扁桃体发炎吃什么药

扁桃体发炎吃什么药 扁桃体炎一般是指腭扁桃体的非特异性炎症～可分为急性扁桃体炎、慢性扁桃体炎。急性扁桃体炎大多在机体抵抗力降低时感染细菌或病毒所致～起病急～以咽痛为主要症状～伴有畏寒、发热、头痛等症状～是儿童和育少年的常见病。慢性扁桃体炎是由于急性扁桃体炎反复发作所致～现为咽部干燥～有堵塞感～分泌物粘～不易咳出～口臭～其反复发作可诱发其他疾病～如慢性肾炎、关节炎、风湿性心脏病等～因此须积极治疗。患者平时要锻炼身体～增强体质～注意口腔卫生～及时治疗附近组织的疾病～饮食宜清淡～不吃辛辣刺激性食物～戒除烟酒～一旦本病成为诱发其他疾病的病灶～或有其他手术指征时则应考虑手术治疗。 本病相当于中医学“乳蛾”的范畴～急性扁桃体炎相当于“风热乳蛾”～慢性扁桃体炎相当于“虚火乳蛾”。风热乳蛾多因气候骤变～寒热失调～肺卫不固～致风热邪毒乘虚从口鼻而从侵喉核～或因过食烟酒等～脾胃蕴热～或因外感风热失治～邪毒乘热内传肺胃～上灼喉核～发为本病,虚火乳蛾多因风热乳蛾或温病之后余毒未清～邪热耗伤肺阴～或因素体阴虚～加之劳倦过度～肾阴亏损～虚火上炎～蒸喉核～发为本病。临床常见的证型有: 1～肺经风热型:证见发热畏寒～咽痛～咳嗽～苔白或黄～脉数。 2(肺胃蕴热型:证见高热畏寒～咽痛剧烈～吞咽困难～口渴引饮～口臭便秘～舌红～苔黄厚～脉洪数。 3(热毒内盛型:证见高热不退～咽痫有增无减～伴同侧耳痛～吞咽困难～苔黄质红～脉洪数。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 4(虚火上炎型:证见咽干口燥～咽部似有物堵塞感～干咳～伴手足心热～或气短～腰酸～苔少～舌红～脉细数。 5(肾阴虚型:证见口燥咽干～人暮尤甚～且有灼热微痛～异物感～伴五心烦热～头晕～不易耐劳～喉核及四周发红～喉核上有黄白色脓栓挤出～舌红少苔～脉细数无力。 6(肺脾气虚型:证见咽干～刺痒～微咳～痰少而粘～咯吐不出～人寐头上汗多～喉核暗红连及周围～喉核上有白色点状短痕～或乳酪样脓栓挤出～舌质淡红少苔～脉细数。 一、可选用的西药 1(急性扁桃体炎: (1)全身治疗:本病多为链球菌感染～抗生素首选育霉索～青雷素过敏者可选用红霉素、林可霉素等。高热头痛及全身酸痛者可选用阿司匹林等解热镇痛剂。经2—3日治疗后如病情无好转～则应考虑是否病毒或其他细菌感染～改用抗病毒药、敏感抗生京或磺胺类药物～可酌情使用肾上腺皮质激素～如泼尼松、地塞米松等。 (2)局部治疗:可选用 小儿扁桃体炎 人的咽部象个拱形门～有两个拱形组织组成。一个舌腭弓一个叫咽腭弓～分别跨在两侧～形成两个窝～内即扁桃体。正常时分泌少量粘液～里面含有白细胞及吞噬细胞～一旦有细菌病毒从这里经过～就被吸附在上面～然后被吞噬消化掉。随着免疫学的发展～人们越来越重视扁coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 桃体的作用～目前已公认它是一个免疫器官。如从摘除的扁桃体中可以提炼出“转移因子”。这个因子可以增强免疫～抑制病毒。除扁桃体外～鼻腔后面的腺样体及咽后壁的淋巴组织～共同组成一个环状的淋巴网～罩在呼吸道的最上端～对进入呼吸道的空气起到过滤作用～这是一个强大的防御机构。扁桃体首当其冲～一旦人的抵抗力下降～细菌病毒就会在此大量繁殖～扁桃体就会发炎。发炎的扁桃体充血、肿胀、化脓。扁桃体的陷窝上出现许多小脓栓～严重的会布满脓苔。经常反复发炎可形成慢性扁桃体炎～由于反复炎症使扁桃体增生肥大～两侧扁桃体几乎碰在一起～像两扇大门堵住了咽部。 扁桃体炎的危害还不止这些～它一旦成为病灶～细菌就会在这里繁殖～并产生毒素～随血液进入人体～使人体发生免疫反应～而这种免疫反应是一种异常的过敏状态～可以进一步导致不少重要脏器得病～如急性肾炎、风湿病等～这些并发症的危害远远超过扁桃体炎本身的危害。 小儿患扁桃体炎时全身的感染症状很明显～孩子表现为:高烧可达39，40?～同时伴有寒战～全身乏力～头痛及全身痛～食欲不振～恶心和呕吐。检查咽部时可发现扁桃体上有脓。这是最有力的诊断依据～因为光凭全身症状不能与其他感冒相区别。 急性扁桃体炎的治疗主要是控制感染～扁桃体炎多为细菌感染～特别是化脓性扁桃体炎更是化脓菌所致～所以必须使用抗生素。慢性扁桃体炎引起的扁桃体肥大可造成呼吸困难～特别是睡眠时～因舌头也松弛后倒～致使鼾声如雷～天长日久会因慢性缺氧而影响生长发育～慢性缺氧还会使孩子的智力发育受到影响。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 家庭护理要点 1(扁桃体一般3，10岁时最大～ 10岁以后逐渐萎缩～因此儿童时期的扁桃体炎是防治的重点。 2(加强锻炼～特别是?荆??嗖斡牖?饣疃??股硖宥院?涞氖视δ芰υ銮浚?跎俦馓姨宸?椎幕?帷? 3(保持口腔清洁～吃东西后要漱口。 4(急性扁桃体炎多为细菌感染所致～特别是化脓菌～如链球菌、金黄色葡萄球菌等～因此必须使用抗生素～其中青霉素类最有效～根据炎症的轻重程度可选择口服或静脉注射。 5。慢性扁桃体炎或扁桃体肥大可作扁桃体切除～现在多采用扁桃体快速挤切术～手术时先在病儿嘴内喷表面麻醉药～稍等一会儿～病儿的咽部感觉就会迟钝～再让他躺在床上～医生使用一种叫挤切刀的器械～在病儿张口的一瞬间就能将扁桃体全部切除。手术十分迅速～病儿还未感觉疼痛～手术就完成了～病儿一直清醒～所以能马上吃冷食～目的是促进血管收缩～预防术后出血。手术不需住院～术后门诊观察1，2小时便可以回家。 6(术后1，2周内吃半流质饮食～如面片～鸡蛋糕。 7(手术切除以后并非完事大吉～还能再得咽炎。所以理想的方法是尽量不切除。 扁桃体炎 【简介】 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 扁桃体炎是咽部扁桃体发生急性或慢性炎症的一种病症。为儿童时期常见病。现代医学认为扁桃体是人体咽部的两个最大的淋巴组织～一般4，5岁后逐渐增大～到12岁以后开始逐渐萎缩。正常情况下扁桃体能抵抗进入鼻和咽腔里的细菌～对人体起到保护作用～但是、小儿由于身体抵抗力低～加上受凉感冒～就会使扁桃体抵抗细菌的能力减弱～从而导致口腔、咽部、鼻腔以及外界的细菌侵入扁桃体、发生炎症。严重者扁桃体红肿化脓～形成化脓性扁桃体炎、久治不愈可转成慢性扁桃体炎～容易引起肾炎、心脏病。风湿等全身性疾病和鸡胸、漏斗胸。中医学因其形状似乳头或蚕蛾～故称其为“乳蛾”～主要由于风热邪毒从口鼻而入侵犯肺胃两经～邪毒熏蒸于咽喉遂成本病。或肺胃素有积热～或热毒较甚～灼热肺胃之阴～津液不足～虚火上炎而成～常反复发作。 临床表现为在急性期出现发热头痛～畏寒～幼儿可因高热而引起惊厥～咽痛明显～唾液增多等～严重者可出现张嘴困难。检查时～可见扁桃体红肿～表面有淡黄色或白色的脓点～下颌淋巴结常见肿大。在慢性期表现为咽部和扁桃体潮红～可见黄色分泌物～咽喉疼痛不明显～偶尔有低热及食欲不佳等。 按摩方法一 1(常用手法 ,1,清肺经300次～清天河水200次。 ,2,以拇指从腕关节挠侧缘向虎口直推～反复操作100次。 ,3,患儿仰卧～家长以拇指、食指的指腹分别臵于咽喉部两则～由上coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 向下轻轻推擦～反复操作200次。 ,4,患儿俯卧～家长以掌根直推脊柱两侧的肌肉～以热为度。 2(随证加减 ,1,风热外侵型:症见发热恶寒～咽痛难咽～鼻塞体倦～头身疼痛～咳嗽有痰～舌质红～苔薄黄。常用手法加 ?退六腑300次。 ?按揉大椎穴300次。 ?按揉曲池、合谷穴各50次。 ?以手提拿肩井穴10，20次。 ,2,肺胃热盛型:症见高热～口渴引饮～咽痛明显～咳痰黄稠～腹部胀满～日臭流涎～大便秘结～小便黄赤～舌质红～苔黄。常用手法加 ?清大肠300次～退六腑300次～清小肠200次。 ?推涌泉300次。 ?推下七节骨300次。 ?按揉大椎穴1分钟。 ,3,阴虚火旺型:症见经常低热～下午较显～咽部发干～轻微咽痛～过量发音或食辛辣后加重～干咳无痰～吞咽有异物感～精神较差～舌质红～舌苔少。常用手法加 ?补肾经300次～运内劳宫30次。 ?推 涌泉300次。 ?按揉肺俞、肾俞穴各1分钟。 按摩方法二 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 1(常用手法 ,1,用拇指甲掐双侧少商穴1，2分钟。 ,2,以指按揉合谷穴1，3分钟。 (3,点按太溪、 涌泉穴各1分钟。 ,4,以大拇指指腹搓擦患儿双侧大鱼际处～反复操作2，5分钟。 ,5,以掌根直擦腰骶部～以透热为度。 生活调理 ,1,患儿应注意休息～室内温度不宜过高～以不感觉冷为宜～空气要新鲜～不要在室内抽烟～减少咽部刺激。 ,2,注意口腔卫生～多喝开水～或果汁水～以补充体内水分。 ,3,不要带患儿到影院、商场等人口密集场所～特别是在呼吸系统、消化系统疾病流行之际。 ,4,注意加强饮食营养～增强体质～提高机体抵抗力。 ,5,在按摩过程中～如果患儿出现体温突然升高、腹痛～或出现休克的早期症状～应尽快去医院治疗。 扁桃体炎 ,一,急性扁桃体炎 急性扁桃体炎,acute tonsillitis,常发生于儿童及青年。病原菌主要是乙型溶血性链球菌～此外～葡萄球菌、肺炎链球菌和腺病毒也可引起。按其病变特点可分为: 1(急性卡他性扁桃体炎 病变轻～且多局限于粘膜层～可见炎性细胞coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 浸润～扁桃体充血、肿胀～但肿大不明显～表面也无渗出物。 2(急性化脓性扁桃体炎 扁桃体明显肿大～普遍充血及大量中性粒细胞浸润～隐窝内充满脓性渗出物。病变较重者～多数淋巴滤泡增大、化脓～形成多发性滤泡脓肿～并可向隐窝或表面穿破～形成溃疡～小脓肿也可融合～致使整个扁桃体化脓。 ,二,慢性扁桃体炎 慢性扁桃体炎,chronic tonsillitis,多由急性扁桃体炎反复发作演变而来。按其病变可分为: 1(慢性肥大性扁桃体炎 扁桃体呈不同程度肿大～淋巴组织显著增生～淋巴滤泡增多、增大～生发中心扩大～淋巴组织内～特别粘膜上皮下可见大量浆细胞和一些中性粒细胞浸润～隐窝内可见炎性渗出物。有时～由于淋巴组织和结缔组织增生可形成息肉样肿物。 2(慢性纤维性扁桃体炎 由于大量纤维结缔组织增生,瘢痕化,～扁桃体体积缩小、质硬～淋巴组织往往萎缩甚至消失。隐窝常因出口阻塞而呈囊状扩张～囊内也可见炎性渗出物。在增生的结缔组织中有时可见软骨或骨化生。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave,