全文获取类型
收费全文 | 31861篇 |
免费 | 3252篇 |
国内免费 | 1079篇 |
专业分类
耳鼻咽喉 | 243篇 |
儿科学 | 398篇 |
妇产科学 | 231篇 |
基础医学 | 2758篇 |
口腔科学 | 427篇 |
临床医学 | 4781篇 |
内科学 | 4163篇 |
皮肤病学 | 96篇 |
神经病学 | 6789篇 |
特种医学 | 5970篇 |
外国民族医学 | 12篇 |
外科学 | 2275篇 |
综合类 | 3681篇 |
现状与发展 | 1篇 |
预防医学 | 828篇 |
眼科学 | 536篇 |
药学 | 1222篇 |
7篇 | |
中国医学 | 366篇 |
肿瘤学 | 1408篇 |
出版年
2024年 | 121篇 |
2023年 | 683篇 |
2022年 | 1133篇 |
2021年 | 1888篇 |
2020年 | 1727篇 |
2019年 | 1690篇 |
2018年 | 1375篇 |
2017年 | 1417篇 |
2016年 | 1335篇 |
2015年 | 1282篇 |
2014年 | 2222篇 |
2013年 | 2052篇 |
2012年 | 1688篇 |
2011年 | 1872篇 |
2010年 | 1532篇 |
2009年 | 1587篇 |
2008年 | 1549篇 |
2007年 | 1482篇 |
2006年 | 1434篇 |
2005年 | 1279篇 |
2004年 | 989篇 |
2003年 | 917篇 |
2002年 | 835篇 |
2001年 | 660篇 |
2000年 | 417篇 |
1999年 | 372篇 |
1998年 | 348篇 |
1997年 | 319篇 |
1996年 | 350篇 |
1995年 | 284篇 |
1994年 | 267篇 |
1993年 | 204篇 |
1992年 | 131篇 |
1991年 | 101篇 |
1990年 | 80篇 |
1989年 | 79篇 |
1988年 | 77篇 |
1987年 | 45篇 |
1986年 | 40篇 |
1985年 | 71篇 |
1984年 | 43篇 |
1983年 | 47篇 |
1982年 | 40篇 |
1981年 | 26篇 |
1980年 | 25篇 |
1979年 | 26篇 |
1978年 | 10篇 |
1977年 | 10篇 |
1974年 | 6篇 |
1973年 | 6篇 |
排序方式: 共有10000条查询结果,搜索用时 46 毫秒
101.
目的:探讨脊髓萎缩症的临床表现及磁共振成像(MRI)特征。方法:对9例脊髓萎缩症患者的临床表现及MRI检查资料进行回顾性分析。结果:颈、胸髓萎缩2例,胸髓萎缩7例,均表现为慢性起病,进行性加重的脊髓病变症状;痉挛性截瘫9例,感觉障碍5例,下肢腱反射活跃、亢进9例,病理征阳性7例,括约肌功能障碍3例;肌电图提示神经源性损害,MRI显示脊髓萎缩性改变9例;脊髓矢状径分别为3~5.5mm,脊髓矢状径与脊蛛网膜下隙矢状径比值<0.5。结论:脊髓萎缩症系脊髓慢性变性疾病,结合临床特征及MRI改变可作出较明确诊断。 相似文献
102.
Theoretical and simulation evidence is presented in support of the idea that the optimal manner of determining blood flow from MR perfusion studies is not necessarily obtained by setting experimental conditions to maximize either the arterial input or the measured tissue concentration level for a particular echo time (TE). The noise power in the contrast concentration curve is associated with its peak because of the nonlinear relationship between the contrast concentration and MR signal intensity curves. The optimum signal-to-noise ratio (SNR), SNR(C), for a particular contrast concentration curve can be obtained when the experimental concentration level and TE are adjusted to produce an MR intensity curve whose signal loss is 63% of the precontrast MR signal intensity. It is demonstrated that the stability of the singular valued decomposition (SVD) deconvolution approach to determine blood flow parameters is increased when the tissue curve maximum signal loss is in the range of 40-80%. The accuracy and stability of the SVD-determined blood flow parameters are affected by deviations from these optimum conditions in a manner that depends on the mean transit time (MTT) associated with the residue function. It is recommended that the experimental TE value be set so that neither the tissue nor the arterial curves are placed a region of rapidly deteriorating SNR(C). 相似文献
103.
T. Hammen F. Kerling M. Schwarz A. Stadlbauer O. Ganslandt B. Keck B. Tomandl A. Dörfler H. Stefan 《European journal of neurology》2006,13(5):482-490
Up to 30% of patients with temporal lobe epilepsy (TLE) remain without remarkable changes in MRI. In this study we investigated the role of (1)H-MR spectroscopy ((1)H-MRS) in lateralizing the affected hemisphere in the mentioned patient group. Twenty-two consecutive patients diagnosed with TLE were investigated by high resolution MRI and (1)H-MRS. We examined the incidence and diagnostic accuracy of temporal metabolite alterations determined by Linear Combination of Model Spectra (L C Model) via water reference. Metabolite values of each hemisphere of TLE patients were compared with healthy controls. Results of metabolite alterations were related to intensive video EEG focus localization. Reduction of N-acetylaspartate + N-acetylaspartyl-glutamate (tNAA) in the affected hemisphere revealed identification in six of nine patients (66%) with unilateral TLE. Group comparison revealed a significant reduction of tNAA (6.1+/-0.8*) in the involved temporal lobe compared with controls (6.67+/-0.4*, P=0.026). Choline levels were significantly increased in the affected hemisphere (1.42+/-0.17*) compared with healthy controls (1.22+/-0.17*, P=0.035). The results of our study show that (1)H-MRS is able to identify the affected hemisphere of MRI negative TLE patients and can be used as an additive tool in multimodal focus localization. 相似文献
104.
105.
Stefano Tamburin Antonio Fiaschi Domenico Idone Piergiorgio Lochner Paolo Manganotti Giampietro Zanette 《Movement disorders》2003,18(11):1316-1324
Hyperexcitability of the motor system has been reported in Parkinson's disease (PD). We evaluate how cutaneous afferents modulate motor excitability in PD patients and whether abnormal modulation is correlated to parkinsonian symptoms. Digital stimulation causes abnormal enhancement of motor responses in patients. This effect may be one of the features of motor hyperexcitability in PD. Cutaneomotor hyperexcitability correlates with clinical scores, suggesting that abnormal processing of cutaneous inputs might contribute to the pathogenesis of parkinsonian symptoms. 相似文献
106.
107.
Adolf Pfefferbaum Edith V. Sullivan Margaret J. Rosenbloom Paula K. Shear Daniel H. Mathalon Kelvin O. Lim 《Psychiatry Research: Neuroimaging》1993,50(4):257-274
This cross-sectional study used a semi-automated analysis technique to quantify regional brain cerebrospinal fluid (CSF) volumes derived from computed tomography (CT) in 84 healthy men ranging from 21 to 82 years of age and 28 patients meeting Research Diagnostic Criteria for alcohol dependence. The goals were to replicate an earlier CT study of an independent sample of alcoholic and control subjects (Pfefferbaum et al., 1988a; Zipursky et al., 1988) and to compare CT assessments of brain changes with magnetic resonance imaging (MRI) assessments made in the same alcoholic patients (Pfefferbaum et al., 1992). Regional brain changes associated with normal aging were derived by regression analysis, using CT data collected from the healthy control subjects. As in the earlier CT study and in the concurrent MRI study, ventricular and sulcal CSF volumes in alcoholic patients were greater than would be expected for their age. Furthermore, the present CT study replicated the previous CT and MRI findings of a positive relationship between age and CSF volume enlargement in alcoholic patients over and above the normal age-related increase in CSF volume, suggesting greater vulnerability of the aging brain to alcohol. Comparison of CT-and MRI-derived estimates of ventricular and cortical sulcal volume revealed high correlations (>0.80). MRI and CT produced similar absolute ventricular volumes, while MRI produced larger sulcal volume estimates than did CT. The difference in sulcal volume estimate may be due to differences between CT and MRI in slice thickness and sensitivity to partial volume effects. 相似文献
108.
Hiroyuki Ishizu Masatoshi Takahashi Yukifumi Kondo Akihiko Kataoka Takashi Nakamura Kuniaki Okada Hiroyuki Masuko Yasunori Nishida Hideaki Ogawa Ryoji Yokoyama Yutaka Kimura 《Surgery today》1997,27(3):285-287
Magnetic resonance cholangiopancreatography (MRCP) was performed in 35 patients to evaluate the feasibility of its use as a postsurgical imaging technique after resection of the pancreas. The surgical procedures performed were: pancreatoduodenectomy in 22 patients, segmental pancreatectomy in 1, distal pancreatectomy in 7, and pyroluspreserving pancreatoduodenectomy in 5. The pancreatic duct was shown in its entirety in 24 of the 35 patients (68.6%) and was partially visualized in 8 patients (22.9%), but the intrahepatic and extrahepatic bile ducts were visualized completely in all patients. Furthermore, MRCP was able to demonstrate lesions in 3 of 6 patients who had shown clinical evidence of recurrence. The visualization of the pancreatic and bile duct system was satisfactory despite anatomical changes brought about by resection of the pancreas. Thus, we conclude that MRCP is an appropriate follow-up screening test for patients with suspected abnormalities of the biliary and pancreatic duct system. 相似文献
109.
110.
Gradient acoustic noise has been measured and characterized for an epoxy-potted, shielded gradient assembly in a 1.5 T MRI system. Noise levels vary by 10 dB or more as a function of longitudinal position in the scanner and reflect the pattern of forces applied to the gradient assembly. The noise level increases slightly (1–3 dB) with a patient in the scanner. The spectrum of the noise is similar (but not identical) to the spectrum of the input signal. A gradient-pulse-to-acoustic-noise transfer function was obtained by using a white noise voltage input to the gradient system. The transfer function enabled us to accurately predict acoustic noise output for a pulse sequence consisting of a series of trapezoidal pulses on a single axis and for a clinical fast spin echo sequence with gradients present on all three axes. 相似文献