全文获取类型
收费全文 | 32853篇 |
免费 | 2426篇 |
国内免费 | 936篇 |
专业分类
耳鼻咽喉 | 64篇 |
儿科学 | 745篇 |
妇产科学 | 233篇 |
基础医学 | 1537篇 |
口腔科学 | 349篇 |
临床医学 | 6240篇 |
内科学 | 5141篇 |
皮肤病学 | 590篇 |
神经病学 | 1197篇 |
特种医学 | 1774篇 |
外国民族医学 | 1篇 |
外科学 | 5820篇 |
综合类 | 5335篇 |
现状与发展 | 2篇 |
预防医学 | 1480篇 |
眼科学 | 553篇 |
药学 | 2870篇 |
42篇 | |
中国医学 | 1656篇 |
肿瘤学 | 586篇 |
出版年
2024年 | 90篇 |
2023年 | 635篇 |
2022年 | 865篇 |
2021年 | 1385篇 |
2020年 | 1391篇 |
2019年 | 1206篇 |
2018年 | 1101篇 |
2017年 | 1242篇 |
2016年 | 1211篇 |
2015年 | 1128篇 |
2014年 | 2355篇 |
2013年 | 2524篇 |
2012年 | 2037篇 |
2011年 | 2128篇 |
2010年 | 1748篇 |
2009年 | 1601篇 |
2008年 | 1540篇 |
2007年 | 1450篇 |
2006年 | 1374篇 |
2005年 | 1217篇 |
2004年 | 982篇 |
2003年 | 827篇 |
2002年 | 707篇 |
2001年 | 745篇 |
2000年 | 581篇 |
1999年 | 454篇 |
1998年 | 422篇 |
1997年 | 397篇 |
1996年 | 351篇 |
1995年 | 338篇 |
1994年 | 269篇 |
1993年 | 222篇 |
1992年 | 223篇 |
1991年 | 187篇 |
1990年 | 163篇 |
1989年 | 145篇 |
1988年 | 155篇 |
1987年 | 131篇 |
1986年 | 103篇 |
1985年 | 106篇 |
1984年 | 88篇 |
1983年 | 63篇 |
1982年 | 68篇 |
1981年 | 57篇 |
1980年 | 44篇 |
1979年 | 35篇 |
1978年 | 28篇 |
1977年 | 30篇 |
1976年 | 23篇 |
1975年 | 14篇 |
排序方式: 共有10000条查询结果,搜索用时 437 毫秒
71.
72.
消化性溃疡在某部军人中的发病情况及相关因素调查 总被引:6,自引:1,他引:5
目的 了解部队消化性溃疡(PU)的发病情况及幽门螺杆菌(Hp)感染情况,探讨军人Pu发生的危险因素。方法 采用多阶段分层整群随机抽样的方法,对南方战区某地6160名军人进行PU症状及危险因素问卷调查,并进行胃镜精查、Hp检测。结果 军人PU相关症状发生率(Sc≥5分)18.60%。标化后的PU患病率12.78%,其中军龄1年、南方籍、装甲部队军人PU患病率高。Hp感染率62.67%。Hp感染(OR4.60)、吸烟(OR3.8)、持续高强度军事训练(OR4.3)、驾驶战斗车辆(OR6.0)、经常精神紧张(OR3.7)等与PU症状发生的关系较大。辛辣饮食、常饮牛奶、是否独生子女等与PU发生无关。结论 军人PU患病率及Hp感染率均较高。军人PU发病情况在不同军龄、兵种、入伍前地域之间存在差别,Hp感染、军事训练、精神因素、某些不良生活习惯等与军人PU的发生密切相关。 相似文献
73.
74.
75.
目的:探求上唇外侧组织瓣在修复较大面积下唇缺损中的作用。方法:根据患者下唇缺损情况,设计上唇外侧组织瓣,旋转后插入缺损组织,同时在缺损吻合处,将上层外侧旋转瓣内侧粘膜肌肉向外牵拉形成部分新的红唇,然后逐层相对缝合,修复缺损。结果:自2003年1月应用此方法修复患者6例,术后随访1~2年,唇部外形好,无流涎,无口闭合不全,效果满意。 相似文献
76.
AIM: To undertake a systematic review of the diagnostic performance of clinical examination, sample acquisition and sample analysis in infected foot ulcers in diabetes. METHODS: Nineteen electronic databases plus other sources were searched. To be included, studies had to fulfil the following criteria: (i) compare a method of clinical assessment, sample collection or sample analysis with a reference standard; (ii) recruit diabetic individuals with foot ulcers; (ii) present 2 x 2 diagnostic data. Studies were critically appraised using a 12-item checklist. RESULTS: Three eligible studies were identified, one each on clinical examination, sample collection and sample analysis. For all three, study groups were heterogeneous with respect to wound type and a small proportion of participants had foot ulcers due to diabetes. No studies identified an optimum reference standard. Other methodological problems included non-blind interpretation of tests and the time lag between index and reference tests. Individual signs or symptoms of infection did not prove to be useful tests when assessed against punch biopsy as the reference standard. The wound swab did not perform well when assessed against tissue biopsy. Semiquantitative analysis of wound swab might be a useful alternative to quantitative analysis. The limitations of these findings and their impact on recommendations from relevant clinical guidelines are discussed. CONCLUSION: Given the importance of this topic, it is surprising that only three eligible studies were identified. It was not possible to describe the optimal methods of diagnosing infection in diabetic patients with foot ulceration from the evidence identified in this systematic review. 相似文献
77.
78.
鱼腥草注射液佐治下呼吸道感染的疗效观察 总被引:1,自引:0,他引:1
目的观察鱼腥草注射液佐治下呼吸道感染的疗效及安全性.方法将76例急性下呼吸道感染患者随机分为治疗组和对照组,两组均予内科常规治疗,治疗组则另予鱼腥草注射液治疗.结果治疗组的总有效率为94.7%,显著优于对照组的73.7%(x2=6.33,P<0.05),且未见明显副作用.结论鱼腥草注射液佐治急性下呼吸道感染安全、有效,值得推广. 相似文献
79.
Peter B. Richman MD Shari Dominguez MD David Kasper MD Frederick Chen MD Jeremy Friese MD Joseph Wood MD JD Joseph Collins MD Jeffrey A. Kline MD 《Academic emergency medicine》2006,13(3):295-301
Objectives: To determine interobserver agreement between radiologists for computed tomography (CT) angiography and venography. CT venography of the lower extremities combined with standard CT angiography of the chest may result in an increased overall diagnosis rate of venous thromboembolism (pulmonary embolism or deep venous thrombosis).
Methods: The study had a retrospective cohort design. The population consisted of emergency department patients who were evaluated for suspected pulmonary embolism. A random sample of 50 patients diagnosed and treated for venous thromboembolism and 50 age- and gender-matched patients whose CT angiograms and venograms were read as negative were enrolled. The original reading (R1) was compared with readings of two study radiologists: R2, a general radiologist, and R3, a radiologist with fellowship training in cross-sectional imaging. All readers were blinded to each other.
Results: Both R2 and R3 found both CT angiogram and venogram components technically adequate in 95% (95% CI = 89% to 98%) and 86% (95% CI = 78% to 92%) of studies, respectively. The agreement was very good for CT angiography (lowest agreement = 92%; lowest κ = 0.83) and was good for CT venography (85%, κ = 0.65). In nine cases, R1 read the CT angiogram as negative but the venogram as positive for DVT, whereas both R2 and R3 read both components as negative in four of these nine, suggesting a false-positive isolated DVT rate of 44% (95% CI = 19% to 73%). In no case did R1 read both scan components as negative when R2 and R3 agreed on presence of pulmonary embolism or DVT.
Conclusions: Diagnosis of pulmonary embolism on CT angiography is more reliable than diagnosis of isolated DVT on CT venography. 相似文献
Methods: The study had a retrospective cohort design. The population consisted of emergency department patients who were evaluated for suspected pulmonary embolism. A random sample of 50 patients diagnosed and treated for venous thromboembolism and 50 age- and gender-matched patients whose CT angiograms and venograms were read as negative were enrolled. The original reading (R1) was compared with readings of two study radiologists: R2, a general radiologist, and R3, a radiologist with fellowship training in cross-sectional imaging. All readers were blinded to each other.
Results: Both R2 and R3 found both CT angiogram and venogram components technically adequate in 95% (95% CI = 89% to 98%) and 86% (95% CI = 78% to 92%) of studies, respectively. The agreement was very good for CT angiography (lowest agreement = 92%; lowest κ = 0.83) and was good for CT venography (85%, κ = 0.65). In nine cases, R1 read the CT angiogram as negative but the venogram as positive for DVT, whereas both R2 and R3 read both components as negative in four of these nine, suggesting a false-positive isolated DVT rate of 44% (95% CI = 19% to 73%). In no case did R1 read both scan components as negative when R2 and R3 agreed on presence of pulmonary embolism or DVT.
Conclusions: Diagnosis of pulmonary embolism on CT angiography is more reliable than diagnosis of isolated DVT on CT venography. 相似文献
80.
目的:探讨改进的内外括约肌在原位肛门整形重建术中的应用及其手术效果。方法:改进包括:①肛门内括约肌改进为双层双环肌套;②肛门外括约肌改进为股薄肌采用“围巾式”环绕结肠末端一周,其远端剖为两条,一条缝合固定于耻骨韧带;另一条缝合固定于骶尾韧带,即为肛门外括约肌重建和外括约肌浅部和深部的重建。结果:38例术后肛门外形及功能和远期生活质量、生存率均更为满意。术后随访总优良率达94.73%;远期生存率达76.32%。结论:低位直肠癌Miles术后,同时行改进的内外括约肌原位肛门整形重建的效果是可行的,更接近正常的肛门解剖结构和生理功能。 相似文献