Appendicitis with abdominal distension based on the severity of the patient’s appendiceal infection is different, often can take different clinical methods: a. If the appendix is more serious degree of infection, with appendiceal perforation or gangrene-like changes, at this time the abdominal cavity with more inflammatory seepage and intestinal tube is obviously dilated, the patient will be obvious abdominal pain, abdominal distension, it is recommended that the patient as soon as possible in the appendiceal surgery under general anesthesia, the appendiceal surgery to treat. Clean up the inflammatory exudate in the abdominal cavity, give ceftazidime or cefoperazone sodium tazobactam sodium and other anti-inflammatory drugs to strengthen the anti-infection treatment, control the patient’s abdominal infection after the intestinal tube can restore peristalsis, thus reducing the symptoms of abdominal distension. Second, if the degree of appendiceal infection is relatively mild, at this time the abdomen with mild flatulence, can be given directly to the infusion of cefmetazole or cefamandole and other anti-inflammatory drugs, control of appendiceal inflammation, part of the patient after the conservative treatment of abdominal flatulence symptoms can be significantly relieved, temporarily do not need to carry out surgical treatment.