Perforated appendicitis is a more critical condition, and if not treated in time, once diffuse peritonitis occurs, it may lead to fatal infectious shock, which in severe cases can be fatal within a day. However, if the patient is treated in time, it is usually not life-threatening. Therefore, patients need to be treated early to avoid complications that may lead to serious consequences.
1. Anti-infection and supportive therapy: perforated appendicitis needs to be treated with antibiotics. For those who have already experienced shock, strong antibiotics such as moxifloxacin and cefepime should be administered as soon as possible to treat the infection, and rehydration therapy should be given to correct the water and electrolyte disorders, so as to avoid causing death.
2. Drainage: in the case of perforated appendicitis, there is usually pus around the lesion, and in severe cases, the pus will also flow into the abdominal cavity and lead to peritonitis. Therefore, when perforated appendicitis exists, the abdominal cavity should be flushed and a drainage tube should be put in to drain the pus in order to prevent serious infection.
3. Surgical resection: after perfecting the preoperative examination, abdominal exploration and appendectomy should be performed as soon as possible according to the patient’s condition.
Recovery after appendectomy is slow, and the patient may also suffer from infectious shock after surgery, which may lead to death. Therefore, it is necessary to continue the anti-infection and rehydration treatment after the operation, and pay attention to observe the symptoms of their own discomfort at any time, and consult the doctor as soon as there is any abnormality. Medications should be applied under the guidance of a doctor.