Based on the hourly precipitation data from 302 regional automatic weather stations in the Loess Plateau arid region of eastern Gansu from 2013 to 2020, digital elevation model data from shuttle radar topography mission and ERA5 reanalysis data of European Centre for Medium-Range Weather Forecasts, etc., the spatio-temporal distribution characteristics of short-term heavy rainfall are analyzed, and on this basis that the relationship between it and topography, geography factors is discussed. Then combined with an extremely short-term heavy rainfall event in 2021, the influence mechanism of terrain is summarized. The results are as follows: (1) The short-term heavy rainfall mainly occurs in summer in the Loess Plateau arid region of eastern Gansu, and in July the proportion of short-term heavy rainfall days （35.9%） is the most and the extremity is the strongest, while in August the proportion of short-term heavy rainfall times (46.9%) is the most and the rainfall intensity is the strongest. The rainfall intensity mainly ranges from 22.0 to 31.0 mm·h^-1, and it shows a multi-modal diurnal distribution with the most active, strongest and most extreme from 17:00 BST to next 00:00 BST, whose proportion of times is 56.8%. (2) The spatial distribution of the occurring times and hourly precipitation extremum of short-term heavy rainfall events is extremely uneven. The occurring times is less in the northwest and more in the southeast, it decreases sharply with the increase of rainfall intensity, and the short-term heavy rainfall occurs frequently in the area with valley bell-mouth topography, moreover, the palm landform is also the high incidence area of heavy precipitation above 30.0 mm·h^-1. The extremum is small in the middle and large in the northeast and southwest, the large value mostly distributes in eastern Qingcheng and western Heshui. (3) The influence of geographical and topographic factors on occurring times of short-term heavy rainfall is significant, and its contribution comes from geographical location, while their influence on precipitation extremum isn’t obvious. In general, the topographic forced uplift isn’t main influence mechanism on short-term heavy rainfall in the Loess Plateau arid region of eastern Gansu. (4) The mountain-valley wind circulation and surface mesoscale convergence line induced by it are important inducement for the formation of short-term heavy rainfall in valley bell-mouth topography area in the Loess Plateau arid region of eastern Gansu.