Splenic rupture mainly manifests as intra-abdominal hemorrhage and signs of peritoneal irritation, and the symptoms of central, subperitoneal and true rupture are slightly different. 1. True rupture: refers to splenic rupture involving the splenic peritoneum, there will be intra-abdominal hemorrhage symptoms, manifested as pain in the left upper abdomen, pallor, cold extremities, etc., and those with large amount of bleeding will have hemorrhagic shock manifestations, such as impaired consciousness, tachypnoea and other symptoms. At the same time, the blood in the abdominal cavity stimulates the peritoneum, which will produce abdominal pressure, rebound pain and local muscle tension, and sometimes there will be left shoulder tenderness. 2. Central rupture: the splenic rupture is located in the deep part of the splenic parenchyma, due to the integrity of the peritoneum, the hemorrhage in the spleen will not enter into the abdominal cavity, and a splenic hematoma can be produced, and the enlarged spleen can be touched under the left ribs, accompanied by pain. 3. Subperitoneal rupture: Splenic rupture is located in the periphery of the spleen but the peritoneum is not ruptured, therefore, the symptoms are similar to those of central rupture, but after the formation of hematoma, the peritoneum is easily ruptured under the action of slight external force, and the rupture will turn into a true rupture. Most of the splenic ruptures are true ruptures, and sometimes the amount of bleeding is so great that it can be life-threatening. Therefore, once you find any manifestation of splenic rupture, you should immediately seek help from 120 for treatment or even resuscitation.