How to read the liver function examination report

The liver function examination report mainly focuses on indicators such as alanine aminotransferase, aspartate aminotransferase, total bilirubin, albumin, etc., and needs to be combined with the reference value range and clinical comprehensive judgment. Abnormal results may indicate diseases such as hepatitis, fatty liver, biliary obstruction, etc. It is recommended to have a doctor further evaluate.

1. Aspartate transaminase

Aspartate transaminase is mainly present in liver cells, and elevated values are common in viral hepatitis, drug-induced liver injury, or alcoholic liver disease. Mild elevation may be related to staying up late and vigorous exercise, and needs to be confirmed through re examination. If it continues to exceed the upper limit of the reference value by 2 times, it is necessary to check for hepatitis B, hepatitis C and other infections. Doctors may recommend liver protective drugs such as compound glycyrrhizin tablets and silibinin capsules.

2. Aspartate transaminase

Aspartate transaminase is distributed in both the heart and liver, and its ratio to alanine aminotransferase helps distinguish the type of liver disease. Alcoholic liver disease often presents with higher levels of aspartate aminotransferase, while acute hepatitis is mainly characterized by elevated levels of alanine aminotransferase. This indicator may also be abnormal during myocardial infarction and needs to be judged in conjunction with electrocardiogram.

3. Elevated total bilirubin

may be caused by hemolysis, hepatitis, or bile duct stones. Indirect bilirubin elevation is more common in hemolytic diseases, while direct bilirubin elevation often indicates biliary obstruction. physiological jaundice in newborns usually subsides within 2 weeks, while adult jaundice requires screening for serious diseases such as bile duct cancer.

4. Albumin

Decreased albumin reflects impaired liver synthesis function, and long-term malnutrition or nephrotic syndrome can also lead to a decrease in this indicator. When the albumin level in patients with cirrhosis is below 30g/L, ascites may occur. It is necessary to supplement human serum albumin preparations and limit sodium salt intake.

5. Alkaline phosphatase

Elevated alkaline phosphatase is commonly found in bile stasis, bone metabolism diseases, or children's growth period. Pregnant women may experience physiological elevation of this indicator. If accompanied by synchronous elevation of gamma glutamyl transpeptidase, ultrasound examination is required to rule out bile duct stones or tumors. People with abnormal liver function should avoid drinking alcohol and high-fat diet, and supplement high-quality protein such as fish, meat, eggs, and milk in moderation. Long term medication patients need to regularly monitor their liver function and seek medical attention promptly if symptoms such as fatigue and jaundice occur. The arrow marks on the physical examination report are for reference only. The specific diagnosis needs to be comprehensively judged by the doctor based on medical history, imaging, and other factors. It is not recommended to interpret the medication on your own.