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61.
62.
Tian YF Lin YS Lu CL Chia CC Huang KF Shih TY Shen KH Chung MT Tsai YC Chao CH Wu MP 《Journal of minimally invasive gynecology》2007,14(3):284-292
STUDY OBJECTIVES: This follow-up study examined the major complications among 4307 operative gynecologic laparoscopies. The overall complication rate and each individual category were compared with those of our previous study period. The clinical outcome and salvage procedures were correlated with the time of recognition and the severity of initial procedures in the individual injury type. DESIGN: Retrospective, comparative study based on medical record reviewing (Canadian Task Force classification II-3). SETTING: Tertiary teaching hospital, Chi Mei Foundation Hospital in southern Taiwan. PATIENTS: Records of women (n = 4307) aged 40.5 +/- 11.7 years (mean +/- SD [95% CI 40.1-40.5]) who underwent operative gynecologic laparoscopies from January 2000 through February 2006 were reviewed in this study. The complications were compared with those of our previous study based on 1507 laparoscopies performed between December 1992 and November 1999 for follow-up comparison. INTERVENTIONS: Gynecologic laparoscopic surgeries. MEASUREMENTS AND MAIN RESULTS: Thirty-four complications occurred in 31 patients requiring repair procedures, 3 of whom had multiple complications, with an overall complication rate of 0.72% (31/4307). There were 13 bladder injuries (0.30%), 7 bowel injuries (0.16%), 3 cases of internal bleeding (0.07%), 4 vaginal stump hematomas or abscesses (0.09%), 3 ureteral injuries (0.07%), 3 major vessel injuries (0.07%), and 1 trocar site hematoma (0.02%). In addition, there were 125 (2.88%) postoperative blood transfusions without additional operative intervention. The major complication rate decreased compared with that of the previous study (0.72% [95% CI 0.51%-1.02%] vs 1.59% [95% CI 1.07%-2.36%]; p = .005). The overall complication rates were not significantly different between laparoscopic hysterectomy (LH) group and non-LH group. However, bladder injury happened more frequently in the LH group, whereas bowel injury was more common in the non-LH group. In addition, the severity of the original injury, timing of recognition, and accompanying salvage procedures correlated with the clinical outcomes. CONCLUSION: The significantly decreased major complication rate, as compared with that of our previous study period, confirms the importance of experience accumulation and use of preventive maneuvers in reducing the complication rate. There were no significant differences among the individual injury category during these 2 study periods. The manifestations of bowel injury were highly variable and individualized. The accumulation of surgical experience with the aid of preventive maneuvers is helpful to reduce the complication rate significantly. 相似文献
63.
目的本课题主要是对TiO_2光触媒用于流动采血车空气消毒的可行性进行研究,探讨一种更适合街头流动采血车车内空气消毒的方法。方法通过跟踪监测,对比分析TiO_2光触媒对流动采血车空气消毒的效果。结果在采血车内喷涂TiO_2光触媒后,在自然光线下,将喷涂后的每一次空气监测结果分别与喷涂前的空气检测结果进行t检验,差异性非常显著(P<0.001);经过近三年的霉雨季节考验,空气当中的霉菌数为零。达到了《山东省固定采血点(室)、流动采血车基本标准》中规定的空气质量标准。 相似文献
64.
Lou Zhong-jin罗仲金 Wang Ling王玲 Liu Qing 刘庆Tian Guang-zhao田光兆 Hu Xiao-su胡孝素 Huang Guang-qi黄光琦Qian Fang钱方 Ran Rui-tu冉瑞图West China University of Medical Sciences ChengduHuang De-huai黄德淮Chengdu Fifth People''s Hospital Chengdu 《中华医学杂志(英文版)》1987,100(9):740-744
Comparative studies are made on the relative
percentages of amino acid content and LDH isozyme
by electrophoresis and Slab-PAGE in adult worms
of Ascaris lumbricoides, Ascaris suum and Toxocara
canis. The results show that there are remarkable
differences of Arg and His of 17 amino acids bet.
ween Toxocara canis and human intestinal ascaris,
human biliary ascaris and pig ascaris; there are also
obvious differences of band positions of LDH
isozyme electrophoretic patterns and band position
and amount of slab-PAGE patterns among them,
whereas no marked differences are found in these
three indices in human intestinal ascaris, human
biliary ascaris and pig ascaris. 相似文献
65.
Sukal Sean A. MD PhD † Tudisco Marie HT † Strippoli Barbara HT † Nehal Kishwer S. MD † 《Dermatologic surgery》2005,31(7):763-766
Background Processing multiple tissue sections in large Mohs cases is time consuming and labor intensive.
Objective To present innovative laboratory techniques to facilitate processing of large Mohs cases.
Methods A method for processing a large dermatofibrosarcoma protuberans Mohs case is outlined.
Results Modifications in tissue processing and equipment employed in a large Mohs case are presented.
Conclusion Innovative modifications to the standard Mohs laboratory technique can facilitate processing of large Mohs cases, resulting in high-quality, rapid frozen sections while optimizing efficiency. 相似文献
Objective To present innovative laboratory techniques to facilitate processing of large Mohs cases.
Methods A method for processing a large dermatofibrosarcoma protuberans Mohs case is outlined.
Results Modifications in tissue processing and equipment employed in a large Mohs case are presented.
Conclusion Innovative modifications to the standard Mohs laboratory technique can facilitate processing of large Mohs cases, resulting in high-quality, rapid frozen sections while optimizing efficiency. 相似文献
66.
食管癌三维适形后程加速超分割放射治疗的疗效分析 总被引:3,自引:0,他引:3
目的评价三维适形后程加速超分割放射治疗食管癌的疗效及放疗反应、并发症。方法2002年2月至2004年5月,71例食管鳞癌随机分成两组,三维适形后程加速超分割组36例,食管病变上下外约4cm,前后、左右外约0.5~1cm作为PTV1,每次2GY,每周5次,DT40GY后,病变上下外约2cm,前后、左右外约0.5~1cm作为PTV2,每日2次,每次1.5GY,间隔4~6小时,总疗程6周,总剂量67GY/38次。非三维适形后程加速超分割组35例,时间、剂量、分割方式同适形组。所有病例均采用8MV-X外照射。结果1、2、3年的生存率和原发肿瘤的局控率,与非适形后程加速超分割比较,适形组明显提高,分别为88.9%、75%、63.9%比68.6%、51.4%、40%和86.1%、72.2%、58.3%比65.7%、48.5%、34.3%。适形组的急性放射反应明显低于非适形后程加速超分割组,两组有显著差别。结论本研究的初步结果表明食管癌适形后程加速超分割放射治疗的疗效优于非适形后程加速超分割组。 相似文献
67.
急性低氧运动对血液流变性和红细胞形态的影响及电解质饮料的干预效果 总被引:6,自引:1,他引:5
目的:探讨急性低氧运动对血液流变性和红细胞形态的影响以及补充电解质饮料的干预效果。方法:受试者为8名健康成年男性,均进行两次实验。第1次为急性低氧运动加补充电解质饮料(运动前和运动中)实验,第2次为急性低氧运动不补充任何液体实验,两次实验间隔1周。受试者以70%最大摄氧量(VO2max)强度在低氧环境(O2浓度为15.5%,环境温度为20℃,湿度为55%)下进行1小时的功率自行车运动。分别测定受试者运动前、后的血液流变学指标并观察其红细胞形态的变化。结果:不补液情况下,受试者运动后的血液粘度、红细胞压积及红细胞刚性指数显著增加(P<0.01)。红细胞形态由双凹圆盘形变为一面凸、一面凹的草帽形。运动前和运动中补充电解质饮料,受试者运动后的各项血液流变学指标与运动前相比变化均不显著(P>0.05),且运动后红细胞形态未见明显变化。结论:运动前和运动中补充电解质饮料可缓解急性低氧运动对机体血液流变性产生的不良影响。 相似文献
68.
原发性肝癌肝移植治疗--我们的共识 总被引:6,自引:2,他引:4
原发性肝癌(以下简称肝癌)是我国发病率和病死率最高的恶性肿瘤之一,且有逐年增加的趋势,严重危害人民健康。自从1967年开展首例肝癌肝移植后,经过对适应证的不断探讨和技术改进,目前肝移植已成为治疗肝癌的重要手段之一。 相似文献
69.
In this study, an animal model of multiple system organ failure (MSOF) in rabbits, engendered by feeding E. coli prior to severe hemorrhagic shock, was used for the purpose of investigating 1) the relationship between lipopolysaccharide (LPS) and MSOF, and 2) the effectiveness of Re-LPS antiserum in preventing MSOF. The results showed that endotoxemia occurred very early, and its degree correlated well with that of organ dysfunction. Re-LPS antiserum administration abated the toxic effects and lowered the incidence of MSOF. These results suggest that sequential analysis of circulating LPS levels may be useful for the early diagnosis of MSOF, and that gut-derived endotoxin might play an important role in the pathogenesis of experimental MSOF. 相似文献
70.