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目的 观察永久心脏起搏器在儿童病例中的应用及疗效。方法１９８１年９月～２０００年５月，对１４例儿童进行了永久起搏器的植入，其中男性１０例，女性４例，年龄２．５～１２．０岁，平均（８．４±４．０）岁。１２例因心脏手术和２例因非心脏手术致完全性房室阻滞。经右颈内静脉切开植入电极导线７例、经右锁骨下静脉穿刺３例、经头静脉切开３例，直视手术下１例。结果 １４例患儿植入永久性心脏起搏器后，心功能恢复良好。结论 儿童永久性心脏起搏器植入是安全可靠的，但对婴幼儿在导线径路方面，静脉切开的方法较穿刺方法更为安全。１０岁左右儿童可采取自头静脉插入导线，与成人比较无差别。起搏器选择、植入途径和导线在心房内长度的处理是起搏器成功治疗的关键。
Objective To observe the application and curative effect of permanent pacemaker in children. Methods From September 1981 to May 2000, 14 children underwent permanent pacemaker implantation, including 10 males and 4 females, ranging in age from 2.5 to 12.0 years (mean, 8.4 ± 4.0) years old. Twelve patients underwent heart surgery and two had complete atrioventricular block due to noncardiac surgery. Seven cases were implanted with lead through the right internal jugular vein, 3 cases were punctured through the right subclavian vein, 3 cases were incised through the cephalic vein, and 1 case under direct vision. Results 14 cases of children with permanent cardiac pacemaker implantation, cardiac function recovered well. Conclusion Permanent implantation of pacemakers in children is safe and reliable, but for infants and young children, the method of phleb dissection is safer than the puncture. Children aged about 10 can be taken from the vein into the lead, no difference compared with adults. Pacemaker selection, placement of implants and leads in the atrial length are key to successful treatment of pacemakers.