Question
A ten-month-old boy was taken to the doctor for coughing and low-grade fever, and routine blood tests indicated a viral infection. The liver function and myocardial enzyme tests also showed elevated levels of lactate dehydrogenase (LDH), alkaline phosphatase (ALP), alanine aminotransferase (ALT), and aspartate aminotransferase (AST), with other indicators normal. The parents inquired about how to handle the situation of elevated myocardial enzymes.
Answer
Elevated transaminases may indicate liver damage, possibly due to viral hepatitis, fatty liver, drug-induced liver injury, excessive alcohol consumption, overexertion, overeating, or insufficient rest. For pediatric liver disease, immediate treatment should be initiated upon diagnosis, along with gastrointestinal decompression and the development of good hygiene habits. Parents should avoid allowing their children to be picky eaters and ensure a balanced diet.