Acute appendicitis is a common pediatric acute abdomen, clinical frequently manifests itself abdominal pain, fever, vomiting, blood testing interleukin increased neutrophil percentage increase, compared with the adult high suppuration, perforation, caused diffuse peritonitis, appendiceal abscess to the treatment of difficult and prone to complications, so the early diagnosis of acute appendicitis and the prognosis of patients with a very important relationship. Early detection of acute appendicitis is fixed right lower quadrant tenderness, with disease progression, anti-Tiaotong, muscle tension, and then the lower abdomen or total abdominal tenderness, and anti-Tao Tong, but it is very difficult non-professional doctors make the correct judgement. Acute appendicitis and mesenteric lymphadenitis often difficult to identify easily misdiagnosed. Color Doppler Ultrasonography of the abdomen current acute appendicitis higher diagnosis rate, makes many doctors rely solely on ultrasound diagnosis, but ultrasound diagnosis of appendicitis early low rate of misdiagnosis of appendicitis early lead, and delaying treatment. Therefore, the early diagnosis of acute appendicitis more according to the clinical examination, which received early treatment.