Menahem S
Med J Aust. 1983 Jun 11;1(12):579-82. doi: 10.5694/j.1326-5377.1983.tb136228.x.
Pain experienced by the child or perceived by the child's parents generally results in the child being taken forthwith to the doctor. Often the cause of the pain is obvious, such as an injury or an "acute" abdomen, and resolution may be readily achieved with the aid of medical science, the concern of the doctor, and the dedication of the parents. However, there are situations in which, despite the full resources of the physician and other helping professionals, resolution of the child's pain may not be forthcoming. This can particularly be observed in infants and children who are at risk and may have injuries inflicted by the persons looking after them. Infants and children may experience, or are thought to experience, pain in a recurrent and often troublesome way. Yet physical examination often reveals no abnormalities and further investigation is unhelpful. Resolution of the pain requires an understanding of the meaning of the pain to the child and its significance within the family. The clinical features of this kind of pain are described to highlight those aspects which may be helpful in its resolution.
儿童经历的疼痛或其父母察觉到的疼痛通常会使孩子立即被带去看医生。疼痛的原因往往很明显，比如受伤或“急腹症”，借助医学知识、医生的关注以及父母的悉心照料，疼痛通常能很快缓解。然而，在某些情况下，尽管医生和其他专业救助人员全力以赴，孩子的疼痛仍无法缓解。这在处于危险中的婴幼儿以及可能受到照料者伤害的儿童中尤为明显。婴幼儿可能会反复经历疼痛，且这种疼痛常常令人困扰。然而体格检查往往并未发现异常，进一步检查也毫无帮助。要缓解这种疼痛，需要理解疼痛对孩子的意义及其在家庭中的重要性。本文描述了这类疼痛的临床特征，以突出那些可能有助于缓解疼痛的方面。
