Patients with acute appendicitis can undergo surgical treatment to remove the inflamed or purulent appendix, aiming to achieve clinical cure. Conservative treatment can also be adopted, which includes using antibiotics and analgesic and sedative drugs, and performing anti - vomiting and decompression. In the early stage of inflammation, antibiotics can be used for anti - infection treatment. If the inflammation does not subside and there are surgical indications, surgical treatment is required. If the patient's condition does not allow surgery, conservative treatment can be carried out first to control the inflammation of appendicitis and allow the inflammatory mass to be absorbed, and then elective surgical resection of the appendix can be considered.