首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   526656篇
  免费   28124篇
  国内免费   482篇
耳鼻咽喉   6675篇
儿科学   16883篇
妇产科学   12536篇
基础医学   92135篇
口腔科学   12337篇
临床医学   48128篇
内科学   94483篇
皮肤病学   11857篇
神经病学   33804篇
特种医学   19739篇
外国民族医学   53篇
外科学   77871篇
综合类   7603篇
现状与发展   2篇
一般理论   107篇
预防医学   38326篇
眼科学   11843篇
药学   41304篇
  1篇
中国医学   1075篇
肿瘤学   28500篇
  2019年   3891篇
  2018年   5737篇
  2017年   4129篇
  2016年   4872篇
  2015年   5363篇
  2014年   7116篇
  2013年   10502篇
  2012年   15584篇
  2011年   17398篇
  2010年   9957篇
  2009年   8823篇
  2008年   15720篇
  2007年   17447篇
  2006年   16948篇
  2005年   16268篇
  2004年   15879篇
  2003年   15253篇
  2002年   14778篇
  2001年   22392篇
  2000年   22910篇
  1999年   18810篇
  1998年   4981篇
  1997年   4078篇
  1996年   4120篇
  1995年   4104篇
  1992年   14401篇
  1991年   15818篇
  1990年   15947篇
  1989年   15623篇
  1988年   14303篇
  1987年   14191篇
  1986年   13164篇
  1985年   12677篇
  1984年   9385篇
  1983年   7990篇
  1982年   4163篇
  1979年   8923篇
  1978年   6363篇
  1977年   5130篇
  1976年   5492篇
  1975年   6603篇
  1974年   7413篇
  1973年   7155篇
  1972年   6592篇
  1971年   6307篇
  1970年   5885篇
  1969年   5461篇
  1968年   5159篇
  1967年   4618篇
  1966年   3963篇
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
101.
102.
103.
We have used cone-beam computed tomographic (CT) images to retrospectivelyevaluate the influence of sex, skeletal class, facial type, and the presence of septa on the volume of the sphenoid sinus in 172 images from 85 men (mean (SD) age 28 (2) years) and 87 women (mean (SD) age 30 (1) years). Skeletal class and facial type were calculated for each patient from multiplanar reconstructions using NemoCeph® software. Volumetric analysis of the sphenoid sinus was made with the help of the ITK-SNAP® 3.4.0 segmentation software, while the presence or absence of septa in the sphenoid sinus was evaluated with the Carestream 3D Imaging® software 3.4.3. We analysed the results using two-way ANOVA, Student’s independent sample t test, and Fisher’s exact test, as appropriate, and probabilities of <0.05 were accepted as significant. Sex (p = 0.0946), facial type (p = 0.790), and skeletal class (p = 0.120) had no significant influence on the volume of the sphenoid sinus, and nor did the volumes of the right and left sphenoid sinuses (p = 0.0923), or the presence of a septum within the sinus (p = 0.330) in its volume.  相似文献   
104.

Objective

Hypertonic saline (HTS) has potent immune and vascular effects. We assessed recipient pretreatment with HTS on allograft function in a porcine model of heart transplantation and hypothesized that HTS infusion would limit endothelial and left ventricular (LV) dysfunction following transplantation.

Methods

Heart transplants were performed after 6 hours of cold ischemic storage. Recipient pigs were randomized to treatment with or without HTS (7.5% NaCl) before cardiopulmonary bypass (CPB). Using a myograft apparatus, coronary artery endothelial-dependent (Edep) and -independent (Eind) relaxation was assessed. LV performance was determined using pressure-volume loop analysis. Pulmonary interleukin (IL)-2, IL-6, and tumor necrosis factor (TNF)-α expression was measured.

Results

Weaning from CPB and LV performance after transplantation were improved in HTS-treated animals. Successful weaning from CPB was greater in the HTS-treated hearts (8 of 8 vs 2 of 8; P < .05). Mean LV functional recovery was improved in the HTS-treated animals, as assessed by preload recruitable stroke work (65 ± 10% vs 27 ± 10%; P < .001) and end-systolic elastance (55 ± 7% vs 37 ± 4%; P < .001). Treatment with HTS resulted in improved Edep (mean maximum elastance [Emax], 56 ± 5% vs 37 ± 7%; P < .001) and Eind (mean Emax%, 77 ± 6% vs 52 ± 4%; P < .001) vasorelaxation compared with control. Pulmonary expression of IL-2, IL-6, and TNF-α increased following transplantation, whereas HTS therapy attenuated IL production (P < .001). Transplantation increased plasma TNF-α levels and LV TNF-α expression, whereas HTS prevented this up-regulation (P < .001).

Conclusions

Recipient HTS pretreatment preserves allograft vasomotor and LV function, and HTS therapy limits CPB-induced injury. HTS may be a novel recipient intervention to prevent graft dysfunction.  相似文献   
105.
106.

Objective

The frailty index has been linked to adverse outcomes after surgical procedures. In this study, we evaluated the association between frailty index and outcomes after elective lower extremity bypass (LEB) for lower extremity ischemia.

Methods

The American College of Surgeons National Surgical Quality Improvement Program data set (2005-2012) was used to identify patients who underwent elective LEB using diagnostic and procedure Current Procedural Terminology codes. Modified frailty index (mFI) scores, derived from the Canadian Study of Health and Aging, were categorized into three groups: low, medium, and high. Association of mFI with 30-day postoperative death (POD), myocardial infarction (MI), cardiopulmonary events (CPEs), deep tissue surgical site infection (SSI), and graft failure (GF) was evaluated. Both univariate and multivariable regression analyses—adjusted for age, sex, American Society of Anesthesiologists class, body mass index, and creatinine levels—were used to assess the effect of frailty on each outcome.

Results

Of 12,677 patients (mean age, 67.7 ± 11.1 years) identified who underwent elective LEB, POD occurred in 265 (2.1% overall). Postoperative MI, SSI, CPEs, and GF occurred in 1.6%, 2.5%, 3.1%, and 4.3%, respectively. The mean mFI of the entire sample was 0.3 ± 0.1. Adjusted odds ratio for development of any morbidity in the group with the highest mFI was 1.36 (95% confidence interval, 1.08-1.72; P = .010) compared with the low frailty group. Patients with higher mFI were more likely to develop MI and CPEs but not SSI or GF. Univariate and multivariable analyses showed a significantly increased risk of POD among those in the highest mFI tertile. Female sex and age, increased American Society of Anesthesiologists class and creatinine levels, and decreased body mass index independently predicted increased mortality. The addition of categorical mFI improved models with these variables.

Conclusions

Higher mFI is independently associated with higher mortality and morbidity. Preoperative mFI assessment may be considered an additional screening tool for risk stratification among patients undergoing LEB.  相似文献   
107.
108.
We have observed the development of a catastrophic antiphospholipid syndrome (CAPS) in a pregnant woman hospitalized at 28 weeks of gestation with a severe preeclampsia. On the same day, an eclampsia attack developed, and an emergency surgical delivery was performed. On the third day, multiorgan failure developed. Examination showed a persistent circulation of lupus anticoagulant, high level of antibodies to cardiolipin, b2-glycoprotein I, and prothrombin. The usual diagnosis of the severe preeclampsia masked a catastrophic antiphospholipid syndrome, exacerbated by the coincident presence of several types of antiphospholipid antibodies. The first pregnancy resulted in a premature birth at 25 weeks, possibly also due to the circulation of antiphospholipid antibodies. The trigger of the catastrophic form development was the pregnancy itself, surgical intervention, and hyperhomocysteinemia. CAPS is the most severe form of antiphospholipid syndrome, manifested in multiple microthrombosis of microcirculation of vital organs and in the development of multiorgan failure against the background of the high level of antiphospholipid antibodies. CAPS is characterized by renal, cerebral, gastrointestinal, adrenal, ovarian, skin, and other forms of microthrombosis. Thrombosis recurrence is typical. Thrombotic microvasculopathy lies at the heart of multiorgan failure and manifests clinically in central nervous system lesions, adrenal insufficiency, and ARDS development. CAPS is a life-threatening condition, therefore, requires an urgent treatment. Optimal treatment of CAPS is not developed. CAPS represent a general medical multidisciplinary problem.  相似文献   
109.
Bulletin of Experimental Biology and Medicine - The title of the article should read: “Role of β Cell Precursors in the Regeneration of Insulin-Producing Pancreatic β Cells under...  相似文献   
110.
Many pregnant women rely on their health professional for nutrition information during routine antenatal visits. This review offers information to assist health professionals with advising pregnant women of the important nutrition considerations during pregnancy. The roles of some of the key nutrients are discussed, including folic acid, iodine, iron, calcium, and vitamin D. Recommendations for each of the key nutrients are covered and examples of how these can be achieved are presented. The review also details additional nutritional considerations that should be discussed during antenatal consults, including energy balance and weight gain recommendations, the importance of food safety during pregnancy, the recommended safe levels of consumption of vitamin A, caffeine, and fish, and the importance of abstaining from alcohol. Educating and supporting women during pregnancy to make healthy food choices to fulfil their needs and the needs of their growing fetus, will help to promote a healthy start to life.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号