Schwartz/Reisman Emergency Medicine Institute, Sinai Health System, Toronto, Ontario, Canada.
J Emerg Med. 2021 Jul;61(1):70-72. doi: 10.1016/j.jemermed.2020.12.015. Epub 2021 Jan 29.
Patients presenting to the emergency department with a possible barbeque brush bristle ingestion pose many challenges. A detailed history and oral examination is needed and the typical first line investigation involves flexible laryngoscopy for direct visualization of the bristle. Given the high rate of false negatives with laryngoscopy, further imaging may be required in patients with a high suspicion of bristle ingestion Case Reports: We report on two cases presenting to the emergency department with pain following ingestion of grilled food. In both cases imaging was required to identify and assist with the removal of the bristle. Why Should an Emergency Physician Be Aware of This? Emergency physicians should have a high index of suspicion for bristle ingestion in patients with acute onset of pain or a foreign body sensation after ingesting grilled meats. Patients may require imaging to identify bristles if physical examination and laryngoscopy is negative.
患者因疑似摄入烧烤刷刷毛而到急诊科就诊，这给医生带来了诸多挑战。医生需要详细询问病史并进行口腔检查，通常首先会进行软性喉镜检查，以直接观察刷毛。鉴于喉镜检查的假阴性率较高，对于高度怀疑摄入刷毛的患者，可能需要进一步进行影像学检查。病例报告：我们报告了两例因摄入烧烤食物后出现疼痛而到急诊科就诊的患者。在这两例患者中，影像学检查都有助于识别和取出刷毛。为什么急诊医生需要了解这个问题？对于急性发作疼痛或摄入烤肉后有异物感的患者，急诊医生应高度怀疑刷毛摄入。如果体格检查和喉镜检查均为阴性，患者可能需要进行影像学检查以确定是否存在刷毛。
