Hepatitis B 145 positive is indicative of a carrier of the hepatitis B virus, which is usually carried for life and does not heal itself. Hepatitis B 145 positive generally means that hepatitis B surface antigen, hepatitis B e antibody and hepatitis B core antibody are positive, i.e. minor triple positive. Hepatitis B virus carriers are patients who are infected with the hepatitis B virus but have no obvious liver damage, clinical symptoms or liver function impairment. However, due to the fact that hepatitis B virus carriers themselves have more active viral replication and the patient’s own immunity is limited, it is more difficult to completely clear the virus, therefore, hepatitis B 145 positive will be carried for life, and usually will not be cured by itself. In clinical practice, hepatitis B virus carriers generally only need conservative treatment, that is, pay attention to rest, avoid staying up late, quit smoking and drinking, but need to regularly review the quantitative examination of hepatitis B virus, liver function and ultrasound. If abnormalities occur, antiviral treatment, such as lamivudine tablets, tibivudine tablets, entecavir, etc., is required for recovery. Hepatitis B is contagious and it is recommended to go to a regular medical institution for standardized treatment under the guidance of a professional doctor. Drugs should be used under the guidance of a professional physician, and should not be used arbitrarily on their own.