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头痛原因众多,但自发性颅内低压性头痛并不少见,如果临床医生不警惕容易误诊和漏诊。笔者自1988—1998年共收治14例,报道如下。 1 临床资料 1.1 一般资料 本组男5例,女9例。年龄24～56岁,平均36岁。好发于青年人,其中40岁以下8例。发病诱因:病前有感冒发热者5例,中耳炎1例,慢性鼻窦炎2例,慢性胃炎2例,胆囊炎2例,糖尿病1例,性交后1例。临床特点:青壮年发病率相对较高,症状突然者8例,逐渐发生者6例。直立性头痛是典型的症状,常在直立后15min头痛出现或者加重,平卧15min后头痛消失或缓解。程度中重度,多位于额部和枕部,可伴有头晕、恶心、呕吐、耳鸣、视物模糊不清等。
Many reasons for headaches, but spontaneous intracranial hypobaric headache is not uncommon, if clinicians are not alert easily misdiagnosed and missed diagnosis. From 1988 to 1998, I treated a total of 14 cases, reported as follows. 1 Clinical data 1.1 General Information The group of 5 males and 9 females. Aged 24 to 56 years old, average 36 years old. Occur in young people, including 40 years of age in 8 cases. Incentives: pre-sick fever in 5 cases, 1 case of otitis media, 2 cases of chronic sinusitis, chronic gastritis in 2 cases, 2 cases of cholecystitis, 1 case of diabetes, 1 case of intercourse. Clinical features: The incidence of young adults is relatively high, 8 cases of sudden symptoms, and gradually occurred in 6 cases. Erectile headache is a typical symptom, often 15min after headache appear or aggravated, headache disappeared or relieved 15min after supine. Moderate to moderate, mostly in the forehead and occipital, may be associated with dizziness, nausea, vomiting, tinnitus, blurred vision and so on.