Total bilirubin 22.7 μmol/L means that the concentration of bilirubin in serum is 22.7 μmol/L, which is higher than the normal value, and generally may be related to hepatitis, cirrhosis, gallstones and other diseases of the hepatobiliary system. The reference value of total bilirubin in normal people is 1.7~17.1 μmol/L. When the total bilirubin is 22.7 μmol/L, it suggests that it is on the high side, and newborn babies may have a physiologic elevation of total bilirubin, which may gradually subside after birth. It may also be associated with acute hepatitis, chronic active hepatitis, cirrhosis, gallstones and other diseases. When the total bilirubin abnormality caused by many reasons, it is recommended to timely hospital consultation, under the guidance of the doctor to clarify the cause, in order to actively treat.