17例原发性咳嗽性头痛临床分析.docxVIP

? ? 17例原发性咳嗽性头痛临床分析 ? ? 曹甦 薛战尤 张晓毅 许莉 赵元 [Summary] 目的 分析原发性咳嗽性头痛的临床特点，提高对原发性咳嗽性头痛的认识及改善治疗效果。 方法 收集解放军第九八八医院神经内科头痛门诊2017年1月～2018年1月诊治的17例原发性咳嗽性头痛患者，观察其临床表现及治疗效果，并结合文献进行总结和分析。 结果 17例病例中男11例，女6例，发病年龄10～65岁，病史18 h～4个月。头痛以偏侧为主，部位以枕部最多，疼痛性质多样，搏动性、针剜样痛为主。疼痛程度以轻中度为主;疼痛持续时间较短，多短于10 s。所有患者均于咳嗽时头痛加重，用力、低头、震动、大笑也可诱发，可伴随鼻塞、流涕等伴随症状。既往有偏头痛、圆形头痛等其他头痛类型发作。影像学检查多无明显相关异常发现。可自行缓解或给予药物治疗后缓解。 结论 原发性咳嗽性头痛是一种少见的头痛疾病，诊断主要依赖于临床表现及影像学排除其他疾病。原发性咳嗽性头痛以对症治疗为主，预后良好。 [Key] 原发性咳嗽性头痛;诊断;治疗 [] R742? ? ? ? ? [] A? ? ? ? ? [] 1673-7210（2019）08（a）-0094-04 [Abstract] Objective To analyze the clinical characteristics of primary cough headache， to enhance the understanding for primary cough headache and improve the therapeutic effect. Methods A total of 17 patients with primary cough headache diagnosed and treated in the Headache Clinic of Department of Neurology in the 988th Hospital of PLA from January 2017 to January 2018 were collected to observe their clinical manifestations and therapeutic effects， and the summary and analysis was performed by combining with literatures. Results Among the 17 cases of patients， 11 cases were male and 6 cases were female， the onset age was ranged from 10 to 65 years old， and the medical history was ranged from 18 h to 4 months. Headache was given priority to side edge， the most common site was occipitalia， the nature of pain was various， which was given priority tothrobbing and needle-like pain. The degree of pain was mainly mild to moderate， the pain duration was short， which was shorter than 10 s in common. The headache of all patients got worse when they coughed， which could be also reduced byexertion， lowering head， vibration and laughter， accompanied by rhinobyon， nasal discharge and other concomitant symptoms. The patients had previous history of migraine， nummular headache and other types. Most of the imageological examination showed no obvious abnormal appearances. The symptoms could be relieved by oneself or after drug administration. Conclusion Primary co