该文系统性探讨人工智能（artificial intelligence, AI）技术与叙事医学在儿科医学教育中的融合路径、挑战，以及未来的发展方向。儿科诊疗因其服务对象的特殊性，对医生的共情、沟通能力以及人文素养均提出了更高的要求。叙事医学作为弥补医学人文缺失的关键范式，为这些核心人文素养的培养提供理论框架与实践方法，但其教学推广与实践存在着规模化、标准化不足以及深度反馈有限等困境。AI技术，特别是自然语言处理和生成AI的进展，为破解上述困境带来全新的契机。该文借助系统性的文献回顾，梳理了二者融合的相关理论、研究方法与实践成果，构建了“独立发展-技能赋能-协同深化”的三阶段融合模型。文章细致剖析了二者融合过程中面临的技术伦理、教育整合与价值异化等严峻挑战，最后提出构建以“人机协同”为核心的未来儿科医学教育新范式，为培育兼具精湛技术、深厚共情与坚韧职业精神的下一代儿科医生开拓新视角。

This paper systematically explores the integration pathways, challenges, and future directions of artificial intelligence (AI) technology and narrative medicine in pediatric medical education. Due to the unique characteristics of the pediatric population, pediatric diagnosis and treatment place higher demands on physicians' empathy, communication skills, and humanistic qualities. Narrative medicine, as a key paradigm to address deficiencies in medical humanities, provides a theoretical framework and practical methods for cultivating these core humanistic qualities. However, its teaching promotion and practice face challenges such as insufficient scaling, lack of standardization, and limited depth of feedback. Advances in AI technology, particularly in natural language processing and generative AI, offer new opportunities to overcome these challenges. Based on a systematic literature review, relevant theories, research methods, and practical outcomes of the integration between AI and narrative medicine are synthesized, and a three-stage integration model of "independent development - skill empowerment - collaborative deepening" is constructed. The integration process faces significant challenges including technical ethics, educational integration, and value alienation. Finally, a new paradigm for future pediatric medical education centered on "human-machine collaboration" is proposed, aiming to cultivate the next generation of pediatricians who possess excellent technical skills, profound empathy, and resilient professional spirit, thereby opening new perspectives.