剧烈头痛是指患者难以忍受的、急性发作的头痛。常见的原因及表现如下: 脑出血 头痛常为前驱症状,继之呕吐、昏迷,肢体瘫痪。 高血压脑病 原有高血压,当血压急骤升高时,舒张压可达140毫米汞柱(18.7千帕)以上,表现为剧烈头痛、呕吐,可有四肢抽搐、意识障碍。 脑膜炎 头痛伴发热、颈项强直、皮肤瘀斑,脑脊液呈炎性改变。 蛛网膜下腔出血 起病最为急骤,头痛最为剧烈,有时呈“劈裂样”,颈项强直,脑脊液呈血性。本病虽多发于青壮年,但老年人也不宜忽视。 颅内占位性病变 头痛呈进行性加剧,后期常伴有呕吐。 应急措施 Severe headache refers to patients with unpleasant, acute headache. Common causes and manifestations are as follows: Cerebral hemorrhage headache often prodromal symptoms, followed by vomiting, coma, limb paralysis. Hypertensive encephalopathy has high blood pressure, when the blood pressure rises sharply, the diastolic blood pressure up to 140 mm Hg (18.7 kPa) above, manifested as severe headache, vomiting, may have limbs convulsions, disturbance of consciousness. Meningitis headache with fever, neck stiffness, ecchymosis, cerebrospinal fluid inflammatory changes. Subarachnoid hemorrhage onset is the most abrupt, the most intense headache, and sometimes showed “split-like”, neck stiffness, cerebrospinal fluid was bloody. Although the disease occurs in young adults, but the elderly should not be ignored. Intracranial lesions progressive headache was aggravated, often accompanied by late vomiting. Emergency measures