Tobias J D
Vanderbilt University School of Medicine, Nashville, Tennessee.
Clin Podiatr Med Surg. 1994 Jan;11(1):25-40.
Recent evidence has documented the deleterious physiologic effects of pain. The treatment of pain in children may be guided by a step-wise approach depending on its severity (Table 2). Mild pain can generally be controlled with a NSAID, such as ibuprofen, whereas moderate pain may require the addition of an orally active narcotic. Several approaches may be taken for the treatment of severe pain, including regional anesthetic techniques or the use of PCA to deliver intravenous narcotics. When such techniques fail, consultation with specialists in the field of pediatric pain management may be helpful.
最近的证据记录了疼痛对生理的有害影响。儿童疼痛的治疗可根据其严重程度采用逐步治疗方法（表2）。轻度疼痛通常可用非甾体抗炎药（如布洛芬）控制，而中度疼痛可能需要加用口服活性麻醉剂。治疗重度疼痛可采用多种方法，包括区域麻醉技术或使用患者自控镇痛（PCA）来给予静脉麻醉剂。当这些技术无效时，咨询儿科疼痛管理领域的专家可能会有所帮助。
