(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: 43-year-old male, with a history of chronic hepatitis B, in recent years the condition of the disease is stable, no medication, in the past month, intermittent fatigue, poor appetite, nausea, nausea, abdominal distension, according to the treatment of gastric disease, the symptom is sometimes good and sometimes bad, and finally check the liver function of the glutamic oxalate transaminase, glutamic oxalate transaminase are obviously elevated, it turns out that chronic hepatitis B has entered the active stage. It turns out that chronic hepatitis B has entered the active stage. Chronic hepatitis B treatment is mainly antiviral, anti-hepatic inflammation, anti-fibrosis treatment, after regular drug treatment, the patient’s symptoms have been controlled. Basic information] Male, 43 years old [Disease type] Chronic hepatitis B [Hospital] No. 988 Hospital of the PLA Joint Command and Security Forces [Date of consultation] December 2021 [Treatment plan] Medication (Glycyrrhiza glabra tablets, magnesium isoglycyrrhizate injection, entecavir capsule, Compound turtle turtle turtle soft liver tablets) [Treatment cycle] Hospitalization for 14 days, outpatient followup for 1 month [Treatment effect] The condition has been controlled, indicators have improved, and the patient’s symptoms have improved. The disease has been controlled, and the indicators have improved I. Initial interview Rested for a weekend, Monday morning, according to the usual room check to the outpatient clinic, just opened the door, the computer is not yet ready, walked into a male patient Mr. Gong, dragging a tired body, thin, right hand strokes in the middle-upper abdominal position, sclera yellowish, can not wait to sit in the chair, to me, through the questioning, it was concluded that the patient had vague pain in the epigastric discomfort, Abdominal distension, dietary decline, nausea and anorexia has been more than 1 month, and every day fatigue and weakness, morning with bitter mouth, halitosis, yellow urine in the past 2 days, in the local clinic has been according to the gastric oral “omeprazole enteric-coated capsules, magnesium alumina carbonate tablets, moxapride citrate tablets,” treatment, the effect is not good, learned that the patient has a history of hepatitis B, then thought of, may be chronic hepatitis B. After learning that the patient had a history of hepatitis B, he thought that he might be in the active stage of chronic hepatitis B. He was prescribed with hepatitis B penta and liver function tests, which showed that the surface antigen of hepatitis B was positive, and the liver function showed that: alanine aminotransferase: 1,225 U/L; glutamic oxalate aminotransferase: 867 U/L; albumin: 31.3 g/L; and TBIL: 69.2 μmol/L, which proved the patient to be in the active stage of chronic hepatitis B. Second, the treatment of the patient has been uncomfortable symptoms for more than 1 month, again detailed inquiry about the condition, learned that the patient in the past 3 months, due to work socializing, drinking more, coupled with late-night, fatigue, and there was a cold and fever, at that time, did not care, because of hepatitis B has been reviewed several times, the doctor told for hepatitis B virus carriers, no treatment, has been stable. At that time, the doctor told her that she was a carrier of hepatitis B virus and did not need any treatment, so she has been stable. This time, the patient did not think about liver disease because of the symptoms, and the symptoms were mostly digestive symptoms, so she has been treated according to the gastric disease, and she did not come to the hospital until her symptoms were getting worse. Now, the patient’s liver function is obviously abnormal, and the quantitative DNA of hepatitis B virus is obviously higher than normal, and the virus replication is active, so the patient is given the principle of “three anti” treatment, namely: glycyrrhiza glabra tablets to protect the liver; magnesium isoglycyrrhizate injection to fight against hepatic inflammation; entegravir capsule to fight against viral treatment; and Compound turtle turtle turtle turtle soft liver tablets to fight against hepatic fibrosis. Treatment. And pacify the patient’s nervousness and anxiety, pay attention to rest. The patient was told to quit drinking, avoid overwork and staying up late, eat a diet high in protein and vitamins, and avoid cold, hard, spicy and irritating foods. After 14 days of hospitalization, the patient’s symptoms gradually disappeared. Third, the therapeutic effect through the control of liver inflammation, anti-hepatitis B virus, to prevent liver fibrosis treatment for nearly half a month, now the patient’s physical recovery, appetite is normal, nausea, nausea, anorexia, anorexia of oil, the middle and upper abdominal pain and discomfort symptoms subside, the spirit, the state of mind is good, the liver function of glutamic oxidase, glutamic oxaloacetic aminotransferase, bilirubin indexes have dropped significantly. The patient said happily in the outpatient follow-up that the treatment was really effective, and his mental state was so good recently, thanks to the doctor! Fourth, precautions The patient has a history of chronic hepatitis B. After the onset of the disease, the symptoms are obvious, and the patient has been tortured by the symptoms and suffered from pain and uneasiness, and when he saw that the lab indicators were many times higher than the normal value, he had a great deal of psychological pressure and anxiety, but fortunately, the patient’s condition was recovered after the active treatment, and I was happy for the patient in my heart. It is recommended that patients should still take anti-hepatitis B virus medication on time after discharge from the hospital and should not stop taking the medication privately. Maintain a good state of mind, quit smoking and drinking, don’t stay up late, don’t work hard, don’t get angry. Avoid the use of drugs that have damage to the liver, regular review, 3-6 months review of liver function, hepatitis B virus quantitative, alpha-fetoprotein, liver, gallbladder, pancreas and spleen ultrasound, in order to dynamically understand the condition of the liver, to prevent recurrence of the disease. V. Personal perception Chronic hepatitis B refers to the hepatitis B virus test positive, the duration of the disease is more than six months or the date of onset is not clear and the clinical manifestations of chronic hepatitis, the most common symptoms that is digestive symptoms, such as nausea, vomiting, poor appetite, indigestion, anorexia, diarrhea, etc., the patient pre-labors, late at night, the history of drinking, which leads to a decline in the body’s resistance, and the consumption of alcohol will directly damage the liver, however, the patient is not a good person. Chronic hepatitis B as long as the formal and active treatment, complete control of the progress of liver disease, is preventable and controllable disease, so the majority of patients with liver disease do not need to be overly nervous, if there are uncomfortable symptoms, correctly recognized, and timely to the regular hospital for medical treatment.