Low permeability porous carbonate rocks occupy a certain proportion in the Middle East. Horizontal injection-production well pattern development is often adopted. Due to the influence of well type and wellbore, reservoir dynamic monitoring is mainly based on conventional daily measurement data, well test and pressure monitoring. Therefore, it is particularly important to combine well test interpretation with production dynamic analysis to diagnose the main control factors and production characteristics of this type of reservoir. In this paper, the point source function is used to obtain the pressure variation function of a horizontal well in infinite formation with upper and lower closed boundary. The difference between the horizontal well test curve of A reservoir and the typical horizontal well test curve is compared and analyzed, and the abnormal well test curve of horizontal wells is characterized by a linear flow phase with a slope of 1/3 or 1/4. The abnormal well test curve accounted for 33.34%. The main influencing factors are the permeability around the well and the well trajectory. By combining well test interpretation with dynamic inversion method, the correlation between well test interpretation and dynamic characteristics of horizontal wells with different characteristics is classified and clarified. The main controlling factors that affect the difference in the water injection development effect of different horizontal wells are further clarified, and provide an important reference for the adjustment of injection-production parameters and the optimal deployment of schemes.