36岁，初产妇，孕33周。检査血压160/ lOOmmHg,拒绝住院治疗。3小时前无明显 诱因突发下腹痛伴少量阴道流血，BP75/ 30mmHg,心率120次/分，宫底剑突下2 指，板状腹，胎位不清，胎心音消失。目前 最正确的处理是

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