36岁，初产妇，孕33周。检查血压160/L00mmHg,拒绝住院治疗。3小时前无明显诱因突发下腹痛伴少债阴道流血，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。因前圾正确的处观是

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