Abstract：
UNASSIGNED: Craniocerebral wounds are potentially serious and life-threatening injuries. These are real medical and surgical emergencies. The authors report a case of craniocerebral injury in a child with extensive craniotomy and its management in a hospital with limited resources in Togo.
METHODS: He was a young 11-year-old schoolboy who presented with an extensive craniocerebral injury with craniotomy after a road traffic accident. On admission, he had no focal neurological deficits or other signs related to an intracranial expansive process. After preoperative reanimation, antibiotic therapy and anti-tetanus serovaccination, he was taken to the operating room by general surgeons. He underwent lavage, suture of the dura mater, placement of the bone flap and suture of the scalp wound. The postoperative course was simple.
UNASSIGNED: Cranioencephalic trauma is one of the main causes of pediatric mortality in developing countries. Cranio-cerebral wounds are a therapeutic emergency because of the risk of infection, which remains the main concern. Treatment consists of a medical component followed by a surgical component. Reanimation remains an essential component of medical treatment.
CONCLUSIONS: Craniocerebral wounds are serious injuries. It requires rapid and appropriate medical and surgical management to avoid complications, particularly infection.
METHODS: He was a young 11-year-old schoolboy who presented with an extensive craniocerebral injury with craniotomy after a road traffic accident. On admission, he had no focal neurological deficits or other signs related to an intracranial expansive process. After preoperative reanimation, antibiotic therapy and anti-tetanus serovaccination, he was taken to the operating room by general surgeons. He underwent lavage, suture of the dura mater, placement of the bone flap and suture of the scalp wound. The postoperative course was simple.
UNASSIGNED: Cranioencephalic trauma is one of the main causes of pediatric mortality in developing countries. Cranio-cerebral wounds are a therapeutic emergency because of the risk of infection, which remains the main concern. Treatment consists of a medical component followed by a surgical component. Reanimation remains an essential component of medical treatment.
CONCLUSIONS: Craniocerebral wounds are serious injuries. It requires rapid and appropriate medical and surgical management to avoid complications, particularly infection.
摘要：
■颅脑创伤是潜在的严重和危及生命的伤害。这些是真正的医疗和外科紧急情况。作者在多哥一家资源有限的医院报道了一例广泛开颅手术的儿童颅脑损伤及其管理。
方法：他是一名11岁的年轻男生，在一次道路交通事故后进行了开颅手术，表现为广泛的颅脑损伤。一入场,他没有局灶性神经功能缺损或其他与颅内扩张过程相关的体征。术前复活后，抗生素治疗和抗破伤风血清接种，他被普通外科医生带到手术室。他接受了灌洗，硬脑膜的缝合，放置骨瓣和头皮伤口的缝合。术后过程简单。
■颅脑创伤是发展中国家儿童死亡的主要原因之一。由于存在感染风险，颅脑伤口是一种治疗性紧急情况，这仍然是主要问题。治疗由医疗组件和随后的手术组件组成。复活仍然是医疗的重要组成部分。
结论：颅脑创伤是严重损伤。它需要快速和适当的医疗和手术管理，以避免并发症，尤其是感染。
方法：他是一名11岁的年轻男生，在一次道路交通事故后进行了开颅手术，表现为广泛的颅脑损伤。一入场,他没有局灶性神经功能缺损或其他与颅内扩张过程相关的体征。术前复活后，抗生素治疗和抗破伤风血清接种，他被普通外科医生带到手术室。他接受了灌洗，硬脑膜的缝合，放置骨瓣和头皮伤口的缝合。术后过程简单。
■颅脑创伤是发展中国家儿童死亡的主要原因之一。由于存在感染风险，颅脑伤口是一种治疗性紧急情况，这仍然是主要问题。治疗由医疗组件和随后的手术组件组成。复活仍然是医疗的重要组成部分。
结论：颅脑创伤是严重损伤。它需要快速和适当的医疗和手术管理，以避免并发症，尤其是感染。
