Patients with acute appendicitis can consider conservative treatment in the following cases: a. If the degree of appendiceal infection is relatively mild, no periappendiceal abscess is found through ultrasound or CT examination, there is no fecal stone in the appendiceal cavity, no obvious accumulation of fluid and pus in the abdominal cavity, and the appendix only shows congestion and enlargement, accompanied only by light pressure pain in the right lower abdomen, no obvious rebound pain, and the blood test indicates that the infection index in the body At this time, the condition is not serious and can be closely observed through conservative anti-infection treatment. Second, elderly patients with poor physical condition combined with cardiac insufficiency, chronic obstructive pulmonary disease, coronary heart disease and other contraindications to surgery, if forced surgery may cause life-threatening cardiopulmonary failure after surgery, as long as there is no acute diffuse peritonitis, chills, high fever and other symptoms of systemic toxicity, conservative anti-infection therapy is recommended.