A liver swe of 17.8kPa suggests that the patient has progressive liver fibrosis. Liver swe is the hardness value of the liver, and our multicenter study suggests that the diagnostic threshold for cirrhosis in hepatitis B is 21.3 kPa, and the diagnostic threshold for progressive hepatic fibrosis is 12.4 kPa, and the patient is right in between, which means that the patient is in the progressive stage of hepatic fibrosis. There are many causes of progressive liver fibrosis, most of which are due to infection with hepatitis B virus, but can also be due to infection with hepatitis C virus, alcoholic liver disease, or due to fatty liver. Mostly due to the primary disease causing liver metabolic disorders, which promotes the inflammatory response, which in turn aggravates the onset of liver fibrosis. If the examination suggests that the patient swe17.8kPa, it is important to go to the hospital in time to identify the cause of the disease and then treat it. If not treated in time, it may progress to cirrhosis and other dangerous diseases, seriously threatening the patient’s life and health and quality of life.