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The Xitieshan lead-zinc deposit is located in the north margin of the Qaidam Basin, Qinghai Province, China. It is one of the largest massive sulfide deposits in China and is supposed to be of the sedimentation-exhalation (SEDEX) type. Based on the main ore mineral and sulfur isotopic compositions in sulfides found in the wall rock, the S of the deposit is considered to originate from the mantle, but the fluid potentially mixed with sea water during the hydrothermal circulation exchange. The study of lead isotopes shows that the metallogenic material is characterised by the mixture of orogenic and upper crust sources. The lead isotopic signature of the wall rock is similar to that of the ore, which shows synsedimentary characteristics. According to the composition of the rubidium and strontium isotopic signature, the value of 87Sr/86Sr is lower than the average value of that in the crustal rock, which is larger than that of the mantle. Hence, the metallogenic materials of this deposit mainly originate from the crust, which is related to materials of volcanic rocks activation and migration of the deep hot circulating water. The process of the metallogenic fluid circulation shows continuous interaction with crustal material and lead to continuous enrichment of the ore forming fluids. From the study of the fluid inclusion microthermometry of the ore and the associated minerals combined with the C, H-O, Si isotopes, it is believed that the metallogenic fluid is mainly coming from the mantle or the deep magma chambers. The rising deep fluid then mixes with the sea water. The carbon dioxide escaping and mixing with sea water during the hydrothermal exhalation process leads to the rapid precipitation of the hydrothermal fluid to deposit metal. That is proposed as the principal formation mechanism of the Xitieshan deposit. Further studies are proposed, including obtaining geochronology data from this deposit.CITATION:Zhao, Z X, Wei, J H, Liang, S N and Zhao, S Q, 2015. Advances in research on metallogenic mechanisms for the Xitieshan sedimentation-exhalation lead-zinc deposit, Qinghai Province, China, in Proceedings PACRIM 2015 Congress, pp 487-494 (The Australasian Institute of Mining and Metallurgy: Melbourne).