全文获取类型
收费全文 | 26868篇 |
免费 | 1721篇 |
国内免费 | 635篇 |
专业分类
耳鼻咽喉 | 274篇 |
儿科学 | 1180篇 |
妇产科学 | 329篇 |
基础医学 | 2216篇 |
口腔科学 | 223篇 |
临床医学 | 3520篇 |
内科学 | 3156篇 |
皮肤病学 | 112篇 |
神经病学 | 1479篇 |
特种医学 | 983篇 |
外国民族医学 | 2篇 |
外科学 | 4906篇 |
综合类 | 3962篇 |
现状与发展 | 2篇 |
预防医学 | 2273篇 |
眼科学 | 56篇 |
药学 | 2715篇 |
22篇 | |
中国医学 | 772篇 |
肿瘤学 | 1042篇 |
出版年
2024年 | 71篇 |
2023年 | 386篇 |
2022年 | 639篇 |
2021年 | 1033篇 |
2020年 | 998篇 |
2019年 | 930篇 |
2018年 | 966篇 |
2017年 | 867篇 |
2016年 | 915篇 |
2015年 | 951篇 |
2014年 | 1899篇 |
2013年 | 1887篇 |
2012年 | 1638篇 |
2011年 | 1737篇 |
2010年 | 1386篇 |
2009年 | 1310篇 |
2008年 | 1349篇 |
2007年 | 1306篇 |
2006年 | 1161篇 |
2005年 | 1002篇 |
2004年 | 880篇 |
2003年 | 703篇 |
2002年 | 607篇 |
2001年 | 558篇 |
2000年 | 432篇 |
1999年 | 410篇 |
1998年 | 352篇 |
1997年 | 298篇 |
1996年 | 249篇 |
1995年 | 218篇 |
1994年 | 198篇 |
1993年 | 185篇 |
1992年 | 196篇 |
1991年 | 149篇 |
1990年 | 141篇 |
1989年 | 126篇 |
1988年 | 112篇 |
1987年 | 102篇 |
1986年 | 115篇 |
1985年 | 129篇 |
1984年 | 102篇 |
1983年 | 78篇 |
1982年 | 112篇 |
1981年 | 82篇 |
1980年 | 57篇 |
1979年 | 40篇 |
1978年 | 41篇 |
1977年 | 31篇 |
1976年 | 26篇 |
1973年 | 13篇 |
排序方式: 共有10000条查询结果,搜索用时 239 毫秒
51.
B Gerdts AFPM Vloemans RW Kreis 《Journal of the European Academy of Dermatology and Venereology》2007,21(6):781-788
BACKGROUND: Toxic epidermal necrolysis (TEN) is a severe and potentially fatal drug reaction characterized by an extensive skin rash with blisters and exfoliation, frequently accompanied by mucositis. The wounds caused by TEN are similar to second-degree burns and severe cases may involve large areas of skin loss. OBJECTIVES: Analysis of our results in patients with TEN and evaluation of the variety of therapeutic interventions that has been studied and suggested in TEN. PATIENTS/METHODS: Retrospective analysis of 19 consecutive patients with TEN treated in our burns centre between 1989 and 2004. RESULTS: Immediate withdrawal of any potentially fatal drug, maximum supportive care, and a restricted and tailored antibiotic, medical and surgical treatment regimen confined mortality to 21%, whereas prognosis scores like APACHE II and SCORTEN predicted mortality of 22 and 30%, respectively. A positive contribution of selective digestive decontamination is suggested but has yet to be established. CONCLUSIONS: Because of a potentially fatal outcome, fast referral of a patient suspected of TEN to a specialized centre (mostly a burns unit or specialized dermatology centre) for expert wound management and tailored comprehensive care is strongly advised and contributes to survival. 相似文献
52.
Sonographic evaluation of gallbladder kinetics: in vitro and in vivo comparison of different methods to assess gallbladder emptying. 总被引:3,自引:0,他引:3
Bernd Wedmann Gabriele Schmidt Martin Wegener Christoph Coenen Dieter Ricken Cornelia Drge 《Journal of clinical ultrasound : JCU》1991,19(6):341-349
In an in vitro study, 10 gallbladders of adult pigs and 6 gallbladders of lambs, all removed immediately after slaughtering, were stimulated in a water bath by electric means to induce active contraction. Gallbladder emptying was followed by ultrasonography employing five measurement procedures: (1) gallbladder width, (2) longitudinal planimetry, (3) transverse planimetry, (4) ellipsoid method, and (5) sum of cylinders method. In an in vivo investigation, gallbladder emptying of 30 volunteers (12 healthy subjects, 18 diabetics) was evaluated in the same way after ingestion of a fatty meal. Gallbladder width was found to be unsuitable to estimate the decrease in gallbladder volume due to a nonlinear relation of the parameters. Longitudinal planimetry tended to be less valid than transverse planimetry in assessing gallbladder volume reduction. The most valid estimation of gallbladder volume decreases was obtained by the two three-dimensional procedures. However, in neither in vitro nor in vivo could a significant difference between the sum of cylinders method and the ellipsoid method in determining relative volume reduction be established. We conclude that a three-dimensional measurement procedure should be used for valid assessments of gallbladder motility. However, according to our data there is no advantage in using the time-consuming sum of cylinders method compared to the simple ellipsoid method. 相似文献
53.
54.
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
55.
Situation analysis of quality of abortion care in the main maternity hospital in Hai Phòng, Viet Nam
Six months after a Comprehensive Abortion Care project was implemented in Phu-San Hospital, the main maternity hospital in Hai Phòng, northern Viet Nam, a study of quality of abortion services was carried out. The study explored the interaction between providers and women seeking abortion and how cultural values influenced quality of care. A quantitative and qualitative approach was employed: a three-part structured survey with 748 women before and after they had an abortion, 20 in-depth interviews with women just after abortion, seven informal interviews with health care staff and 100 participant observations. Both the women and the staff equated quality of care mainly with improved technical performance of abortion. Insufficient knowledge and skills had a negative impact on provision of information and good quality counselling in relation to understanding and uptake of contraception, treating reproductive tract infection and preventing post-abortion infection. To further improve abortion care in hospitals such as Phu-San, training programmes are needed that integrate counselling and clinical skills and address the cultural factors that hinder health staff and women from interacting in an equitable manner. A supportive supervisory system that holds health staff accountable for conducting high quality information and counselling sessions should also be established. 相似文献
56.
肝移植术后并发胆道狭窄和胆泥淤积影像诊断及介入治疗 总被引:1,自引:0,他引:1
目的:评价肝移植术后胆道狭窄和胆泥淤积影像诊断及介入治疗的价值。方法:对39例肝移植术后并发胆道狭窄和胆泥淤积的影像诊断及介入治疗进行回顾性分析。结果:超声、T型管胆道造影、CT和MRI检查诊断胆道狭窄伴胆泥形成39例,38例介入治疗后胆道梗阻症状明显缓解;1例介入治疗后胆道梗阻症状未明显改善,后行外科胆管修补术。结论:T型管胆道造影或直接经皮胆道造影对肝移植术后胆道狭窄和胆泥淤积诊断特异性及敏感性最高,放射介入和内镜介入技术对其均发挥重要的治疗作用。 相似文献
57.
目的探讨胃肠道创伤的发生特点及其临床表现、诊治方法。方法回顾分析303例胃肠道创伤患者临床资料,其中227例(74.9%)合并腹部其他脏器或血管损伤。行破裂口缝合修补术213例(70.3%)、空腔脏器部分切除吻合术35例(11.6%),余保守治疗,对合并伤均作相应处理。结果本组男女伤员比例为9.6∶1;平均年龄28.2岁;以工人为主。主要致伤原因为锐器切割、交通事故及钝性击打,合计占67%。治愈294例(97%),余9例死于失血性休克或多器官功能障碍综合征。结论准确全面的早期诊断、正确处理胃肠道破裂、重要脏器合并伤以及MODS是腹部创伤诊治过程中的重要内容。男性青壮年工人是胃肠道创伤的高危人群,对其进行健康教育、提高基层医院诊治水平有望降低此病的社会危害。 相似文献
58.
59.
连续埋线法重睑术的临床评价 总被引:1,自引:1,他引:0
目的 探讨连续埋线法重睑术的适应证和手术要点.方法 手术在局部麻醉下施行,从外眦向内眦沿睑板上缘作连续缝合,然后折返,外眦缝合口打结.结果 本组132例患者术后随访形成良好重睑者为121例,占92%;两侧重睑皱襞高低不一的7例,占5%;重睑消失的4例,占3%,后两者均补充埋线法或者切开法重睑术修复.结论 连续埋线法重睑术除适用于上睑皮肤较薄的年轻患者,也可扩大到中等以下程度的上睑皮肤松弛患者,以及以外侧为主的上睑臃肿者. 相似文献
60.
颅脑损伤患者上消化道出血的预防和治疗(附625例报告) 总被引:7,自引:0,他引:7
目的探讨颅脑损伤后上消化道出血的预防措施及其治疗方法。方法回顾性分析625例颅脑损伤后上消化道出血的病例,在治疗原发伤病基础上,采用止血、制酸、保护胃黏膜等对症处理,同时应用阿托品治疗22例;胃镜下治疗8例;胃次全切除术5例。结果本组病例中,治愈572例,缓解36例,无效5例,死亡12例,其中阿托品治愈20例;胃镜下治愈6例;胃次全切除术治愈4例。结论预防和治疗的重点是消除颅脑损伤病灶和保护胃黏膜,常规处理方案效果满意,简单、经济且安全有效,但必要时应及时使用特殊治疗手段,以迅速控制出血病情。 相似文献