MMWR Morb Mortal Wkly Rep. 2012 Jul 6;61(26):490-2.
Foreign object ingestion is a common reason for visiting an emergency department (ED), particularly for children. In recent years, internal injuries have been reported following unintentional ingestions of wire grill-cleaning brush bristles by both children and adults. A series of six cases from a single hospital system with two EDs during July 2009-November 2010 was reported previously. This report describes a series of six more cases identified at the same hospital system during March 2011-June 2012. The six patients ranged in age from 31 to 64 years; five were men. Like the patients in the previous series (4), all six reported outdoor residential food grilling and use of commercially available wire grill-cleaning brushes. The severity of injury ranged from puncture of the soft tissues of the neck, causing severe pain on swallowing, to perforation of the gastrointestinal tract requiring emergent surgery. Awareness of this potential injury among health-care professionals is critical to facilitate timely diagnosis and treatment. Additionally, awareness among the public, manufacturers who make wire grill-cleaning brushes, and retailers who sell these products can reduce exposures and decrease the likelihood of further occurrences. Before cooking, persons should examine the grill surface carefully for the presence of bristles that might have dislodged from the grill brush and could embed in cooked food. Alternative residential grill-cleaning methods or products might be considered.
异物摄入是前往急诊部（ED）就诊的常见原因，尤其是儿童。近年来，儿童和成人意外摄入铁丝烧烤刷的刷毛后，均有报道称出现内伤及其他损伤。先前曾报道过 2009 年 7 月至 2010 年 11 月期间，同一医院系统的两个 ED 共发生的 6 例病例。本报告描述了同一医院系统在 2011 年 3 月至 2012 年 6 月期间发现的另外 6 例病例。这 6 名患者年龄在 31 至 64 岁之间，5 名男性。与之前的系列病例（4）一样，所有 6 名患者均报告有户外住宅烤肉活动，并使用市售铁丝烧烤刷。损伤严重程度从颈部软组织刺伤，导致吞咽时严重疼痛，到胃肠道穿孔需要紧急手术不等。卫生保健专业人员对此种潜在损伤的认识至关重要，可有助于及时诊断和治疗。此外，铁丝烧烤刷的制造商、零售商以及公众对这种潜在损伤的认识也可以减少暴露，并降低进一步发生的可能性。在烹饪之前，人们应该仔细检查烤架表面，以确定是否有从烧烤刷上脱落并可能嵌入烤制食物中的刷毛。可以考虑其他住宅烤架清洁方法或产品。
