偏头痛社区持续性偏头痛
2023年3月5日·201 阅读
<hr/>
<p style="text-align: center;">
<iframe frameborder="0" src="https://v.qq.com/txp/iframe/player.html?vid=q35056huw45" allowfullscreen="true" width="360" height="230" scrolling="yes" align=" "></iframe>
</p>
<hr/>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">持续性偏头痛，是指偏头痛持续发作时间超过<span style="font-family: 宋体, SimSun; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;"> 72 </span>小时、同时伴有疼痛和其他偏头痛相关症状的一种偏头痛发作状态。无论是有先兆还无先兆的偏头痛，都有可能出现这种情况。这种情况下偏头痛的常规治疗方式会失效，非常难以处理。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">持续性偏头痛也可称为顽固性偏头痛或难治性偏头痛。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">持续性偏头痛不同于慢性偏头痛，虽然慢性偏头痛患者的偏头痛发作天数每月超过<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">15</span>天，但其每次发作持续时间不会超过<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">72</span>小时。需要警惕的是慢性偏头痛是可以发展为持续性偏头痛的。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";"> </span></span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">持续性偏头痛通常是由于偏头痛治疗失败而导致，比如对治疗药物出现耐药性，或者服用中断偏头痛的药物太晚等（偏头痛完全发作后才服用中断性药物）。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">典型症状包括：严重的头部疼痛、畏光、视觉障碍、恶心呕吐、畏声、眩晕、易怒和无法集中注意力等。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";"> </span></span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">持续过长和无法缓解的症状可导致患者产生低血糖、电解质失衡和脱水。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">如果你出现偏头痛发作持续超过<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">72</span>小时的情况，应及时去医院就诊或直接去急诊室。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";"> </span></span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">由于持续性偏头痛很难处理，医院的治疗方式一般为紧急止痛和防止脱水（如果呕吐严重话）。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">住院的治疗手段一般为静脉输液，例如：双氢麦角胺、类固醇、抗癫痫药物、抗组胺药、镁、抗炎药物、吩噻嗪、抗恶心止吐药物和电解质。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">门诊治疗方式一般包括：类固醇、肌肉松弛剂、抗组胺药和抗恶心止吐药物。使用利多卡因进行神经阻滞也是一种有效的治疗方法，特别是对孕妇来说是的个不错方式。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">医生也可能会开具一些常规的偏头痛预防性药物。</span>
</p>
<p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;">
<span style="font-family: 宋体, SimSun; font-size: 18px;">在临床医生的监督指导下，采取多种疗法联合治疗，可能是治疗持续性偏头痛的最佳方式。联合疗法可能包括：服药、A型肉毒杆菌、神经调节仪器、生物反馈仪器、包括认知行为疗法等。在持续性偏头痛发作后一周内与医生保持联系非常重要，由医生进行病情跟进以防止复发。</span>
</p>
<p>
<br style="text-indent: 2em; text-align: left;"/>
</p>