目的　探讨急性胰腺炎的临床特点、诊断和治疗的若干问题。方法　对 1993年 1月至 2 0 0 3年 1月期间住院的急性胰腺炎患者 4 10例作回顾性分析 ,总结其临床特点 ;并对不同的诊断方法进行评价。对急性胰腺炎的诊断标准提出意见。结果　腹痛为急性胰腺炎的必有症状 ,呕吐后腹痛不缓解可与急性胃炎相区别。症状、血清酶学及影像检查三者结合可对急性胰腺炎作出正确诊断。腹部 CT对诊断有重要价值。每个急性胰腺炎患者均须给予严密监测 ,以防止其病情发展为急性重症胰腺炎。凡腹痛严重伴有 1个以上的脏器功能障碍表现者 ,即应考虑为急性重症胰腺炎并及时治疗。结论　急性胰腺炎为常见病 ,近年来有增多趋势。重症胰腺炎预后凶险 ,须提高警惕早期诊断 ,并予以有效治疗。 Objective To investigate the clinical features, diagnosis and treatment of acute pancreatitis. Methods Forty patients with acute pancreatitis who were hospitalized from January 1993 to January 2003 were analyzed retrospectively to summarize their clinical features and to evaluate different diagnostic methods. Acute pancreatitis diagnostic criteria for comments. Results abdominal pain is an essential symptom of acute pancreatitis, abdominal pain does not ease after vomiting can be distinguished with acute gastritis. Symptoms, serum enzymes and imaging combined with the three can make the correct diagnosis of acute pancreatitis. Abdominal CT has important diagnostic value. Every patient with acute pancreatitis should be closely monitored to prevent his condition from developing acute severe pancreatitis. Where severe abdominal pain accompanied by more than one organ dysfunction performance, that should be considered for acute severe pancreatitis and timely treatment. Conclusions Acute pancreatitis is a common disease with an increasing trend in recent years. Prognosis of severe pancreatitis dangerous, should be vigilant early diagnosis, and to be effectively treated.