diagnosis. Based on the above process
the etiological diagnosis of different headache diseases can be completed. This article intends to combine the diagnostic criteria of
The International Classification of Headache Disorders
3rd Edition
to explain how to make a diagnosis of headache diseases through medical history inquiry
physical examination and auxiliary examinations.
关键词
头痛诊断分类
Keywords
headachediagnosisclassification
references
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