The primary principle of management is to use debridement to convert an open craniocerebral injury into a closed craniocerebral injury as soon as possible.
Only when the brain injury becomes closed can the next series of treatment be carried out. The debridement has the effect of decompression, removal of the hematoma and all the eroded tissues in the brain, protection of normal tissues as much as possible while debridement, and then reasonable anti-infection, hypotension and nutritional treatment to help the patient recover the original quality of life to the maximum.