Patient: Description of the disease (onset time, main symptoms, hospitalization, etc.): The results of the most recent retest of liver function: alanine aminotransferase (ALT) 34 【14.5–40】valbumin aminotransferase (AST) 30 【3-35】valbumin/glutamate (AST/ALT) 1.13 【0.91—2.25】glutamyltransferase (GGP) 99 【7-50】total protein (TP) 73.1 【61–82】albumin (ALB) 44.6 【36-51】globulin (GLB) 28.5 【25.0-35】. Total protein (TP) 73.1 [61–82] Albumin (ALB) 44.6 [36–51] Globulin (GLB) 28.5 [25.0–35]. White globule ratio (ALB/GLB) 1.6 【1.2–2.5】Total bilirubin (TBILI) 16.40 【4–23.9】Direct bilirubin (DBILI) 4.00 【0.0–6.8】Indirect bilirubin (IBILI) 12.4 【2.56–20.9】Urea nitrogen (BUN) 6.95 【2.4–8.2】Creatinine ( CRE) 121.7 [31.8–116.0] Cystine protease inhibitor C 1.32 [0.55–1.55] Amylase (AMY) 85.0 [0–125] Creatine phosphokinase (CK) 123 [24–185] Lactate dehydrogenase (LDH-L) 222.0 [71–231] Hepatitis B Virus DNA quantification ( HBV-DNA) Now on antiviral treatment. May I ask the expert: 1. How infectious is this condition now? 2, What is the reason for high glutamyl transferase (GGP)? 3. How long should I take the antiviral drugs? Zhang Ka, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: First of all, the information you provided does not tell the result of viral quantification, so it is impossible to answer the question of your infectiousness.GGP is elevated, but the other aminotransferases are all very normal, and the bilirubin is normal, so consider that it is due to the error of the experiment, or it is the existence of a slight inflammation in the hepatic and biliary tracts, so do not pay attention to this result. The duration of antiviral medication needs to be determined on an individual basis, so you should try to ask your primary care physician, as this question cannot be answered simply. Patient: Hello, Dr. Zhangka! I would like to add the following data. Hepatitis B Virus DNA Quantification (HBV-DNA) 〈100 Reference Range [〈100 ] Hepatitis B 2.5 Tests: 1.Surface Antigen HbsAg 7788 Reference Range [Negative] 2.Surface Antibody HbsAb Negative Reference Range [Negative] 3.E Antigen HbeAg 0.162 Reference Range [Negative] 4.E Antibody HbeAb 0.007 Reference Range [ Negative] 5.Core Antibody HbeAb 0.007 Reference Range [ Negative] 5.Core Antibody HbeAb 0.007 Reference Range [ Negative Negative ] 5, Core Antibody HbcAb Positive Reference Range [Negative] From the results of the test, the value of the surface antigen is very large, is this value very active for the Hepatitis B virus in the human body? Zhang Ka, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: From the test results, the virus in the body is undetectable, the antiviral effect is very good, the infectiousness is basically non-existent, continue to adhere to. Surface antigen values do not have to care, because it can not reflect the active degree of hepatitis B in the body. Patient: but I get from some information to summarize the surface antigen of hepatitis B in this way ah. In the two-to-half test, HBsAg refers to the hepatitis B surface antigen, which is like the hepatitis B virus bred fighters, the hepatitis B virus reproduction is booming, it has become unscrupulous selfish scurrying, making trouble, not only satisfied with being a protective layer of the grass of the hepatitis B virus, but to run into the bloodstream, around the resistance to open up their own territories. Therefore, when we detect a high level of Hepatitis B surface antigen in the blood, it also indicates that the Hepatitis B virus is strong at this time and replication, and is mercilessly devouring our health. Therefore, a high level of HbsAg 7788 is sufficient proof that the Hepatitis B virus is replicating strongly at this time. Is this true? Zhang Ka, Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University: Hepatitis B surface antigen is equivalent to a person’s clothes, the number and length of the clothes do not represent a person’s height, do you see a lot of clothes indicate that the person is very tall? An inappropriate analogy: a person may not exist anymore, but the clothes are still retained!