<html> <head> <title>头痛</title> <meta http-equiv="Content-Type" content="text/html; charset=gb2312"> <link rel="stylesheet" href="../../../jk123.css"> <style type="text/css">  </style> </head> <body bgcolor="#FFFFFF"> <center> <table width="756" height="1" border="0" cellpadding="0" cellspacing="0"> <tr> <td width="241"> <div align="center"><img src="../../images/jk123logo.gif" width="202" height="52"></div> </td> <td width="503"> <div align="center"></div> </td> </tr> <tr> <td colspan="2" height="23" align="center"> <table width="100" border="0"> <tr> <td><a href="../../../default.asp"><img src="../../images/fpbutton-fp.gif" width="67" height="21" border="0"></a></td> <td><a href="../../default.asp"><img src="../../images/fpbutton-search.gif" width="90" height="21" border="0"></a></td> <td><a href="../../../treat/default.asp"><img src="../../images/fpbutton-treat.gif" width="67" height="21" border="0"></a></td> <td><a href="../../../health/default.asp"><img 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rowspan="3" bgcolor="#eaeaea" width="110"> <div align="center"><img src="../../images/title.gif" width="84" height="21"></div> </td> <td width="20" height="24" bgcolor="#eaeaea"></td> <td width="651" height="24" bgcolor="#eaeaea"> <div align="center" class="f10">|<a href="../../ill/default.asp">疾病</a>|<a href="../default.asp">症状</a>|<a href="../../test/default.asp">化验检查</a>|<a href="../../specialist/default.asp">专家</a>|<font color="#990000"><a href="../../hospital/default.asp">医院</a></font>|<a href="../../medicine/default.asp">药品</a>|<a href="../../fee_for_service/default.asp">医疗收费</a>|<a href="../../web/default.asp">医网导航</a>|<span class="f10"><a href="../../data/default.asp">人体正常数据</a>|</span></div> </td> <td width="29" height="24"><img src="../../images/corner-right.gif" width="31" height="24"></td> </tr> <tr> <td height="20" rowspan="2" width="20"><img src="../../images/corner-left.gif" width="19" height="20"></td> <td height="14" rowspan="2" colspan="2" class="f9" valign="top"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="84%" class="f9"><a href="../../../default.asp">首页</a>><a href="../../default.asp">智能查询中心</a>><a href="../default.asp">症状</a>>常见症状</td> <td width="16%"> <div align="right"><a href="/sqgl/register/default.asp"><img src="../../images/corner-right-2.gif" width="89" height="20" border="0"></a></div> </td> </tr> </table> </td> </tr> <tr> </tr> </table> <table width="756" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="2"> <hr size="1"> </td> </tr> </table> <table width="756" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="147" valign="top" bgcolor="#EAFDEA"> <table width="147" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="15" valign="top" bgcolor="#c4cd94"><img src="../../images/first/corner.gif" width="15" height="13"></td> <td width="117" bgcolor="#c4cd94"> <div align="center" class="f9"></div> </td> <td width="15" valign="top" bgcolor="#c4cd94"> </td> </tr> <tr valign="top"> <td colspan="3" class="f9"> <div align="center" class="f9"></div> <p align="left" class="f9"> </p> </td> </tr> <tr> <td colspan="3" class="f9" height="25">  输入疾病名称：</td> </tr> <tr> <td colspan="3"> <form action="../../../../zhcx/sick/JB_QueryList.asp" id=form1 method=post>    <input type="text" name=strSickName size=14> <input type="image" border="0" name="imageField" src="../../images/first/go.gif" width="20" height="22"> </form> </td> </tr> <tr bgcolor="#CCCC99"> <td colspan="3" height="18" class="f10">其他常见症状</td> </tr> <tr> <td colspan="3"> <ul> <li><a href="001.asp" target="_blank"><span class="f10">发热</span></a></li> <li><span class="f10"><a href="002.asp" target="_blank">乏力</a></span></li> <li><span class="f10"><a href="004.asp" target="_blank">咳嗽、咯痰</a></span></li> <li><span class="f10"><a href="005.asp" target="_blank">便血</a></span></li> <li><span class="f10"><a href="006.asp" target="_blank">腰痛</a></span></li> <li><span class="f10"><a href="007.asp" target="_blank">恶心、呕吐</a></span></li> <li><span class="f10"><a href="008.asp" target="_blank">腹痛</a></span></li> <li><span class="f10"><a href="009.asp" target="_blank">水肿</a></span></li> <li><span class="f10"><a href="010.asp" target="_blank">心悸</a></span></li> <li><span class="f10"><a href="011.asp" target="_blank">贫血</a></span></li> <li><span class="f10"><a href="012.asp" target="_blank">呼吸困难</a></span></li> </ul> </td> </tr> </table> </td> <td colspan="2" valign="top" width="609"> <table width="609" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="18" rowspan="6"> </td> <td rowspan="3" valign="top" width="441"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr bgcolor="#D8E7DE"> <td class="f9" height="16"><b><font color="#0033CC" class="f10">头痛</font></b></td> </tr> </table> </td> <td rowspan="6" width="150" valign="top"> <table width="150" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="23" rowspan="8"> </td> <td colspan="3" rowspan="4" valign="top" bgcolor="#FFFFF0"> <table width="130" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="1" valign="top"> </td> <td width="114" bgcolor="#c4cd94"> <div align="center" class="f9">疾病专题区</div> </td> <td width="15" valign="top" bgcolor="#c4cd94"><img src="../../images/first/corner1.gif" width="15" height="13"></td> </tr> <tr> <td colspan="3"> </td> </tr> <tr> <td colspan="3"><div align="center"> <form name="softform2" style="margin-top:10;margin-bottom:10"> <div align="center"> <select name="soft2" onChange="location.href=(document.softform2.soft2.options[document.softform2.soft2.selectedIndex].value);document.softform2.soft2.selectedIndex=0" size="1"> <option value="#" selected>疾病专题</option> <option value="/wzgl/search/ill/hemiplegia/default.asp">偏瘫</option> <option value="/wzgl/search/ill/dementia/default.asp">老年痴呆</option> <option value="/wzgl/search/ill/replenishmen/default.asp">老年补钙</option> <option value="/wzgl/search/ill/ulcer/default.asp">溃疡</option> <option value="/wzgl/search/ill/barren/default.asp">不孕不育</option> <option value="/zhcx/sick/zt/JB_ZsZt_social_disease.asp?intSerialId=203">性传播疾病</option> <option value="/wzgl/search/ill/menses/default.asp">月经紊乱</option> <option value="/zhcx/sick/zt/JB_JBZT_diarrahea.asp?strsickid=a09&current=GS">腹泻</option> <option value="/zhcx/sick/zt/JB_ZsZt_cancer.asp?intSerialId=221">癌症</option> <option value="/zhcx/sick/zt/jB_jbzt_hepatitis.asp?strsickid=B19&current=GS">肝炎</option> <option value="/zhcx/sick/zt/JB_JbZt_diabetes.asp?strSickId=E14&current=GS">糖尿病</option> <option value="/zhcx/sick/zt/JB_JbZt_hypertension.asp?strSickId=I10&current=GS">高血压</option> <option value="/zhcx/sick/zt/JB_JbZt_coronary_heart.asp?strSickId=I251&current=GS">冠心病</option> <option value="/wzgl/health/health_men/prostatitis/default.asp">慢性前列腺炎</option> <option value="/wzgl/search/ill/suicide/default.asp">自杀</option> <option value="/wzgl/search/ill/be_off_the_habit/default.asp">戒瘾</option> </select> </div> </form></div> </td> </tr> </table> </td> </tr> <tr> </tr> <tr> </tr> <tr> </tr> <tr> <td colspan="3" rowspan="4" bgcolor="#FFFFE8"> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> </td> </tr> <tr> </tr> <tr> </tr> <tr> </tr> </table> </td> </tr> <tr> </tr> <tr> </tr> <tr> <td rowspan="3" width="441" valign="top"> <p class="f9" align="center"><b><font color="#FF33FF">头痛诊断程序</font></b></p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr bgcolor="#FFEEEE" bordercolor="#CCCCCC"> <td width="13%" class="f9"> <div align="center">发病缓急</div> </td> <td width="4%" class="f9"> <div align="center">伴随症状</div> </td> <td class="f9" colspan="2"> <div align="center">伴随体征</div> </td> <td width="65%" class="f9"> <div align="center">相关疾病</div> </td> </tr> <tr bgcolor="#EEEEFF" bordercolor="#CCCCCC"> <td rowspan="3" class="f9" width="13%"> <div align="center">急性发病</div> </td> <td rowspan="3" class="f9" width="4%"> <div align="center">发热</div> </td> <td class="f9" colspan="2"> <div align="center">脑膜征(+)</div> </td> <td width="65%" class="f9">中枢神经系统感染(各种细菌性、病毒性脑炎、脑膜炎)--CSF(脑脊液)、EEG(脑电图)、头颅CT；<br> 全身性感受染肺炎、眼耳、鼻、副鼻窦炎症、中毒性脑病、中暑、中毒等--病史，体征及相关检查 </td> </tr> <tr> <td colspan="2" class="f9" rowspan="2" bgcolor="#EEEEFF"> <div align="center">脑膜征(-)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">急性脑血管疾病--病史，体检，CSF、CT、MRI(核磁共振)；<br> 高血压脑病、颜面神经痛、青光眼、颞动脉炎、五官科疾病</td> </tr> <tr> <td width="65%" class="f9" bgcolor="#EEEEFF">急性脑血管疾病(以脑出血多见)；<br> 蛛网膜下腔出血＊--CSF</td> </tr> <tr bgcolor="#EEEEFF" bordercolor="#CCCCCC"> <td rowspan="3" class="f9" width="13%"> <div align="center">亚急性发病</div> </td> <td rowspan="3" class="f9" width="4%"> <div align="center">脑外伤</div> </td> <td class="f9" colspan="2"> <div align="center"></div> </td> <td width="65%" class="f9">颅脑损伤(脑震荡、脑挫伤、颅内血肿)--病史、体检，EEG、CT、MRI</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="2"> <div align="center">脑膜征(-)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">颅内占位性病变--EEG、CT、MRI；<br> 全身性疾病--根据病史、体检及相关检查再作判断</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="2"> <div align="center">脑膜征(+)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">中枢神经系统感染--CSF、EEG、CT</td> </tr> <tr bgcolor="#EEEEFF" bordercolor="#CCCCCC"> <td class="f9" rowspan="4"> <div align="center">慢性发病</div> <div align="center"></div> <div align="center"></div> </td> <td class="f9" rowspan="4"> <div align="center"></div> <div align="center"></div> <div align="center"></div> </td> <td class="f9" colspan="2"> <div align="center">神经系统体征(+)</div> </td> <td width="65%" class="f9">颅内动、静脉畸型--EEG、CT，脑造影(脑血管造影、数字减影)，MRI</td> </tr> <tr> <td class="f9" colspan="2" bgcolor="#EEEEFF"> <div align="center">神经系统体征(-)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">偏头痛--症状，EEG<br> 丛集性头痛--症状，EEG<br> 颈椎病--颈椎片<br> 肌紧张--颈椎片<br> 头痛癫痫--EEG<br> 低颅压--病史，体检，EEG、CSF压力<br> 神经官能症--病史，EEG</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="2"> <div align="center">进行性神经系统体征(+)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">颅内占位病变--病史，EEG、CT、MRI</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="2"> <div align="center">进行性神经系统体征(-)</div> </td> <td width="65%" class="f9" bgcolor="#EEEEFF">全身性疾病--病史，体检，相关检查<br> 良性颅内压增高--病史，体检，CSF压力，CT，MRI<br> 中枢神经系统感染--CSF</td> </tr> </table> <p align="left" class="f9"><font color="#0000FF">*部分蛛网膜下腔出血于发病3-7天后因脑动脉痉挛出现继发性能脑梗塞可有局灶性神经系统阳性体征</font></p> <p align="center"><b><font color="#FF33FF" class="f9">偏头痛发作类型及特点</font></b></p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr bgcolor="#FFEEEE"> <td class="f9" width="15%"> </td> <td class="f9" width="13%"> <div align="center">发病年龄</div> </td> <td class="f9" width="50%"> <div align="center">头痛发作特点</div> </td> <td class="f9" width="22%"> <div align="center">有关检查</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">典型<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">青春期</div> </td> <td class="f9" width="50%">头痛发作前常有先兆，为眼前闪光、暗点、黑朦；头痛多位于一侧或两侧前额或颞侧，左右可交替出现。头痛为搏动性，常伴有恶心、呕吐、心悸；头痛每次持续数小时到1-2天，间歇一月和半年不等。发作间歇期正常；部分病人头痛发作和月经周期有一定关系。</td> <td class="f9" width="22%"> <div align="center">EEG</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">普通型<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">青春期</div> </td> <td class="f9" width="50%">无明显先兆，头痛发作时间较长；头痛特点见典型偏头痛</td> <td class="f9" width="22%"> <div align="center">EEG</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">丛集性<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">30-50岁</div> </td> <td class="f9" width="50%">头痛为一连串密集性头痛发作，每日一次或数次，每次持续数十分钟，发病数周至数月后自发缓解；发作间期，可达数月至数年，以后按同样方式发病；痛多自眼眶深处开始，向同侧额颞部扩张，性质呈跳痛；烧灼痛；常伴有同侧眼、面部潮红，流泪，球结膜充血，鼻塞，流涕</td> <td class="f9" width="22%"> <div align="center">组织胺试验阳性</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">眼肌麻痹型<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">青年</div> </td> <td class="f9" width="50%">具有偏头痛发作特点；于头痛发作时伴有眼外肌麻痹</td> <td class="f9" width="22%"> <div align="center">脑血管造影<br> TCD、MRI</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">偏瘫型<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">青年</div> </td> <td class="f9" width="50%">具有普通型偏头痛特点；于头痛发作时伴有轻偏瘫</td> <td class="f9" width="22%"> <div align="center">脑血管造影<br> 头颅CT、MRI</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div align="center">基底性<br> 偏头痛</div> </td> <td class="f9" width="13%"> <div align="center">青年妇女</div> </td> <td class="f9" width="50%">头痛和月经有一定关系；先兆为视觉和脑干症状；共济失调、晕厥等</td> <td class="f9" width="22%"> <div align="center">头颅CT、MRI<br> 颈椎片</div> </td> </tr> <tr bgcolor="#EEEEFF"> <td class="f9" width="15%"> <div 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