Patient: Hepatitis B triple yang has a history of ten years, April just did the examination: laboratory tests, hepatitis B two half test, or triple yang; liver function test is normal. dha: qualitatively positive, quantitatively 7.64 × 1000000 once ate medicine, but there is no improvement, and then stopping the medicine can be cured Shenyang city hospital of infectious diseases, department of hepatology, han yonghui: you are currently history of more than 10 years, hepatitis b “big three sun”, liver function is normal, viral replication. You should be diagnosed as hepatitis B virus carrier if you have no clinical symptoms and normal liver, gallbladder and spleen ultrasound or CT. Hepatopuncture examination is recommended. I don’t know whether there is a family history of hepatitis B. If there is, it means that you may have been infected with hepatitis B virus for a long time, so you should have a liver puncture test, and if the inflammation or liver fibrosis is obvious, you should have antiviral treatment. If inflammation or liver fibrosis is obvious, antiviral treatment should be carried out. If inflammation and liver fibrosis are not obvious, no treatment is needed for the time being. Hepatitis B “triple positive” is really difficult to treat. For hepatitis B, the goal of treatment is to inhibit viral replication, delay disease progression, avoid premature progression to cirrhosis and so on. It is recommended to have regular checkups and timely treatment when changes are detected. Patient: Is it true that certain conditions are required for liver puncture examination? Hepatology Department of Shenyang Infectious Diseases Hospital: Liver puncture is required to have certain conditions, and need to be hospitalized for a few days.