患者 ,男性 ,5 4岁 ,农民。因发作性头痛 5年 ,加重伴心悸、多汗 6小时入院。患者自 5年前 ,出现以额顶部为著的弥散性头痛 ,可伴心悸、乏力 ,多于劳累后和情绪激动时发作 ,每次持续数十分钟 ,经卧床休息可消失。 3年前出现多食、多汗、消瘦。近 1年来头痛发作增多 ,偶有头部爆 Patients, male, 5 4 years old, farmer. Due to episodic headache for 5 years, he was admitted to hospital with aggravated palpitation and sweating for 6 hours. Five years ago, the patient developed a diffuse headache with a forehead, which could be associated with palpitations and fatigue, more often than after exertion and during emotional excitement. Each time lasted for several tens of minutes and disappeared through bed rest. 3 years ago there was more food, more sweating, and weight loss. Increased number of headaches in the past 1 year and occasional head bursts