Pancreatitis caused by gallstones is called biliary pancreatitis, and it should be treated promptly. According to the situation, fluid therapy, analgesic therapy, nutritional support and surgical treatment are usually adopted. 1. Fluid therapy: fasting, water fasting, fluid therapy immediately after the diagnosis of acute pancreatitis, preferred lactated Ringer’s solution, saline and other crystalline fluids. 2. Analgesic treatment: the main symptom of acute pancreatitis is pain, obvious pain patients should be analgesic treatment, can improve the patient’s prognosis, commonly used flurbiprofenac sodium, pethidine and other drugs. 3. Nutritional support: patients with acute pancreatitis need to be temporarily fasted, enteral nutrition, parenteral nutrition should be taken for nutritional support. 4. Acid and enzyme inhibition therapy: use omeprazole, growth inhibitor, octreotide, etc. for acid and enzyme inhibition therapy. 4. Surgical treatment: if the bile duct still exists with biliary obstruction factors at the time of admission, the biliary obstruction should be relieved in time, such as gallbladder puncture and drainage, endoscopic retrograde cholangiopancreatography stent implantation. Surgical treatment can be performed on an elective basis after control of pancreatic inflammation, choosing cholecystectomy, choledochotomy and lithotripsy according to the situation. Acute pancreatitis has a rapid onset, and once detected, it is important to seek prompt medical attention to avoid delays.