在急性心肌梗死(AMI)患者中有5～15％发生完全性心脏传导阻滞(CHB)。尽管使用了暂时性经静脉起搏,死亡率仍可达40～80％,视梗死位置和是否存在QRS综合波增宽而异。近几年来关于完全性心传导阻滞治疗的报告几乎都是关于使用起搏器的。本文报告药物对急性心肌梗死时完全性心传导阻滞的治疗结果,以及心内起搏器在治疗和预防上的指 Complete heart block (CHB) occurs in 5-15% of patients with acute myocardial infarction (AMI). Despite the use of temporary venous pacing, the mortality rate can still reach 40 to 80%, depending on the location of the infarct and the presence or absence of widened QRS complexes. Almost all reports of complete heart block in recent years have been about the use of pacemakers. This article reports the results of the treatment of complete heart block in patients with acute myocardial infarction and the treatment and prevention of cardiac pacemaker