儿童头痛65例临床分析

目的 了解儿童头痛的常见原因. 方法 对65例头痛患儿进行详细的病史询问、体格检查、彩色多普勒血流图（TCD）、脑电图（EEG）、CT及脑脊液等检查分析. 结果 偏头痛32例（49.23%）,紧张性头痛、癫痫各5例（7.69%）,脑血管畸形、脑炎、外伤后脑震荡、脑囊虫各1例（1.54%）,蛛网膜下腔囊肿2例（3.08%）,颅内肿瘤3例（4.62%）,副鼻窦炎10例（15.38%）,屈光不正4例（6.15%）. 结论 儿童头痛以原发性头痛多见,特别是偏头痛,其次是耳鼻眼及颅内因素引起的头痛.

Analysis of 65 cases of Children with Headache

Objective To learn the common cause of children's headache. Methods 65 patients were investigated with detailed disease history,and given physical examination,combining with color doppler flow diagram of brain(TCD),electroencephalogram(EEG),CT and CSF. Results Migraine patients were 32 cases(49.23%),tension headaches or epilepsy patients were 5 cases(7.69%)respectively .vascular malformations,encephalitis,brain concussion after traumatic,cysticercosis were 1(1.54%),SAH were 2 cases(3.08%),intracranial neoplasm were 3 cases(4.62%),vice sinusitis were 10 cases(15.38%),ametropia were 4 cases(6.15%). Conclusion Children with headaches were generally primary,especially migraine,following caused by the eyes,ears,nose and encephalic factors,and making sure of causes for headache was definite in diagnosis and treatment.