Mercado Nathan, Schuljak Sawyer, Ng Daniel, Knight Curtis, Woodall Allison, Costumbrado John
University of California, Riverside School of Medicine, Riverside, CA.
Riverside Community Hospital / University of California Riverside, Department of Emergency Medicine, Riverside, CA.
J Educ Teach Emerg Med. 2023 Apr 30;8(2):V16-V19. doi: 10.21980/J8MH0B. eCollection 2023 Apr.
Supraglottic thermal burns resulting from ingestion of excessively hot food or drink can potentially lead to fatal airway obstruction due to severe edema. In this case we evaluate an adult male who presented to the emergency department (ED) with sore throat and mild voice hoarseness that began while eating hot rice soup two days prior. The patient states that after taking a bite of the hot soup, he coughed due to the heat. Shortly after, he felt a burning sensation in his throat and developed a foreign body sensation. A visual examination with video laryngoscopy of the upper airway showed no evidence of foreign bodies; however, there were suspected thermal burns near the patient's epiglottis. This case demonstrates how thermal burns can be evaluated and treated with conservative measures to reduce edema, but care takers should be aware of the severe burns leading to complete airway obstruction.
Supraglottic burns, airway obstruction, laryngoscopy.
因摄入过热食物或饮料导致的声门上热灼伤，可能会因严重水肿而导致致命的气道阻塞。在本病例中，我们评估了一名成年男性，他因两天前吃热米汤时开始出现喉咙疼痛和轻度声音嘶哑而就诊于急诊科（ED）。患者称，吃了一口热汤后，他因热而咳嗽。不久后，他感到喉咙有烧灼感，并出现异物感。对上气道进行视频喉镜的视觉检查未发现异物迹象；然而，在患者会厌附近怀疑有热灼伤。本病例表明，热灼伤可通过保守措施进行评估和治疗以减轻水肿，但护理人员应意识到严重灼伤会导致完全气道阻塞。
声门上灼伤、气道阻塞、喉镜检查。
