全文获取类型
收费全文 | 2535篇 |
免费 | 86篇 |
国内免费 | 35篇 |
专业分类
耳鼻咽喉 | 66篇 |
儿科学 | 87篇 |
妇产科学 | 58篇 |
基础医学 | 147篇 |
口腔科学 | 53篇 |
临床医学 | 256篇 |
内科学 | 742篇 |
皮肤病学 | 41篇 |
神经病学 | 117篇 |
特种医学 | 60篇 |
外科学 | 424篇 |
综合类 | 57篇 |
一般理论 | 1篇 |
预防医学 | 206篇 |
眼科学 | 15篇 |
药学 | 131篇 |
2篇 | |
中国医学 | 15篇 |
肿瘤学 | 178篇 |
出版年
2023年 | 57篇 |
2022年 | 121篇 |
2021年 | 165篇 |
2020年 | 120篇 |
2019年 | 276篇 |
2018年 | 243篇 |
2017年 | 170篇 |
2016年 | 87篇 |
2015年 | 86篇 |
2014年 | 155篇 |
2013年 | 160篇 |
2012年 | 53篇 |
2011年 | 78篇 |
2010年 | 74篇 |
2009年 | 84篇 |
2008年 | 104篇 |
2007年 | 88篇 |
2006年 | 73篇 |
2005年 | 49篇 |
2004年 | 38篇 |
2003年 | 27篇 |
2002年 | 13篇 |
2001年 | 10篇 |
2000年 | 14篇 |
1999年 | 9篇 |
1998年 | 8篇 |
1997年 | 10篇 |
1996年 | 5篇 |
1994年 | 2篇 |
1993年 | 1篇 |
1991年 | 2篇 |
1989年 | 1篇 |
1986年 | 1篇 |
1985年 | 21篇 |
1984年 | 27篇 |
1983年 | 22篇 |
1982年 | 30篇 |
1981年 | 23篇 |
1980年 | 25篇 |
1979年 | 24篇 |
1978年 | 25篇 |
1977年 | 16篇 |
1976年 | 19篇 |
1975年 | 16篇 |
1974年 | 12篇 |
1973年 | 11篇 |
1972年 | 1篇 |
排序方式: 共有2656条查询结果,搜索用时 15 毫秒
11.
BACKGROUND: The author reports on his personal experience with outpatient laparoscopic cholecystectomy (LC), focusing on the main guidelines for preoperative and postoperative care and operating technique. METHODS: From January 1, 2000 to December 31, 2000, 71 laparoscopic cholecystectomies were performed on outpatients. The patients remained in the outpatient surgery center for 36 hours. In 4 cases, the operation was converted into laparotomy. Twenty patients remained in the hospital and were discharged 5 to 7 days later. Twelve were rehospitalized due to pathologies that could not be treated at home. RESULTS: In all 71 cases, a complete remission of the symptoms occurred, and none of the patients died either during the operation or during the postoperative period. Eighty percent of patients were treated in outpatient surgery centers. CONCLUSIONS: With clear guidelines, LC is a major surgical operation that can be performed in outpatient surgery centers without death or other major complications and with very good remission of symptoms. 相似文献
12.
13.
Treatment of Status Epilepticus in Adults: Guidelines of the Italian League Against Epilepsy 总被引:2,自引:1,他引:1
Fabio Minicucci †Giancarlo Muscas ‡Emilio Perucca §Giuseppe Capovilla Federico Vigevano ¶Paolo Tinuper 《Epilepsia》2006,47(S5):9-15
Summary: Status epilepticus (SE) is a medical emergency which can lead to significant morbidity and mortality and requires prompt diagnosis and treatment. SE is differentiated into generalized or partial SE on the basis of its electro-clinical manifestations. The guidelines for the management of SE produced by the Italian League against Epilepsy also distinguish three different stages of SE (initial, established and refractory), based on time elapsed since the onset of the condition and responsiveness to previously administered drugs. Treatment should be started as soon as possible, particularly in generalized convulsive SE, and should include general support measures, drugs to suppress epileptic activity and, whenever possible, treatments aimed at relieving the underlying (causative) condition. Benzodiazepines are the first line antiepileptic agents, and i.v. lorazepam is generally preferred because it is associated with a lower risk of early relapses. If benzodiazepines fail to control seizures, i.v. phenytoin is usually indicated, though i.v. phenobarbital or i.v. valproate may also be considered. Refractory SE requires admission to an intensive care unit (ICU) to allow adequate monitoring and support of respiratory, metabolic and hemodynamic functions and cerebral electrical activity. In refractory SE, general anesthesia may be required. Propofol and thiopental represent first line agents in this setting, after careful assessment of potential risks and benefits. 相似文献
14.
Alan G. Fraser Peter T. Buser Jeroen J. Bax Willem R. Dassen Petros Nihoyannopoulos Jürg Schwitter Juhani M. Knuuti Martin Höher Frank Bengel András Szatmári 《European journal of nuclear medicine and molecular imaging》2006,33(8):955-959
Advances in medical imaging now make it possible to investigate any patient with cardiovascular disease using multiple methods which vary widely in their technical requirements, benefits, limitations and costs. The appropriate use of alternative tests requires their integration into joint clinical diagnostic services where experts in all methods collaborate. This statement summarises the principles that should guide developments in cardiovascular diagnostic services.This paper is published simultaneously in the European Heart Journal (2006;27:1750–1753) and in the European Journal of Echocardiography (2006;7:268–273). 相似文献
15.
M. Caselli A. Zullo G. Maconi F. Parente V. Alvisi T. Casetti D. Sorrentino G. Gasbarrini the Working Group of the Cervia II Meeting 《Digestive and liver disease》2007,39(8):782-789
Proper management of Helicobacter pylori infection in clinical practice--when supported by evidence-based data--is expected to produce substantial cost-efficacy advantages. This consideration has prompted the Cervia Working Group to organise a meeting of experts to update the National Guidelines on the diagnosis and treatment of H. pylori infection in Italy. Recommendations in the new European Guidelines were considered in the National setting, here in the light of factors such as the incidence of gastric cancer and gastric lymphoma, the accessibility to different diagnostic tools, the prevalence of bacterial resistance against antibiotics, and the availability of different drugs. The main revisions in respect to the previous guidelines include H. pylori eradication in non-ulcer dyspepsia patients and in non-steroidal, anti-inflammatory drug users, as well as in patients with idiopathic thrombocytopenic purpura and iron deficiency anaemia. The stool antigen test is now accepted as a valid test for confirmation of H. pylori eradication following therapy. New therapeutic approaches have been recommended for both first- (sequential therapy) and second-line (levofloxacin-based) treatment in our country. 相似文献
16.
背景 退行性腰椎管狭窄症(DLSS)是一种老年多发,严重影响患者正常生活且医疗费用负担较重的疾病。DLSS治疗方法较多,开发高质量的临床实践指南和临床医生应用高质量指南是提高DLSS诊疗水平的重要途径。目的 采用AGREEⅡ及RIGHT评价DLSS相关指南的方法学及报告质量,为DLSS指南制订及报告提供参考依据。方法 计算机检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据知识服务平台(Wanfang Data)、维普网(VIP)、PubMed,补充检索医脉通数据库(Medlive)、世界卫生组织(WHO)、英国国家临床优化研究所(NICE)、国际指南协作网(GIN)、美国国立指南文库(NGC)和苏格兰院际间协作网(SIGN)等指南库中有关DLSS的临床实践指南、共识或规范,检索时限均为2010-01-01至2022-01-01。由两位评价员独立对纳入文献进行方法学质量及报告质量评价,并在文献中推荐意见等级统一前提下进行比较。结果 共纳入6篇文献,其中4篇指南,2篇共识;1篇指南为中医指南,3篇指南为循证指南。AGREEⅡ评价结果显示纳入6篇文献的实际总得分/总最高可... 相似文献
17.
Masaharu Muranaka Shuji Suzuki Kazuhiro Koizumi Hiroshi Igarashi Hiroshi Okumura Koyo Takeda Kenji Tadokoro Yoshihiko Horiuchi 《The Journal of allergy and clinical immunology》1978,62(5):276-282
All of the five commercially available benzylpenicillin preparations obtained from different sources and a PcG preparation prepared by filtration of a commercial PcG on Sephadex G10 elicited the systemic anaphylactic reactions in guinea pigs which had been immunized with benzylpenicilloyl (BPO)-Ascaris extract conjugate (BPO-As) mixed with aluminum hydroxide gel. These preparations could evoke no such reactions in guinea pigs immunized with BPO-bovine gamma globulin conjugate (BPO-BGG) emulsified with complete Freund's adjuvant. The severity of the systemic anaphylactic reactions correlated significantly with the titers of either 8-day passive cutaneous anaphylactic (8-day PCA) reactions or 4-hr PCA reactions evoked with the same benzylpenicillin preparations. In vitro benzylpenicillin preparation contracted the tracheas of the guinea pigs immunized with BPO-As. These results indicated that the commercially available benzylpenicillin preparations have enough antigenicity to evoke systemic anaphylactic reactions in guinea pigs immunized with BPO-As mixed with aluminum hydroxide gel. Such guinea pigs represent an animal model for investigation of penicillin allergy. 相似文献
18.
Gastric motility changes evoked in rats by electrical stimulation of centrally transected vagal and splanchnic B and C fibers were investigated. Gastric motility was slightly facilitated by repetitive stimulation of vagal B fibers and was greatly facilitated by similar stimulation of the C fibers. In addition, vagal C fiber stimulation evoked a transient, initial inhibition of motility. Splanchnic C fiber stimulation inhibited gastric motility, but the B fiber contribution to inhibition was much greater. 相似文献
19.
Intracellular staining with HRP of physiologically identified group Ia and Ib afferent fibers in the adult cat lumbosacral cord revealed that group Ia and Ib fibers take a similar course in the dorsal funiculus, but the collaterals emerging from them show a different topographical distribution and a different mode of branching in the gray matter. Ia collaterals terminate in laminae VI, VII, IX, and sometimes VIII, whereas Ib collaterals terminate only in lamina VI, or both VI and IX. In lamina IX, two large motor-type neurons received terminations of both Ia and Ib fibers at the same time. 相似文献
20.
Kazuma Ohyashiki Mitsuo Oshimura Takayo Toyoda Nobuhiko Sakai Hisao Ito Kohtaro Yamamoto Akira Tonomura 《Cancer Genetics and Cytogenetics》1984,11(2):215-219
We encountered a 38-year-old Japanese male patient with chronic myelogenous leukemia (CML), whose bone marrow and peripheral blood cells during the chronic and blastic phases contained a complex Ph1 translocation and an extra Y chromosome [i.e., 47,XYY,t(9;22;13)(q34;q11;q14)]. A karyotypic analysis of PHA-stimulated lymphocytes showed the constitutional karyotype to be 47,XYY. Thus, it was considered that CML with a complex Ph1 translocation developed in an XYY male; such a case has not been reported, so far. A B-lymphocyte cell line with the complex Ph1 translocation was established by the procedure of Epstein-Barr virus transformation. The presence of the complex Ph1 translocation in the B-lymphocyte cell line suggests that some of the B lymphocytes in this patient originated from the CML clone. 相似文献