低颅压性头痛30例临床分析  

Clinical Analysis of 30 Cases with Hypotensive Cranial Pressure Headache

作　　者：刘晓琳[1] 王才[1] 

机构地区：[1]葫芦岛市中心医院神经内科,辽宁葫芦岛125001

出　　处：《医学综述》2010年第8期1275-1276,共2页Medical Recapitulate

摘　　要：目的探讨低颅压性头痛的临床特点。方法回顾分析30例低颅压性头痛患者的临床表现、治疗及转归。结果患者均有体位性头痛,可伴有恶心、呕吐、头晕、复视及颈强直。腰椎穿刺脑脊液压力<70mmH2O,均行头颅CT检查。患者给予传统补液治疗后症状明显减轻,治愈23例,好转7例。结论低颅压性头痛主要特点为直立性头痛,体征少见,补液治疗有效,预后良好。Objective To explore the clinical features of hypotensive cranial pressure headache.Methods Clinical data of 30 cases of hypotensive cranial pressure headache were retrospectively analyzed.Results All the patients had positional headache accompaning one or more numerous symptoms including nausea,vomiting,dizziness,diplopia and neck stiffness.All the patients had low cerebrospinal fluid pressure（〈70 mm H2O）.CT was performed in all patients.All the patients were treated with conventional rehydration therapy to alleviate symptoms,23 of cases cured,7 cases improved.Conclusion Hypotensive cranial pressure headache was characterized by positional headache,signs was a rare,rehydration treatment was effective and eusemia.

关 键 词：低颅压 体位性头痛 补液治疗 

分 类 号：R651.1[医药卫生—外科学]