How severe is liver damage when transaminase levels are over 600?

Transaminase level of 600 refers to 600 U/L. A transaminase level as high as 600 U/L indicates severe liver function damage, which may lead to liver failure or even life-threatening conditions. Immediate medical attention is required, and patients should undergo examination and receive appropriate treatment under the guidance of a qualified physician.

The normal range for transaminase levels is approximately 40–50 U/L. Therefore, a level of 600 U/L exceeds the upper limit of normal by more than tenfold, indicating significant liver damage. To assess the extent of liver injury, comprehensive analysis with other related indicators such as bilirubin and albumin is also necessary. Alcoholic liver disease results from long-term excessive alcohol consumption. Patients with fatty liver due to obesity should maintain a healthy lifestyle and engage in appropriate physical activity in daily life.

For viral hepatitis such as hepatitis B or C, timely antiviral therapy under medical supervision is essential. Commonly used medications include ribavirin capsules and acyclovir capsules. It is also important to promptly identify and treat underlying primary diseases, including acute biliary disorders, autoimmune liver diseases, and extrahepatic conditions.

If elevated transaminase levels are caused by hepatitis B virus infection, medications to lower transaminase levels and protect the liver can be used under a doctor's guidance. Drugs such as bifendate drops, silybin capsules, and glycyrrhizin preparations can effectively reduce transaminase levels.