Hepatitis B 145 positive surface antigen 177 U/ml is generally not very serious, while the surface antigen titer 177 U/ml belongs to a state of low level of viral infection, Hepatitis B 145 positive surface antigen and antigen 177 U/ml can only prove that the patient is in the hepatitis B viral infection, but not reflect the severity of the hepatitis B condition. Hepatitis B 145 positive refers to surface antigen positive, E antibody positive, core antibody positive, this is chronic hepatitis B carriers, generally suggests that the replication level of the hepatitis B virus is relatively low, for the small triple positive. Whether Hepatitis B is serious or not, you need to check the transaminase level in the patient’s body, alanine aminotransferase has the greatest vitality in the liver, and it has a certain reference for judging the health of the liver. A transaminase level of more than 40 U/L can indicate liver damage, and the coagulation function, as well as whether the patient has ascites, jaundice is further aggravated, are able to reflect the severity of hepatitis B. The patient can also be tested to see if he has a positive hepatitis B 145 level, which is the most important indicator of liver health. Hepatitis B 145 positive can usually be actively treated by the doctor’s assessment, and it is recommended to carry out standardized treatment as early as possible to reduce the adverse effects of the disease.