儿童青少年心理困扰常以躯体症状出现，患儿和家长过度关注躯体情况而忽略了心理社会因素在症状发生发展中的核心作用，不仅延误治疗时机，还引发不良后果：一方面可产生拒学、人际功能退缩等社会功能下降，另一方面家属可能对精神科或心理健康评估的有效性持怀疑态度，会继续寻求用于排查躯体器质性病变的检查，过度检查会增加经济负担。从医疗层面看，目前社区医疗卫生服务中心、儿科等医疗机构对于此类疾病识别率低，针对心身疾病无统一治疗方案，且症状出现至获得治疗的间隔时间长。因此，撰写此文旨在引起医疗工作者，尤其是初级医疗机构医务人员的重视，以达到早期发现，早期诊断，早期治疗或转诊的目的。

Psychological distress in children and adolescents often manifests as somatic symptoms. Both young patients and their parents tend to overfocus on physical complaints while neglecting the core role of psychosocial factors in the onset and progression of these symptoms. This misattribution not only delays the timing of treatment but also leads to adverse consequences: on one hand, it may result in the decline of social functioning such as school refusal and withdrawal of interpersonal functions; on the other hand, family members may be skeptical about the effectiveness of psychiatric or mental health assessments and thus continue to seek examinations for ruling out physical organic lesions, and excessive examinations will increase the economic burden. From the medical perspective, medical institutions such as community health service centers and pediatric departments currently have a low recognition rate of such diseases. There is no unified treatment plan for psychosomatic diseases, and the interval from the onset of symptoms to the initiation of treatment is relatively long. Therefore, this article aims to raise awareness among medical workers, especially those in primary medical institutions, to promote early detection, timely diagnosis, and effective intervention for pediatric psychosomatic disorders.