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src="https://file.bohe.cn/fhfile1/M00/87/B1/o4YBAGjA-OiAUaRKAAYb-Q1q2pg401.jpg"></p><p>乙肝攜帶者轉(zhuǎn)氨酶輕度升高可能與疲勞、飲酒、藥物等因素有關(guān)，此時(shí)通過休息、調(diào)整飲食、避免肝毒性物質(zhì)后，指標(biāo)可能逐漸恢復(fù)。定期復(fù)查肝功能并監(jiān)測(cè)乙肝病毒載量是關(guān)鍵，若轉(zhuǎn)氨酶持續(xù)異常但未超過正常值上限的2倍，可在門診隨訪中由醫(yī)生評(píng)估是否需要抗病毒治療。日常需避免高脂飲食、熬夜等加重肝臟負(fù)擔(dān)的行為，適量補(bǔ)充優(yōu)質(zhì)蛋白如魚肉、豆制品，并嚴(yán)格戒酒。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/87/FA/ooYBAGjA-OiAT4UeAAT3Z8HVors077.jpg"></p><p>若轉(zhuǎn)氨酶超過正常值上限的2倍以上，或出現(xiàn)黃疸、腹水、凝血功能障礙等肝功能失代償表現(xiàn)，需立即住院。此類情況可能提示乙肝病毒活躍復(fù)制導(dǎo)致肝炎發(fā)作，或合并其他肝病如脂肪肝、藥物性肝損傷。住院期間需完善肝臟超聲、凝血功能等檢查，必要時(shí)進(jìn)行肝穿刺活檢明確病理變化。治療上需在醫(yī)生指導(dǎo)下使用抗病毒藥物如恩替卡韋片、富馬酸替諾福韋二吡呋酯片，并配合保肝藥物如復(fù)方甘草酸苷注射液、多烯磷脂酰膽堿膠囊。嚴(yán)重肝功能衰竭者可能需人工肝支持或肝移植評(píng)估。</p><p>乙肝攜帶者應(yīng)每3-6個(gè)月復(fù)查肝功能、乙肝病毒DNA及肝臟影像學(xué)，發(fā)現(xiàn)轉(zhuǎn)氨酶升高時(shí)及時(shí)就醫(yī)。避免自行服用中藥或保健品，防止加重肝損傷。若需長(zhǎng)期服用其他藥物，應(yīng)提前告知醫(yī)生乙肝病史以調(diào)整用藥方案。</p></div> <div id="vzhd3htz5lj" class="f24 fc9 lh40 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