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排序方式: 共有9361条查询结果,搜索用时 31 毫秒
61.
目的 观察超声引导下多点注射抗生素治疗射频消融术后子宫感染的疗效。方法 回顾性分析5例子宫肌瘤射频消融术后并发子宫感染并经超声引导下多点注射抗生素治疗患者,观察其疗效。结果 5例均顺利完成超声引导下多点注射抗生素,未出现相关并发症。5例中,3例治愈;1例好转,经静脉滴注抗生素1周后治愈;1例首次治疗无效,经再次治疗后治愈。治疗后7天,子宫体积显著小于治疗前(t=4.939,P<0.05)。结论 超声引导下多点注射抗生素治疗射频消融术后子宫感染安全、有效。 相似文献
62.
Virginia Masoni Leda Staletti Marco Berlusconi Alessandro Castagna Emanuela Morenghi 《Clinics in Orthopedic Surgery》2021,13(1):10
BackgroudCurrent evidence supports the use of cemented hemiarthroplasty for treatment of intracapsular femoral neck fractures since it is associated with a lower risk of implant-related complications. However, many medical centers employ the cementless technique for the frail elderly population because it is faster and has lower cardiovascular risks and perioperative mortality. This observational study reports the outcomes of cementless bipolar hemiarthroplasty for intracapsular femoral neck fractures in patients aged 80 years and older.MethodsA total of 424 patients (female, 77.1%) with a mean age of 86.9 years were operated for intracapsular femoral neck fractures between January 2009 and December 2017. Of those, 66.7% had an American Society of Anaesthesiologists (ASA) score of 3 or more. All operations were performed with the posterolateral surgical approach and all patients received a cementless stem. Intraoperative and perioperative values and in-hospital outcomes were evaluated, and clinical and radiographical follow-up was done at 40 days, 90 days, and when possible between 5 months and 12 months postoperatively. Multivariate analysis was performed to evaluate if there were factors affecting mortality.ResultsThe mean operative time was 50 minutes. There were no deaths intraoperatively. Intraoperative periprosthetic fractures occurred in 2.1% of the cases with 66.7% of them fixed through cerclage wires intraoperatively. The median length of hospitalization was 11 days (interquartile range, 8.75–15) and 2.4% of patients died while in hospital after surgery. Approximately 91.5% of patients presented with perioperative anemia. Only 1.9% of the complications were related to the implant, 62.5% of which were dislocations. More than 90% of patients were ambulatory either autonomously or with support at each follow-up assessment. Age, male sex, and higher ASA score were related to increased mortality.ConclusionsDespite some limitations, this observational study underlines that a cementless femoral stem of modern design can give good clinical outcomes, thus being an appropriate solution especially for the frail elderly. 相似文献
63.
经皮射频毁损治疗原发性肝癌 总被引:7,自引:3,他引:4
目的 评价射频毁损(RFA)治疗原发性肝癌(HCC)的近期疗效、安全性及并发症。方法 采用RF-2000型射频治疗仪,在B超引导下经皮治疗78例HCC患者。结果 78例患者(肝功能Child分级:A级58例,B级14例,C级6例)的110个肿块(平均直经6.1cm,1.9-13.7cm)共进行了105次治疗,平均治疗1.3次和6.3个点,平均随访9.2个月(1-16个月)。患者术后肝功能轻度损害,2周左右恢复正常。最常见的不良反应为低热。6例(7.7%)出现并发症,未发生与RFA治疗直接相关的死亡。43例(55.1%)复发,平均发生在治疗后6.1个月。多因素相关分析显示,原位复发与肿块直径呈显著正相关(P=0.0001)。无原位复发者其治疗点数与肿块直径存在线性关系(r=0.77216,P=0.0001),回归方程式为y=-1.794 1.733x。结论 RFA是一种治疗HCC安全有效的非手术方法。 相似文献
64.
川芎嗪对兔眼高压下视网膜神经节细胞和双极细胞损伤的保护作用 总被引:19,自引:0,他引:19
目的 观察川芎嗪对慢性眼高压下视网膜神经细胞损伤的保护作用 .方法 用 2 0 g· L- 1 甲基纤维素前房注射法建立兔慢性眼高压模型 .4组分别给予生理盐水、川芎嗪注射液 10 mg· kg- 1 ,2 .5 g· L- 1 噻吗心安眼液和联合应用川芎嗪与噻吗心安 ,连续用药 4wk.于 2 8d取眼球作光镜、电镜检查和光镜下细胞计数 .结果 生理盐水组模型眼节细胞数为 (7.83± 1.34 )个 /10格 ,双极细胞数为 (10 .6 6± 1.6 3)个 /格 ;川芎嗪组模型眼节细胞数为 (9.5 0± 3.87)个 /10格 ,双极细胞数为 (12 .5 0± 2 .73)个 /格 ;生理盐水组模型眼和川芎嗪组模型眼节细胞 (P<0 .0 5 )与双极细胞 (P<0 .0 5 )比较 ,有显著性差异 .生理盐水组模型眼节细胞变性、坏死 ,锥、杆细胞外节紊乱 ,色素上皮不完整 ,川芎嗪组变化比生理盐水组轻 ,联合用药组变化最小 .结论 川芎嗪对慢性眼高压下视网膜神经节细胞和双极细胞具有保护作用 . 相似文献
65.
目的:分析房室结慢径路消融术中出现的一过性交界性心律(JR)的特征。方法:21例(男6例,女15例)进行房室结改良术的房室结折返性心动过速患者,术中详细记录释放射频的次数、能量、持续时间、以及出现一过性交界性心律的时间、频率及数目,比较释放射频有效时/无效时出现的一过性交界性心律之特征有无显著性差异。结果:共进行106次射频电流释放,其中21次有效(A组),85次无效(B组)。A组有19次出现JR 相似文献
66.
经导管射频消融治疗阵发性室上性心动过速(PSVT)262例,探讨RFCA治疗PSVT的安全性及疗效。方法:房室结双径路改良采用下位法;左侧旁道采用冠状窦电极粗标,大头电极在心室国标。右侧旁道采用左前斜45度。大头电极在心房侧三尖瓣环处细标;房扑时标测心房激动顺序,用隐匿必拖法确定折返环部位,在心房内行线性消融方法治疗。结果:262例中慢-快型房室结折生心动过速(AVNRT)78例。,房室折返性心动 相似文献
67.
CT引导经皮肺穿刺锚状电极高温射频消融治疗肺部肿瘤105例 总被引:31,自引:1,他引:30
目的 观察CT引导经皮肺穿刺高温射频消融治疗105例肺部恶性肿瘤的近期效果。方法 CT引导经皮肺穿刺,可扩展锚状电极配合RF-2000仪高温射频消融治疗原发性肺癌81例,肺部转移瘤24例,共计242个肿瘤,每个肿瘤治疗3~8次,持续时间3~337min。结果 完全缓解(CR)率11.1%,部分缓解(PR)率71.1%,轻微疗效(MR)率13.2%,无改变(NC)率4.5%,其中CR+PR率为82. 相似文献
68.
Madeline G. Nagel David K. Marcus Virgil Zeigler-Hill 《Clinical psychology & psychotherapy》2023,30(2):235-249
Narcissistic personality disorder (NPD) and the manic and hypomanic episodes found in the bipolar disorders are characterized by grandiosity. It is possible that this shared grandiosity is a ‘homologous structure’ or reflects a superficial similarity between two disparate conditions. It is, however, possible that NPD and the bipolar disorders are more closely related than implied by their segregation into the separate superordinate categories of personality disorders and mood disorders. Whereas narcissism is considered to be a life-course, stable trait and the bipolar disorders are characterized by episodes of mania and depression, there is considerable research indicating that narcissism may be linked to mood instability (including depression) and bipolar disorder may have a pervasive personality component (i.e., hypomanic personality). Utilizing dimensional models of psychopathology, the current review examined the evidence linking narcissism and the bipolar disorders and suggests that considerable overlap may exist in the domains associated with reward-seeking, harm avoidance and social functioning. 相似文献
69.
采用单导管射频消融法治疗12 例预激综合征( W P W) 。12 例中8 例有反复快速性房颤史,3 例须用同步直流电复律,1 例伴有晕厥。旁路分别为左侧8 条,右后间隔2 条,右后侧及右前间隔各1 条,右侧者有1 例并存1 条左侧隐匿旁路。全部旁路一次消融成功。术中未诱发房颤。随访5 ~17 月未见复发。 相似文献
70.
The current approach to mood disorders is that bipolar disorder, comprising both mania and depression, is a discreet illness distinct from unipolar depression. This formulation has profoundly influenced the approach to understanding the biology and etiology of these disorders, as well as the manner in which the various phases of bipolar disorder are treated. Our new model suggests that bipolar disorder comprises two distinct illnesses, mania and depression, and that bipolar depression is no different from unipolar depression. Studies of clinical syndromes, course of illness, family history and genetics, biological factors, and treatment response data directly or indirectly support this new model. 相似文献