Possible causes of high normal bilirubin transaminases include obstructive jaundice, hemolytic jaundice, and hepatitis cirrhosis. There are different treatments for different causes. 1. Obstructive jaundice: the metabolism of bilirubin needs to be processed by the liver to form bile, which is then discharged through the biliary tract. If there is biliary obstruction, such as cholecystitis, gallstones, etc., the metabolism of bile will be affected, which will make the bilirubin increase. If it is cholecystitis, anti-infection treatment (e.g. cefuroxime) is needed, and if it is gallstones, surgery is needed. 2. Hemolytic jaundice: bilirubin is produced by the rupture of red blood cells, and a large number of destroyed red blood cells will cause a sudden rise in bilirubin. If the hemolysis is caused by blood transfusion with incompatible blood type, it is necessary to stop the blood transfusion immediately and give anti-shock treatment at the same time. If it is autoimmune hemolysis, adrenocorticotropic hormone, plasma exchange, splenectomy and other treatments can be chosen. 3. Hepatitis, cirrhosis: bilirubin high transaminase normal is likely to be due to hepatitis and cirrhosis and other reasons for a situation, can be given under the guidance of the doctor antiviral, hepatoprotective treatment, such as the treatment must drink more water, is conducive to the discharge of metabolic toxins. Transaminases normal bilirubin high there may be other reasons, it is recommended to go to the hospital in a timely manner to identify the cause of the disease, to take targeted treatment, should be avoided blindly self-medication.