On physical examination, traumatic splenic rupture may reveal generalized abdominal wall tenderness and muscle tonus, most notably in the left upper abdomen. The splenic turbid zone in the left quadrant of the rib cage is also often enlarged. If there is a large amount of blood accumulation in the abdomen, a mobile turbid sound can also be found, but because there is often a clot around the spleen, the right lumbar region can be hollow when the patient is lying on the left side, but the left lumbar region often shows a fixed turbid sound when the patient is lying on the right side, which is called the Ballance sign. The spleen parenchyma is very fragile and rich in blood flow, which can easily cause rupture and bleeding when subjected to external forces. Clinically, splenic injury or rupture caused by direct or indirect external forces is referred to as traumatic or injury-related splenic rupture. Traumatic splenic rupture can be classified as open or closed. There are also spontaneous splenic rupture and medically induced splenic rupture. The prevention of traumatic splenic rupture is based on the following methods: a reasonable diet with a high intake of fiber and fresh vegetables and fruits, balanced nutrition, including protein, sugar, fat, vitamins, trace elements and dietary fiber and other essential nutrients, meat and vegetables, diversified food varieties, and full play of the complementary role of nutrients between foods, which is also very helpful in the prevention of this disease. For conservative treatment of traumatic splenic rupture, the first step is to grade the degree of splenic rupture, and according to the author’s experience it is feasible to use the Thomas grading criteria developed by the American Surgical Injury Association. If the presence of splenic rupture is determined by clinical manifestations, ultrasound and/or CT examination, and the degree of injury is in the range of grade I to III, conservative treatment is feasible. Indications for conservative treatment of traumatic splenic rupture: 1. The patient’s blood pressure is stable at the time of admission, or stable after blood transfusion of 400-800 ml and rapid rehydration; 2. There is no combined injury to other intra-abdominal organs, and there is no tendency for further aggravation of abdominal signs under dynamic observation; 3. The degree of splenic injury is in the Thomas classification of grade I-III; 4. The hemoglobin is not less than 70 g/L about 24 hours after injury; 5, No consciousness disorders, giant spleen and other diseases; 6. stable vital signs and no rebleeding during the conservative treatment.