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头痛为最常见症状之一,在美国每年有1,600万病人因头痛就诊.1973年CT问世以来,短时间内即广泛应用.本文对CT应用于门诊头痛病人检查的实际效果加以评价,还对常用于检查头痛的各种神经诊断性检查方法以及与之有关的有效费用作了比较.选择标准是①头痛为起始主诉,②有神经系统检查及记录,③接受过其他的神经诊断性检查(如脑扫描、脑血管造影、头颅X光片、颈椎X光片、腰穿、气脑造影、脑电图等).符合此标准的161名头痛病人进行了三次分析,第一次在1974年9月第一代CT问世以前,其他二次分别在CT问世后及一年后进行,前后作了对比.同时,对目的在于检查头痛病人的各种神经诊断性检查所花费用账单亦分别统计加以对比.161名头痛病人中神经系统检查异常者共16名,
Headache is one of the most common symptoms, with 16 million patients suffering from headache every year in the United States. Since the advent of CT in 1973, it has been widely used in a short period of time.This paper evaluates the actual results of CT examination applied to outpatient headache patients, The various diagnostic tests for headache were compared with the effective costs associated with them.Selection criteria were ① headache as the initial complaint, ② nervous system examination and recording, ③ other neurological diagnostic tests ( Such as brain scan, cerebral angiography, skull X-ray, cervical X-ray, lumbar puncture, pneumoperitoneum, electroencephalogram, etc.) According to this standard, 161 headache patients were analyzed three times for the first time in 1974 Before the advent of the first generation CT in September, the other two comparisons were performed after and one year after CT, respectively, and statistics were also made on the bills used for various neurological diagnostic tests aimed at examining headache patients To be compared with 161.A total of 161 patients with abnormal headache in neurological examination,