作者根据过去10年的文献复习急性胰腺炎的病因和预后因素。病人中约27％有胆石,55％有酗酒史。其他较少见的病因则有:1. 代谢性--高脂蛋白血、高钙血、药物、蝎咬、遗传性。2. 机械性--胃、胆道手术后、创伤后、逆行胰管造影、肿瘤或蛔虫阻塞胰管、十二指肠梗阻。3. 血管性--心肺旁路术后、结节性动脉周围 The authors reviewed the etiology and prognostic factors of acute pancreatitis based on the literature over the past 10 years. About 27% of patients have gallstones, 55% have a history of alcoholism. Other less common causes are: 1. Metabolic - hyperlipoproteinemia, hypercalcemia, drugs, scorpion bite, hereditary. 2. Mechanical - stomach, biliary surgery, trauma, retrograde pancreatography, tumor or roundworm obstruction of the pancreatic duct, duodenal obstruction. 3. Vascular - cardiopulmonary bypass surgery, nodular artery around