无导线起搏器因其体积小、无囊袋、植入创伤小，可避免传统电极导线磨损、断裂等优势，在起搏器植入领域大放异彩。但是，儿童由于其有异于成人的生理特征，植入路径、心腔大小、右心室目标区域条件、起搏比例、起搏器使用年限、未来更换等问题均成为儿童无导线起搏器应用的特殊挑战。本文对目前儿童无导线起搏器植入方面的现状进行了简要回顾，阐述了儿童无导线起搏器植入面临的问题和对策，以期增进同行对这一前沿技术的了解，并推动无导线心脏起搏器在儿科领域的规范应用。

Leadless pacemakers have gained prominence in the field of pacemaker implantation due to their small size, lack of a pouch, minimal implant trauma, and avoidance of traditional electrode lead wear and fragmentation. However, children, with their distinct physiological characteristics from adults, face unique challenges in terms of implantation pathways, cardiac chamber size, right ventricular target area conditions, pacing ratio, pacemaker lifespan, and future replacement issues. This article provides a brief review of the current status of leadless pacemaker implantation in children, discussing the problems and strategies faced in the implantation of leadless pacemakers in children, with the aim of enhancing the understanding of this cutting-edge technology among peers and promoting the standardized application of leadless cardiac pacemakers in the pediatric field.