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目的 探讨儿童偏头痛的临床特征、实验室检查及预防、治疗措施。方法 回顾分析自 1996年 5月～ 2 0 0 1年 11月符合诊断的 4 3例患儿 ,根据头痛发作特点采取相应的预防及治疗。结果 11例患儿仅合理安排生活即能缓解病情 ,12例须加用对症治疗 ,17例预防性应用苯噻啶亦得到病情缓解。结论 儿童偏头痛临床表现不典型 ,有其自身特点 ;诊断主要根据临床症状 ,另经颅多谱勒是协助诊断的一种可靠检查方法 ;日常生活指导及心理干预极有意义 ,苯噻啶对发作频繁 ,程度较重或对症治疗无效患儿预防发作效果较理想。
Objective To investigate the clinical features, laboratory tests, prevention and treatment of migraine in children. Methods Retrospective analysis of 43 cases of children diagnosed from May 1996 to November 2001, according to the characteristics of headache and take appropriate prevention and treatment. Results In 11 cases, only rational living arrangements were able to relieve the condition. Twelve patients had to be treated symptomatically. Seventeen patients were also given psyzetidin for prophylaxis. Conclusion The clinical manifestations of migraine in children are not typical and have their own characteristics. The diagnosis is mainly based on clinical symptoms and transcranial Doppler is a reliable diagnostic method to assist the diagnosis. Daily life guidance and psychological intervention are of great significance. Frequent seizures, severe or symptomatic treatment of children with premature onset is better.