总结５年来１４７例急性胆源性胰腺炎的治疗经验。其中水肿型胰腺炎１０９例，坏死型胰腺炎３８例。早期手术２４例，死亡５例（占２０８％），择期手术６例，无１例死亡；早期非手术治疗１１７例，２例死于ＭＯＦ（占１７１％），１１５例痊愈，其中１１０例在３周至３个月内择期行胆石症手术。认为把握急性胆源性胰腺炎的手术时机，适时处理胆石症，在早期加强抗感染治疗，减少因胆道疾病导致的早期手术，尽可能选择限期或择期手术治疗胆石症，可以降低病死率和减少胰腺炎的复发。 Summarize the treatment experience of 147 cases of acute gallstone pancreatitis in 5 years. Of which 109 cases of edematous pancreatitis, 38 cases of necrotic pancreatitis. There were 24 cases of early surgery, 5 cases of death (208%), 6 cases of elective surgery, none of them died; 117 cases of early non-surgical treatment, 2 cases died of MOF (171%), 115 cases recovered, Of these, 110 patients underwent cholelithiasis surgery within 3 weeks to 3 months. That grasps the timing of surgery for acute biliary pancreatitis, timely treatment of cholelithiasis, early anti-infective treatment to enhance and reduce the early surgery due to biliary tract disease, as far as possible to choose a limited period or elective surgery for cholelithiasis can reduce mortality and reduce Recurrence of pancreatitis.