"用嘶哑的声音说" can be translated into English as "say in a hoarse voice" or "speak with a hoarse tone".
For example:
He said in a hoarse voice that he had been ill for days.
（他用嘶哑的声音说他已经病了好几天了。）
She spoke with a hoarse tone, trying to convey her emotion.
（她用嘶哑的声音说话，试图传达她的情感。）