這個可能要醫生做比較全麵的肝功能檢查

Hep B DNA PCR是viral load，超過正常標準太多可能是說明乙肝病毒開始轉錄。要不要治療可能需要醫生按照綜合指標決定。。。

這裏有篇文供參考

http://www.hepb.org/blog/diagnosed-with-chronic-hepatitis-b-what-does-your-hbv-dna-test-tell-you/

。。。

Many people in their 40s, 50s or 60s, develop HBeAg-negative hepatitis B, though this may occur in younger individuals as well. Although individuals may have seroconverted and lost HBeAg (HBeAg negative/HBeAb positive), the virus is able to mutate allowing it to keep replicating, putting these patients at risk of liver damage. They may see the viral load start to creep up along with SGPT/ALT. Eventually they may require treatment with antivirals based on clinical guidelines doctors follow to manage their patients. Once again, monitoring is key!

。。。

It is important to remember that a viral load test provides you with important information, but it must be considered in relation to your other HBV and liver function tests results to determine if treatment is needed at all, or if you are responding favorably to current treatment. Although an undetectable or low viral load is good news, it does not necessarily guarantee that you have not, or will not experience liver damage. Hepatitis B is a tricky virus. Talk to your liver specialist about all of your test results.

所有跟帖： 

• 謝謝。看來這指標高的人並不少見呢，預示可能有肝損害風險“monitoring is key。 -pickshell- ♀ (232 bytes) () 04/19/2019 postreply 17:48:53