Abstract： Objective To investigate the feasibility and effectiveness of fast track surgery (FTS) for emergency trau-matic splenic rupture during perioperative period.Methods 86 emergency traumatic splenic rupture patients treated in our center were randomly designated to either FTS group (n=44)or control group ( receiving conventional treatment , n=42 ).Compare with two groups of patients , time for gastrointestinal function recovery , length of hospital stay , medical cost and the incidence of postoperative complications.Results Compare the FTS group with the control group , time for&nbsp;gastrointestinal function recovery ( t=6.527 P<0.05 ) , length of hospital stay ( t=2.847 P<0.05 ) , medical cost ( t=3.208 P<0.05 ) and the incidence of postoperative complica-tions(χ2 =4.835 P<0.05) with the significant differences statistically.Conclusions The application of fast track sur-gery in the perioperative period of emergency traumatic splenic rupture is safe and efficient ,which could accelerate the re-covery after surgery .