Abstract: Objective To summarize the diagnosis and treatment of traumatic liver rupture （TLR）. Methods A retrospective analysis of clinical data in 84 patients with traumatic rupture of liver in our hospital were performed in this study. Results Out of 84 patients with TLR included 55 men and 29 women，with the average age of（35±5）yr；75 had abdominal closed injury，and 9 had abdominal open injury，being class Ⅰ in 24，Ⅱ in 25，Ⅲ in 17，Ⅳ in 10，Ⅴ in 7 and Ⅵ in 1；35 patients received non-operation，12 were treated by laparoscopic exploration，and two of them transferred to operation，29 got abdominal operation and 10 had transcatheter arterial embolization；35 patients recovered with non-surgical treatments without complications，23 patients recovered with abdominal operation，and the complications included bile leakage in 5，liver abscess in 2，liver hematoma in 2；one died of hemorrhagic shock，one died of hepatic failure，one died of renal failure，and one died of craniocerebral injury after abdominal operation. Conclusion The diagnosis of TLR must consider clinical syndromes，signs，laboratory tests，and imaging materials as quickly and accurately as possible，and make a correct severity classification，and take an appropriate approaches.

Key words: Traumatic liver rupture, Diagnosis, Treatment