Introduction
Acute appendicitis is one of the most common acute abdominal conditions in surgery. The mechanism for its occurrence is mainly after cavity cavity, bacteria breed and excrete toxins and excrete toxins, damage the upper skin of the mucous membranes and form the mucous membranes, bacteria go through the mucous membranes of the ulcer into the ulcer layer, higher pressure of the cavity wall, obstructing arterial blood flow, causing amniotic blood and, ultimately, the death of the appendix and noma. Timely and effective treatment is essential to improve patient prognosis, and this paper will elaborate on the treatment of acute appendicitis infections and provide an in-depth analysis of relevant cases.
II. Treatment of acute appendix infection
(i) Non-surgery
1. General treatment
Patients should rest in bed and take half-beds, which facilitates inflammation limitations. At the same time, fasting or the granting of fluid diets should provide timely intravenous rehydration for patients with dehydration or electrolytic disorders.
Antibiotic treatment
The selection of appropriate antibiotics according to the condition is crucial. Drugs such as head bacterium (e.g., furcinol) combined with nitrazine are generally selected for the eclactus and anaerobics. In the use of antibiotics, care is taken to detect adverse reactions, such as an allergy of the patient, and to adjust the drug programme to changing conditions.
(ii) Surgery
1. Traditional abdominal acoustic mutilation
It’s classic surgery. The surgical cut usually chooses the max or abdominal cut. In the course of the operation, the binding tissue around the appendix is carefully separated and the appendix membranes and the appendix roots are properly treated. For example, for patients with lower appendix root inflammation, it is possible to simply slit and sever; for people with root noma or perforation, it may be necessary to cover the end of the appendix with a bag or to apply an enhanced treatment such as an 8-word stitch. After the operation, care is taken to observe the presence of complications such as infection and haemorrhage.
2. Amputation of abdominal lenses
As a result of the development of abdominal lens technology, the method is increasingly applied for the treatment of acute appendixitis. They have the advantage of small trauma, rapid recovery and few post-operative complications. The procedure provides a clear view of the appendix and its surroundings through the establishment of abdominal abdomen, cavity lenses and operating devices. In complex situations, such as abscesses around the appendix, rinse and flow under the abdominal lens.
III. Analysis of relevant cases
(i) Case I
Patient, male, 25 years old. He was admitted to hospital for 6 hours due to a transferal lower abdominal pain. The abdominal pain began to be located in the upper abdomen and was gradually transferred and fixed to the lower right abdomen, accompanied by nausea and vomiting. Body temperature: 38.5°C, right lower abdominal pressure pain, visible abstic pain, abdominal muscle stress. Laboratory examination: White cell count 15 x 109/L, neutral particle cell ratio 85%. The abdominal ultrasound suggests a swelling of the appendix and a small permeation around it. Diagnosed as acute appendicitis.
Treatment programmes: Taking into account the patient ‘ s relatively minor condition, with no apparent surgical taboos, opting for abdominal oscillation. The procedure is smooth and is followed by anti-infection, rehydration, etc. The patient can move out of bed on the first day after the surgery, after an anal ventilation begins to eat a fluid diet, and after the operation the temperature of the third celestial body returns to normal, with no haematoma, seepage, and is discharged on the fifth day of the operation.
(ii) Case II
Patient, female, 32. 2 days in hospital due to continuous low abdominal pain. The abdominal ache is gradually increasing, accompanied by fever and inactivity. Body: At 39°C, the lower right abdomen can touch a bag, the pressure is clear and the boundary is unclear. Laboratory examination: White cell count 18 x 109/L, ratio of neutral particles 90%. The abdominal CT shows a swelling of the appendix and abscess formation around it.
Treatment programmes: Conservative treatment is provided, patients are given fasting, intravenous rehydration, and treatments are provided for the use of a joint Onitro-sortexine. After three days of treatment, the patient’s body temperature decreased and his abdominal pain decreased. After 1 week of continued conservative treatment, the patient’s symptoms have improved significantly, and a review of CT shows that the abscess has decreased. It was then changed to oral antibiotics for 2 weeks, followed by 3 months without a relapse.
(iii) Case III
Patient, male, 45 years old. There’s a history of diabetes. Heated and cold with acute lower abdominal pain. Body: Body temperature 39.5°C, heart rate 110 times/min, breath 22 times/min, blood pressure 130/80 mmHg. Right lower abdominal pressure, anti-jump pain, muscle stress is evident and is widespread. Laboratory examination: White cell count 20 x 109/L, neutral particle cell ratio 92%, blood sugar 15 mmol/L. Diagnosed as acute sepsis with limited peritoneum.
Treatment: Taking into account that the patient is seriously ill and suffers from a basic condition of diabetes, immediate abdominal anatomy is performed. It found puss and perforations of the appendix and more puss in the abdomen. Surgery cleans up the abdominal cavity and places a flow tube. Post-operative anti-infection treatment and active control of blood sugar. After the surgery, the patient had an oral infection, which, after treatment such as drug substitution, gradually healed and was hospitalized for 10 days.
Conclusions
Treatment for acute appendicitis infection needs to be tailored to the specific circumstances of the patient. Non-surgery or abdominal cortexectomy may be considered for patients with milder conditions and no complications, while patients with more severe conditions, punctures or sepsis, in particular those with a combination of underlying diseases, should be treated in a timely manner, with increased anti-infection and treatment after the surgery. An analysis of several cases shows that accurate diagnosis and individualized treatment are key to increasing the rate of acute appendicitis treatment and reducing complications. At the same time, care should be taken to monitor changes in the patient ‘ s condition and to adapt the treatment strategy in a timely manner in order to ensure the patient ‘ s well-being.
