PDF(Pubmed)
Abstract：
There is currently no consensus on the treatment of cold intolerance in extremities in post-trauma patients. We aim to present two cases where botulinum toxin type A injections were used to improve symptoms of cold intolerance. Botulinum toxin type A (Allergan) was injected into the area around the palmar digital neurovascular bundle on both sides of the affected finger. We performed this in two patients, and both had good improvement of symptoms. One patient was discharged, and the other remained under routine follow-up with potential yearly botulinum injections to aid symptoms during the winter months. Both patients are pleased with their outcomes and report significant improvement from the low-risk treatment. In both described cases, injections of botulinum toxin had a significant effect on their symptoms. We conclude that botulinum toxin type A may be used as a treatment modality to improve symptoms of cold intolerance after trauma.
摘要：
目前对创伤后患者四肢冷不耐受的治疗尚无共识。我们的目的是介绍两种情况，其中使用A型肉毒杆菌毒素注射来改善不耐受感冒的症状。将A型肉毒杆菌毒素（Allergan）注射到受影响手指两侧掌指神经血管束周围的区域。我们在两个病人身上做了这个，症状都有很好的改善。一名病人出院,另一种则保持常规随访，在冬季可能每年注射肉毒杆菌来帮助症状。两名患者都对他们的结果感到满意，并报告了低风险治疗的显着改善。在这两种情况下，注射肉毒杆菌毒素对他们的症状有显著影响。我们得出的结论是，A型肉毒杆菌毒素可用作改善创伤后冷不耐受症状的治疗方式。
