全文获取类型
收费全文 | 40433篇 |
免费 | 3177篇 |
国内免费 | 400篇 |
专业分类
耳鼻咽喉 | 211篇 |
儿科学 | 606篇 |
妇产科学 | 748篇 |
基础医学 | 1206篇 |
口腔科学 | 620篇 |
临床医学 | 9385篇 |
内科学 | 3113篇 |
皮肤病学 | 218篇 |
神经病学 | 790篇 |
特种医学 | 531篇 |
外国民族医学 | 1篇 |
外科学 | 4142篇 |
综合类 | 6588篇 |
现状与发展 | 3篇 |
一般理论 | 3篇 |
预防医学 | 10692篇 |
眼科学 | 190篇 |
药学 | 3416篇 |
120篇 | |
中国医学 | 635篇 |
肿瘤学 | 792篇 |
出版年
2024年 | 34篇 |
2023年 | 812篇 |
2022年 | 1280篇 |
2021年 | 2002篇 |
2020年 | 2561篇 |
2019年 | 1568篇 |
2018年 | 1473篇 |
2017年 | 1518篇 |
2016年 | 1572篇 |
2015年 | 1562篇 |
2014年 | 3724篇 |
2013年 | 3385篇 |
2012年 | 3072篇 |
2011年 | 3041篇 |
2010年 | 2524篇 |
2009年 | 2096篇 |
2008年 | 2120篇 |
2007年 | 1833篇 |
2006年 | 1683篇 |
2005年 | 1282篇 |
2004年 | 1086篇 |
2003年 | 822篇 |
2002年 | 574篇 |
2001年 | 426篇 |
2000年 | 351篇 |
1999年 | 272篇 |
1998年 | 259篇 |
1997年 | 184篇 |
1996年 | 158篇 |
1995年 | 108篇 |
1994年 | 98篇 |
1993年 | 98篇 |
1992年 | 62篇 |
1991年 | 71篇 |
1990年 | 36篇 |
1989年 | 34篇 |
1988年 | 31篇 |
1987年 | 26篇 |
1986年 | 23篇 |
1985年 | 39篇 |
1984年 | 24篇 |
1983年 | 24篇 |
1982年 | 15篇 |
1981年 | 17篇 |
1980年 | 14篇 |
1979年 | 3篇 |
1978年 | 7篇 |
1977年 | 3篇 |
1976年 | 2篇 |
1974年 | 1篇 |
排序方式: 共有10000条查询结果,搜索用时 109 毫秒
51.
52.
目的通过调查和分析郑州市387例0~12岁儿童中医体质辨识情况,为健康管理工作者提供依据。方法调查郑州市387例0~12岁儿童的中医体质类型,分析中医体质辨识结果;对比不同性别的中医体质类型构成情况。结果0~12岁儿童中以心肝火旺质、肺脾气虚质、脾胃伏火质3种偏颇体质最为常见,占比分别为70.54%、60.72%、51.16%。机体均衡体质人群中,偏颇体质类型倾向以脾胃伏火质(18.35%),特禀质(17.57%)、脾虚湿盛质(16.80%)为主。不同性别对比,女生肺脾气虚体质明显高于男生(P<0.01),男生特禀质体质比例高于女生(P<0.05),其他几种偏颇体质,男女比例无显著性差异(P>0.05)。机体均衡体质人群中,不论总人数还是男女生比例,偏颇体质类型倾向均是以心肝火旺体质、肺脾气虚体质和脾胃伏火体质为主。结论0~12岁儿童偏颇体质比例较高,不同性别的主要偏颇体质不同,临床应针对儿童的体质特点制定相应的健康管理方案。 相似文献
53.
目的:探讨基于跨理论模型(TTM)协同护理模式在急性心肌梗死(AMI)介入治疗病人中的应用效果。方法:根据随机数字表法将2018年6月—2019年6月收治的88例AMI介入治疗病人分为观察组及对照组各44例,对照组实施常规护理,观察组实施基于TTM的协同护理模式。比较两组干预前及干预6个月后自我效能、疾病管理能力及生活质量改善情况,记录两组不良心脏事件发生率、再入院率及治疗依从率。结果:两组病人干预后自我效能、疾病管理能力、西雅图心绞痛量表(SAQ)总评分比较差异有统计学意义(P<0.05)。观察组病人不良心脏事件发生率(2.27%)、再入院率(4.54%)低于对照组的18.18%、20.45%,差异有统计学意义(P<0.05);观察组病人用药依从率、生活方式管理依从率分别为97.73%和95.45%,高于对照组的75.00%和72.73%,差异有统计学意义(P<0.05)。结论:基于TTM协同护理模式能有效改善AMI介入治疗病人自我效能,提高病人遵医行为及疾病管理能力,减少不良心脏事件的发生,改善病人生活质量。 相似文献
54.
《The British journal of oral & maxillofacial surgery》2019,57(8):716-721
Adenoid cystic carcinoma (ACC) is an aggressive, rare, malignant tumour that accounts for about 1% of all head and neck neoplasms and 10% of all salivary gland tumours. It is characterised by frequent local recurrences and distant metastases. Growth is slow but relentless, and progression poses a challenge to head and neck clinicians. Many small retrospective studies have described its clinical management, but the lack of multicentre, randomised, controlled trials has resulted in inconsistencies in management globally. We have focused on three key management-related controversies: the role of elective neck dissection (END) for the N0 neck; the role of adjuvant treatment or radiotherapy; and finally, the follow-up protocol, particularly cross-sectional surveillance imaging of the full body or chest computed tomography (CT) alone, and options for treatment if metastases are found. The paucity of published studies may reflect the inconsistencies that exist in the management of ACC of the head and neck in the UK. The collaboration of head and neck centres would, we think, help to correct the imbalance in these three domains of care. 相似文献
55.
Joshua R. Labott Cody C. Wyles Matthew T. Houdek Megha M. Tollefson David J. Driscoll William J. Shaughnessy Rafael J. Sierra 《The Journal of arthroplasty》2019,34(4):682-685
Background
Klippel-Trénaunay syndrome (KTS) is a severe vascular malformation that can lead to hypertrophic osteoarthritis. Total knee arthroplasty (TKA) performed in extremities affected with KTS is challenging given the high-risk vascular considerations and occasionally poor bone quality.Methods
We identified 12 patients with KTS who underwent TKA between 1998 and 2017. There were 7 men, mean age 42 years, and mean follow-up was 7 years. Before arthroplasty, 2 patients (17%) had preoperative sclerotherapy. Preoperative vascular studies were done for 9 patients (75%) and included magnetic resonance imaging (n = 7), magnetic resonance angiography (n = 1), and computed tomography angiography (n = 1). A preoperative blood conservation protocol was used for all operations and included the use of tranexamic acid (TXA) in later years. Posterior-stabilized TKA was used in 10 cases and cruciate-retaining TKA was used in 2 cases.Results
At final follow-up, 2 patients (17%) had undergone revision surgery: 1 for infection and 1 for tibial loosening with subsequent arthrofibrosis. Knee Society Scores (36-83, P < .0001) and functional scores (48-84, P = .0007) significantly increased between the preoperative and postoperative period. Likewise at last follow-up, the mean knee range of motion significantly increased (82°-104°, P = .04). Median blood loss for patients who received TXA was 200 mL compared to 275 mL in patients who did not receive TXA (P = .66). Likewise there was no difference (P = .5) in the proportion of patients who required a transfusion between those who received TXA (2/6, 33%) and those who did not (3/6, 50%).Conclusion
In this small series, TKA can lead to significant clinical improvement for patients with KTS. Modern blood management techniques and a careful multidisciplinary care approach render TKA a reasonable option for select patients with KTS.Level of Evidence
Level IV case series, therapeutic. 相似文献56.
57.
58.
Matthew Malone Blaine G. Fritz Karen Vickery Saskia Schwarzer Varun Sharma Nathan Biggs Michael Radzieta Thomas T. Jeffries Hugh G. Dickson Slade O. Jensen Thomas Bjarnsholt 《APMIS : acta pathologica, microbiologica, et immunologica Scandinavica》2019,127(10):660-670
Multiple approaches were employed to detect pathogens from bone margins associated with Diabetic Foot Osteomyelitis (DFO). Intra‐operative bone specimens of 14 consecutive subjects with suspected DFO were collected over a six‐month study period from Liverpool Hospital. Infected bone and a proximal bone margins presumed to be ‘clean/non‐infected’ were collected. Bone material was subjected to conventional culture, DNA sequencing and microscopy. In total, eight of 14 (57%) proximal bone margins had no growth by conventional culture but were identified in all proximal bone specimens by DNA sequencing. Proximal margins had lower median total microbial counts than infected specimens, but these differences were not statistically significant. Pathogens identified by sequencing in infected specimens were identified in proximal margins and the microbiomes were similar (ANOSIM = 0.02, p = 0.59). Using a combination of SEM and/or PNA‐FISH, we visualized the presence of microorganisms in infected bone specimens and their corresponding proximal margins of seven patients (50%) with DFO. We identify that bacteria can still reside in what seems to be proximal ‘clean’ margins. The significance and implications of clinical outcomes requires further analysis from a larger sample size that incorporates differences in surgical and post‐operative approaches, correlating any outcomes back to culture‐sequence findings. 相似文献
59.
60.
《Orthopaedics and Trauma》2019,33(3):166-174
Infection is one of the most feared complications following knee arthroplasty and soft tissue arthroscopic procedures. This article summarizes the current understanding on the management of this rare but devastating problem. The healthcare and economic burden of periprosthetic joint infection (PJI) is highlighted, together with how the classification of infection and host staging can aid decision-making. Surgical treatment options will be described. These consist of ‘debridement, antibiotics and implant retention’ (DAIR), revision arthroplasty (single- or two-stage), as well as salvage procedures (arthrodesis, permanent resection, and amputation). In selected cases, chronic antibiotic suppression may be the only viable option. All implant-related orthopaedic infections must be managed using a multidisciplinary team (MDT) approach, ideally within dedicated bone infection units, in order to optimize clinical outcomes. 相似文献