From the practice of treating multiple fractures pelvic bones with bladder damage

K., 54 years old, was hit by a truck. Delivered in a state of severe shock. Visible mucous membranes and skin are pale. Answers questions sluggishly. Pulse 110. HELL - 80/50. No pathology was found in the organs of the chest. The abdomen is soft, participates in the act of breathing, painful in the lower sections, above the pubis. Even with a slight palpation of the pelvic bones and compression, crepitus is audible and a sharp soreness is noted. The legs are bent at the knee joints, a symptom of a "stuck heel". On the anterior wall of the vagina, there is a 9x7 cm patch wound, passing to the posterior fornix and penetrating into the abdominal cavity. Urine mixed with blood flows out of the wound. Pain sensitivity on the back of the right foot and the outer surface of the right leg is reduced; paresis of the right foot.