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首页> 外文期刊>The Practitioner: The Journal of Postgraduate Medicine >Casebook: headache.
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Casebook: headache.

机译：案例：头痛。

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Headache alone rarely indicates a sinister underlying cause. However, if the red flags are flying -- that is, if the patient is over 30 years old when the first headache develops, has additional symptoms or signs or has a very acute onset, particularly involving vomiting, then suspicion should be raised (see table 4). Although migraine has a high impact on the sufferer and affects a large proportion of the population on a monthly basis, the problem of acute muscle contraction headache is far greater. Other forms of headache are actually uncommon in comparison to these two. However, chronic daily headache is the most common condition seen by the medical professional because of its impact on the patient's quality of life. The key to the management of this condition is the assessment of analgesic dependence including NSAIDs, and particularly the codeine-containing agents. These should be avoided while long-term aproached such as exercise and certain prophylactic agents are introduced. It is true to say that if a careful initial assessment is made leading to a correct diagnosis, then the chance of appropriate management is enormously increased. Patients undergoing the correct management should generally see a massive improvement in their quality of life. Headache can, therefore, be a very satisfying condition for the clinician to treat.
机译：仅头痛很少表明存在潜在的危险原因。但是，如果危险信号在飘扬-也就是说，如果患者在第一次头痛发作时已超过30岁，出现其他症状或体征或发作非常严重，特别是涉及呕吐，则应引起怀疑（请参见表4）。尽管偏头痛对患者的影响很大，每月都会影响很大一部分人口，但急性肌肉收缩性头痛的问题要严重得多。与这两种形式相比，其他形式的头痛实际上并不常见。但是，慢性每日头痛是医疗专业人员最常见的疾病，因为它会影响患者的生活质量。处理这种情况的关键是评估包括NSAIDs，尤其是含可待因的镇痛药的依赖性。在进行长期治疗（如运动）和某些预防剂时应避免这些情况。可以说，如果进行认真的初步评估导致正确的诊断，那么适当管理的机会就会大大增加。接受正确治疗的患者通常应会看到其生活质量得到极大改善。因此，头痛可能是临床医生非常满意的治疗条件。

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