28岁初产妇，孕30周，午睡后突感剧烈腹 痛伴恶心，呕吐1次，呕吐物为胃内容物， 阴道流血似月经量，来院就诊。检查：血 压100/60mmHg，豚率96次/分，宫底剑突 下3指，质硬，压痛，胎心110次/分，下 肢水肿（+ + )。急査尿常规：尿蛋白 (-)。应首先考虑下述哪项疾病

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