Zinkel Andrew R, Ankel Felix K, Milbank Aaron J, Casey Colleen I, Sundheim Jeremy J
University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota.
HealthPartners, Bloomington, Minnesota.
Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):405-408. doi: 10.5811/cpcem.2019.9.44472. eCollection 2019 Nov.
Postmortem sperm retrieval (PMSR) requests and retrievals are increasing in the emergency department (ED) setting. Few EDs have protocols in place, and many emergency physicians (EP) lack the knowledge of how to proceed when such situations arise. We report the case of a 31-year-old male cardiac-arrest victim who expired in the ED, after which his wife requested PMSR. We review the guidelines, procedures, and issues of consent that arise with PMSR. EPs must be aware of their institution's policies and consultant availability should a request for PMSR arise.
急诊科中死后取精（PMSR）的请求及操作日益增多。很少有急诊科制定了相关方案，而且许多急诊医生（EP）缺乏在遇到此类情况时如何处理的知识。我们报告了一例31岁男性心脏骤停患者在急诊科死亡的病例，之后其妻子请求进行死后取精。我们回顾了死后取精所涉及的指南、操作步骤及同意相关的问题。如果出现死后取精的请求，急诊医生必须了解所在机构的政策以及可咨询的人员。
