There are more clinical causes of elevated transaminases, the common ones are as follows: 1, viral infections, common viral infection factors are hepatitis A virus, hepatitis B virus, hepatitis C virus, hepatitis E virus, etc.. The most important thing is to check the markers of antigens to see if they are positive. 2, due to drugs, some drugs can lead to elevated aminotransferases if taken for a long time, such as tabazol and propylthiouracil for anti-hyperthyroidism, paclitaxel for anti-tumor drugs, azathioprine for immune suppression, antibiotics such as erythromycin and tetracycline, etc. 3, drinking, some people usually have the habit of drinking, or recently drink a lot of alcohol, alcohol intake The most important thing is to have a good diet and to exercise too little, which will lead to the accumulation of fat in the liver and will lead to elevated transaminases.