重症急性胰腺炎起病凶险,病死率较高。对重症急性胰腺炎的早期识别及早期治疗有助于减少器官衰竭、感染等并发症的发生,降低病死率。该文从早期病情评估、早期病情监测及早期治疗3个方面介绍重症急性胰腺炎的早期处理,以期提高临床医生对重症急性胰腺炎早期诊治的认识。 Severe acute pancreatitis dangerous, high mortality. The early identification and early treatment of severe acute pancreatitis can help reduce the incidence of organ failure, infection and other complications, reduce mortality. This article introduces the early treatment of severe acute pancreatitis from three aspects of early disease evaluation, early disease monitoring and early treatment in order to improve clinicians’ understanding of early diagnosis and treatment of severe acute pancreatitis.