Hepatitis B can lead to elevated transaminases, but hepatitis B patients with elevated transaminases within twice the normal value should be excluded from staying up late, drinking alcohol, excessive fatigue, etc., and can rest first and be rechecked after 2-3 months, if transaminases continue to rise, further examination of hepatitis B virus amount, liver function, alpha-fetoprotein, liver ultrasound, liver MRI, etc. is needed to exclude cirrhosis, liver cancer, and higher virus amount should be actively antiviral and liver preservation If the viral load is high, active anti-viral and hepatoprotective treatment should be given. The liver function of hepatitis B patients can be rechecked at intervals of 3 months for hepatitis B two-to-one quantification, hepatitis B virus DNA, liver function, alpha-fetoprotein, liver ultrasound, etc.