初孕妇，19岁。孕36周，无正规产前检查，孕32周时出现下肢水肿，近2天加重伴头晕。两次测量血压（145 ~ 150) / (95 -100) mmHg,尿蛋白（+ ) ~ ( + +)无宫缩，胎动正常。首先考虑的诊断是

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