作者对1972年至1978年间22例先天性心脏病在开心手术后出现一过性房室传导阻滞的病程作了回顾,以确定其预后及安置永久性起搏器的必要性。病例:22例术后发生房室传导阻滞患者中14例为男性,8例为女性。手术时年龄3～43岁(平均16岁)。8例为大动脉错位伴室间隔缺损,5例为法乐氏四联症,2例为肺动脉瓣闭锁伴室间隔缺损,2例为单心室,完全性房室共道、先天性主动脉瓣狭窄、Ebstein 畸形、房间隔缺损伴室间隔缺损和单纯房间 The authors reviewed the course of sudden atrioventricular block in 22 patients with congenital heart disease from 1972 to 1978 to determine their prognosis and the need for permanent pacemaker placement. Case: Of the 22 patients with atrioventricular block, 14 were male and 8 were female. Age 3 to 43 years (mean 16 years) at the time of surgery. Eight patients had major arterial dislocation with ventricular septal defect, five patients with tetralogy of Fallot, two patients with pulmonary atresia and ventricular septal defect, two patients with single ventricle, complete atrioventricular node, congenital aortic valve stenosis , Ebstein’s deformity, atrial septal defect with ventricular septal defect and simple room