Patient: Test results: 145 positive, 23 negative, liver function is within the reference value except for indirect bilirubin 21, is this condition acute or chronic, and is it serious? What do I need to pay attention to? Shenyang Infectious Diseases Hospital, Department of Liver Diseases, Han Yonghui: You “145 positive, 23 negative,” should be hepatitis B “small triple Yang”, it is recommended to test the hepatitis B virus DNA, to see whether the hepatitis B virus replication. Serum bilirubin (SB) includes total serum bilirubin, direct bilirubin and indirect bilirubin. Total bilirubin is equal to direct bilirubin plus indirect bilirubin. Increased total bilirubin and increased indirect bilirubin are commonly associated with hemolytic anemia, blood group incompatibility transfusion, falciparum malaria and neonatal jaundice. High indirect bilirubin is the main cause, and it is not high enough, which is usually normal. Some people have biliary tract diseases or hemolytic diseases. It is recommended that you should actively look for the cause of the high bilirubin you are experiencing so that further treatment can be done. If convenient, you can go to the hospital for examination and consider specialist testing. Do liver ultrasound if necessary. You should arrange your diet reasonably, live a regular life, be happy, pay attention to the combination of movement and static, and do not abuse medicine when you are ill. Please note the following points: 1, diet should be light, such as bean products, fish, vegetables, fruits, etc., containing a large number of vitamins A, B, C, E, has a good antioxidant function and easy to digest and absorb. 2, it is advisable to eat more seafood, mushrooms, sesame, walnuts, dates, lean meat and animal liver and other foods. 3, avoid drinking alcohol, avoid too much sweet food. 4.Appropriate rest, avoid overexertion. 5.Regularly review liver function.