HCG more than 60,000 refers to HCG over 60,000 IU/L. HCG over 60,000 IU/L, with yolk sac, no fetal heart and fetal bud, may be caused by fetal heart and fetal bud not yet fully developed, embryonic growth dysplasia, gravida, etc.. It is recommended to go to the hospital and follow the medical advice to carry out targeted treatment according to the specific condition.1. Fetal heart and fetal buds are not yet fully developed: In the early stage of pregnancy, if the pregnant woman takes a pregnancy test too early, the blood HCG level in the body is significantly higher, there may be yolk sac development, but the fetal heart and fetal buds are not yet fully developed, there may be blood HCG more than 60,000 IU/L, there is yolk sac, no fetal heart and fetal buds. There is no fetal heart and fetal bud. Usually no treatment is needed, but a review is needed after a week or so, and most of them can find fetal heart and fetal bud development; 2. Embryonic dysplasia: After pregnancy, if embryonic dysplasia occurs, and the blood HCG in the body has not dropped significantly, there may be blood HCG more than 60,000 IU/L, with yolk sac, but no fetal heart and fetal bud development. If the diagnosis of embryonic abortion is confirmed, the patient needs to undergo clearance treatment as soon as possible. 3. Gravida: When patients have gravida, most of them will have significantly higher blood HCG, which may exceed 60,000 IU/L, but when ultrasound examination is performed, there is no embryonic tissue in the uterine cavity and blister-like changes are visible. After the diagnosis is confirmed, treatment of uterus removal is needed, and the removal also requires regular rechecking of blood HCG as well as pelvic ultrasound.