Steatohepatitis transaminase elevated to 180 can be improved by general treatment and medication to improve the transaminase level. 1. General treatment: Improper diet and long-term alcohol abuse can trigger fatty liver and lead to elevated transaminase level. Patients should pay attention to light diet, minimize oily, spicy and stimulating food, drink less alcohol, adjust the diet structure and routine, and take proper rest. 2. Drug treatment: steatohepatitis can trigger transaminase 180, in addition to general treatment, it can be treated with corresponding liver-protecting drugs under the guidance of doctors, such as compound glycyrrhizin tablets, enphosphatidylcholine and so on, in order to achieve the effect of protecting the liver and make the transaminase return to the normal level. It is recommended that the patient go to the hospital to consult the professional doctor’s opinion, and cooperate with the doctor to actively treat.