目的：探讨急性胰腺炎的临床特点及防治措施。方法：对２３３例急性胰腺炎进行了临床分析。结果：男女发病比例为１∶１２０，病因以胆系疾病为多（３５６２％），临床表现中腹痛、恶心、呕吐居前３位，上腹压痛、肌紧张和发热是主要的体征，实验室检查中尿淀粉酶阳性率（８６２７％）高于血清淀粉酶阳性率（６００９％）（Ｐ＜００１）。胰外损害中肝脏损害发生率为２７４７％。本组１３例死亡病例均系重症患者，总死亡率为５５８％，重症死亡率为４８１５％。结论：禁食、胃肠减压、营养及支持治疗、抗感染等积极的内科治疗是有效的。肝脏损害多可随急性胰腺炎的治愈而恢复。重症胰腺炎应密切监测病情变化，加强支持治疗，必要时手术。 Objective: To investigate the clinical features and preventive measures of acute pancreatitis. Methods: 233 cases of acute pancreatitis were analyzed. Results: The incidence of males and females was 1: 1.20, the cause was gallbladder disease (35.62%), the first three were abdominal pain, nausea and vomiting. The abdominal tenderness, muscle tension and fever were the main factors The positive rate of urinary amylase (8627%) in laboratory examination was higher than that of serum amylase (6009%) (P <001). The incidence of liver damage in pancreatic injury was 27.47%. The group of 13 deaths were patients with severe cases, the overall mortality rate was 5  58%, severe mortality was 48  15%. Conclusion: Fasting, gastrointestinal decompression, nutrition and supportive treatment, anti-infection and other active medical treatment is effective. Liver damage and more can be cured with the recovery of acute pancreatitis. Severe pancreatitis should closely monitor the changes in condition, strengthen supportive treatment, surgery if necessary.