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ALT.AST指数比正常还高十多点
状态：就诊前
咨询标题：ALT.AST指数比正常还高十多点
婴儿肝炎综合症(已康复)
病情描述（发病时间、主要症状、就诊医院等）：
小孩当时总胆数很高.脸及巩膜均有黄.后来在广州儿童医院新院内分泌科转到新院治疗康复出院,徐主任您要求我小孩回家后还要继续服用那个熊氧胆酸片和联苯双酯滴丸的药.好来去复查您就说可以把熊氧片停了.只吃联苯双酯滴丸说一天吃三次每次吃一粒,两个星期后复查如果ALT.AST降成正常就每个星期减一粒减到没有为止/但现在都吃了两三个星期了,期间也去验了两次,AST谷草转氨酶还是高出正常值10多点.指数46.
曾经治疗情况和效果：
想得到怎样的帮助：
请问徐主任现在小孩AST谷草转氨酶还是高出正常值10多点,是继续吃联苯双酯滴丸的药还是怎么办呢?
顺***发表于
状态：就诊前
在吃联苯双酯滴丸期间,小孩有发了一次烧.11月22号还出现了急性支气管炎吃了吊了四天针,吃了两个星期的药,不知道是不是这个原因导致AST谷草转氨酶一直没有降到正常水平呢?(AST指数已经正常)
状态：就诊前
在吃联苯双酯滴丸期间,小孩有发了一次烧.11月22号还出现了急性支气管炎吃了吊了四天针,吃了两个星期的药,不知道是不是这个原因导致AST谷草转氨酶一直没有降到正常水平呢?(ALT指数已经恢复正常水平了),究竟还用不用继续服用联苯这个药呢?我小孩已经服用很久的药物了.
建议再服用2-3周复查。是一天一粒吗？
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
状态：就诊前
徐主任您好.能收到您的回复我很开心.现在是每天吃两粒.谷丙指数正常了.但谷草还是高出正常指数十多点.还有那个GGT是56.正常值是0-50.是继续吃那个联苯滴丸一到两个星期,每天吃两粒还是一粒呢?还有就是.小孩11月22日发了一次烧退烧后.现在还有了急性支气管炎.这十来天一直在吃药.但没有好转.白天有突然喘气的现象,反反复复,时早上多时晚上多.但咳嗽现象很少.呼吸里有点痰的感觉,徐主任您能帮帮我诊断一下吗?
若孩子一般情况好，建议联苯双脂一天2颗 再吃2周，复查若恢复正常，再减为1颗。注意预防感冒。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
状态：就诊前
好的.谢谢徐主任.那我就再让小孩吃多两个星期.每天吃两粒吧.我每晚都在等主任您的回复,真的感谢您!
是的。祝宝宝早日康复。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
建议孩子复查肝脏B 超。ALT 正常吗？
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
状态：就诊后
主任您好.我小孩的ALT在后来的两次检查中都是正常值的了.那个GGT指数也在正常水平的.记得当时最高时有600多的.您就说这个数会慢慢降下来.现在真如您说的降到正常了.就是AST还没有降到正常水平.怎么办呢?
建议肝脏争超声检查，联苯双脂减为一粒，观察。由于很长时间没有看孩子，只是建议。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
状态：就诊后
好的。我明天就带小孩去照B超，如果检查结果正常的话，联苯滴丸减为每天一粒的量也是要连续服用两个星期后又去抽血检查吗？还是要吃一个月？毕竟这个药给小孩吃了很长时间了，从9月出院至今没有停过的。感谢徐主任给我的回复！
建议吃2周，若孩子没有症状，停药2周再复查。还是看看医生，因为我有很长时间没有看到孩子了。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
状态：就诊后
今天上来又看到徐主任的回复,真的很感谢您那么有心,每次发上来都能及时等到您的答复,那我按照您的建议去做吧.期待下次能带来好消息给您.祝好人一生平安!
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
徐翼大夫本人
停诊:下周外出，停诊一周，非常报歉！
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生指导下进行！）
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Important Liver Values: Albumin, ALT, ALP & AST
Important Liver Values: Albumin, ALT, ALP & AST
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Artem Cheprasov
Artem is a doctor of veterinary medicine and has taught science and medicine at the college level.
This lesson will discuss three important enzymes that indicate liver or biliary tree issues.
They are ALT, ALP, and AST.
We'll talk about some of the reasons why they may be elevated.
Different Ways to Measure InjuryIf you injure yourself, then you'll be able to describe that you were hurt through numerous ways. Those are all signals or cues that you are hurt and need to do something about it. In medicine, we use more than one clue that tells us that the liver, an important organ in our body, is hurting and that we must do something about it in order to improve our health. That's what this lesson will be discussing. The Albumin ClueThe liver is a big manufacturing plant that produces a lot of stuff. One important thing it makes is a protein called albumin. Albumin is responsible for transporting certain medicines you might have to take, waste products, and hormones. As if that wasn't important enough, if there was no albumin, you'd also look very swollen because albumin's presence in the blood keeps fluid from leaving your blood vessels and into your tissues. Albu it sucks in water and keeps it in the blood vessels. And just like a sponge can carry all sorts of little microscopic particles within it, like minerals, bacteria, and the like, so too does albumin carry the things I mentioned before. If abnormally low amounts of albumin are found in the blood, something termed hypoalbuminemia, then this can clue us into the fact that some sort of severe or long-standing liver damage has occurred, resulting in decreased albumin production. Using AST and ALT as a ClueOf course, a factory, our liver, that's in trouble throws us more than one clue that something is wrong. Decreased manufacturing capabilities, resulting in low albumin, is just one clue that the factory isn't working properly. But factories use machines, furnaces, and people to convert a raw material into a finished product. If something goes wrong with the machines, furnaces, or people, then smoke, fire, and loud screams may come from our factory to indicate a problem. The machines, furnaces, and people in the liver are known as enzymes, proteins that speed up biochemical reactions. If the liver is sick, then it releases these enzymes into the bloodstream in larger-than-normal quantities. Their levels, these signals of liver injury, can then be measured with blood tests. If they are elevated, they may indicate primary liver disease such as cirrhosis, hepatic congestion, or hepatitis. Two of these enzymes that are measured for this purpose are AST, aspartate aminotransferase, and ALT, alanine aminotransferase, both of which have normal blood values of approximately 0-35 U/L. Also, AST was known as SGOT and ALT used to be called SGPT. I decided to let you know that just in case you decide to read a medical text from the 1970s - then you'll know what those things mean in modern terms or in certain countries that still use those abbreviations. But just remember AST and ALT for our lesson. Using ALP as a ClueOther than AST and ALT, there is an enzyme called ALP, technically called alkaline phosphatase, whose normal range in the blood is approximately 30-120 U/L. Sometimes it's colloquially called 'alk phos' between medical personnel. It's much easier to say it that way since it's shorter than saying alkaline phosphatase and doesn't get confused with other abbreviations phonetically like ALP may be when pronounced really quickly. Elevations in alk phos are associated with biliary tree (aka biliary tract) obstruction. Knowing this, you should use our medical slang, alk phos, to your advantage. Think of the 'o' in alk ph'o's as an indicator of 'o'bstruction. If you weren't aware already, bile is a fluid that helps to digest fat. It is produced by the liver cells, known as hepatocytes. Once they produce bile, they secrete this bile into a system of channels and ducts, termed the biliary tree, which eventually empties out into the small intestine's duodenum. Anything that obstructs this outflow or hepatocyte secretion of bile results in improper outflow of bile from the liver, something known as cholestasis. Therefore, alk phos is an indicator of this cholestasis. Intrahepatic (within the liver) causes of cholestasis include biliary cirrhosis, alcoholic liver disease, cancer such as lymphoma, and viral hepatitis, among many others. Extrahepatic (outside the liver proper) cholestasis can be induced by gallstones in the common bile duct, stricture (narrowing) of the bile duct, pancreatitis (inflammation of the pancreas), which squeezes the bile duct shut in some cases, tumors of the bile duct, and many more.
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People with cholestasis may sometimes experience extreme pruritus (aka itching) as a result of bile salt deposition in their skin. Of course, the biliary tree obstruction may conversely, with time, damage the liver cells as well. This will then result in elevations of ALT and AST, but less so than alk phos. On the other hand, alk phos will rise in primary liver disease, but the ALT and AST will be elevated much more so. So, in cholestasis, our factory, the liver, may actually be working properly, but its products get backed up like crazy because the outflow of the product from the factory is impeded, creating a dangerous work environment! Important Parting NotesThere's one last thing I'd like to get into quickly before ending this lesson. All of the enzymes, including AST, ALT, and alk phos, can be found in places outside of the liver. Some of these enzymes can be increased as a result of heart disease, bone damage, muscle damage, and much more. Therefore, they're not always specific to liver or biliary tree issues! That is why looking for increases in other enzymes, such as GGT, or increases in bilirubin, decreases in albumin, and clinical signs like jaundice, is important for piecing together the entire puzzle in order to narrow down the list of problems to the liver itself. Finally, there is a common misnomer that AST, ALT, and alk phos are liver function tests. They're not. They may be called this, but erroneously so. You should realize based on this lesson that they measure injury to the liver cells or bile ducts, not their function. Lesson SummaryAs a quick review, we measure the extent of liver or biliary injury through three main tests. They are:
AST, aspartate aminotransferase
ALT, alanine aminotransferase
ALP, technically called alkaline phosphatase (alk phos)
ALP is going to be increased moreso than the other two in cases of improper outflow of bile from the liver, something known as cholestasis. On the flipside, AST and ALT will be increased more than alk phos in primary hepatocellular disease.
&This just saved me about $2,000 and 1&year of my life.& & Student
&I learned in 20 minutes what it took 3&months to learn in class.& & Student
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乙肝小三阳。ATS41，AST/ALT
基本信息：男&&33岁
病情描述及疑问：乙肝小三阳。ATS 41，AST/ALT 0.63，ALP 150.请问一下，这是 什么情况？补充提问： 12:55:22我想知道需不需要吃药治疗
您输入的回答少于20个中文字，请补充输入。
擅长：擅长各类美容皮肤问题,肝胆疾病,以及养生保健。
网友满意：
回答速度：
广州翔兴医疗投资管理有限公司&&&肝病科
建议：你好，从你的检查结果上来看，转氨酶及碱性磷酸酶只是有轻微的异常，问题不大的，近期几天熬夜或是作息不规律也是会引起的。虽说是有乙肝病史，但不能以此说明病情加重的，所以建议是好好休养一个月时间再复查一下先。
&&&内科_心血管内科
擅长：擅长各型心血管疾病的诊断治疗，诊疗范围：各型高血压、心脑血管疾病、心律失常、急慢性心力衰竭、糖尿病及并发症、脑出血、脑梗塞、胸膜炎等疾病。在北京医院进修2年。从事临床工作5年。
网友满意：
回答速度：
额敏振华医院&&&内科_心血管内科
建议：你好，根据你的描述这种情况不是很严重的，建议应用保肝药物治疗，禁止饮酒
擅长：擅长治疗各种病毒性肝炎(特别是乙型肝炎、丙型肝炎等)、肝硬化、肝腹水、肝癌、酒精肝、药物性肝病、脂肪性肝病、肝性脑病、肝功能衰竭等疑难肝病的治疗。
网友满意：
回答速度：
北京京军国际肝病医学研究院&&&肝病科
建议：您好，根据您的描述，肝功能异常，不知道您的乙肝病毒DNA是否正常呢？建议到正规医院进一步检查，根据检查结果再制定合理的治疗方案。避免病情恶化更加严重。患者在治疗的时候要选择正规权威的医院，同时要选择适合自己病情的治疗方法，避免治疗误区，这样才能更好的保障治疗的效果，从我们治疗的众多患者中数据显示，采用最新技术治疗效果非常不错，患者可以进一步了解。
有关的更多问题，
疾病百科（别名：乙型肝炎）（别名：乙型肝炎）　　乙肝viral hepatitis type B，又称乙型病毒性肝炎)系由乙肝病毒(HBV)引起，临床表现为：乏力、食欲减退、恶心、呕吐、厌油、肝大及肝功能异常。发展...　　乙肝viral hepatitis type B，又称乙型病毒性肝炎)系由乙肝病毒(HBV)引起，临床表现为：乏力、食欲减退、恶心、呕吐、厌油、肝大及肝功能异常。发展中国家发病率高，多数无症状，其中1/3出现肝损害的临床表现。据统计，全世界无症状乙肝病毒携带者(HBsAg携带者)超过2.8亿,我国约占9300万。　　乙肝包括下面类型：急性乙肝（急性黄疸型肝炎、急性无黄疸型肝炎）、慢性乙肝、重型乙肝、淤胆型肝炎、肝炎后肝硬化、小儿乙型肝炎病毒相关肾炎、新生儿乙型肝炎、乙型肝炎病毒性关节炎等。就诊科室：传染科 肝病典型症状： 多发人群：所有人群检查方法： 发病部位：肝常用药品： 疾病自测：
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副主任医师
南方医院&&&内科_感染
广州市第八人民医院&&&肝病一科
为保障患者权益，我们仅接受有资质的医学专业人士的回答，请您先认证为医生本站已经通过实名认证，所有内容由李鲜大夫本人发表
若合并ALT、AST水平异常，是什么意思？_转氨酶偏高
状态：就诊前
咨询标题：若合并ALT、AST水平异常，是什么意思？
病情描述（发病时间、主要症状、就诊医院等）：
5月份查转氨酶还正常，两对半阴性、阳性是正常的，尿酸就高几点，血脂高很多。
今天查AST96,ALT155，GGT104，尿酸535.5，甘油三酯5.77
曾经治疗情况和效果：
5月开始已经稍微控制吃肉了，体重也轻了8斤。但是最近晚上带小孩半夜要醒几次。。。。。
想得到怎样的帮助：
还有5天事业单位招考体检，不知道怎么处理,还有体检操作手册中这句：若合并ALT、AST水平异常，是什么意思？比值吗？
a***发表于
你的B超结果呢？有脂肪肝吗？
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
李鲜大夫本人
状态：就诊前
中度脂肪肝。。。忘记说了。
& 诊断应该是脂肪性肝炎。建议到当地三级甲等中医院去诊治。中西医结合治疗效果会好。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
李鲜大夫本人
状态：就诊前
脂肪性肝炎？查两对半？这么说体检是过不去了？
脂肪性肝炎肯定存在。乙肝五项的结果有问题吗》如果有问题，就是二个问题都有。把结果发过来我看看。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
李鲜大夫本人
状态：就诊前
乙肝五项 我5月份查过没问题，所以今天就没查。我5月份查转氨酶还不高，您肯定我是脂肪性肝炎？有没有可能5天内逆转？
中度脂肪肝。肝功异常。可以确定。五天不能纠正。病程较长。1 到 3 个月是一个疗程。
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生
指导下进行！）
李鲜大夫本人
停诊:各位网友：大家好！因本人九月十二日外出开会。周五门诊停诊一天。特告！给您带来不便敬请谅解！
（大夫郑重提醒：因不能面诊患者，无法全面了解病情，以上建议仅供参考，具体诊疗请一定到医院在医生指导下进行！）
李鲜大夫本人 发表于
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李鲜大夫的信息
急慢性胃炎、炎症性肠病、急慢性胆囊炎、急慢性胰腺炎、急慢性肝炎、肝硬化、胆石症等疾病。
李鲜，女，主任医师，教授，硕士生导师，河南省中医院 河南中医学院二附院肝胆脾胃科副主任，从事临床中医内...
李鲜大夫的电话咨询
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近期通话：
中医消化科可通话专家
东直门医院
消化科（脾胃病科）
广安门中医院
山东省中医院
东直门医院
山东省中医院
河北省中医院