全文获取类型
收费全文 | 20981篇 |
免费 | 1686篇 |
国内免费 | 475篇 |
专业分类
耳鼻咽喉 | 124篇 |
儿科学 | 1761篇 |
妇产科学 | 54篇 |
基础医学 | 5155篇 |
口腔科学 | 24篇 |
临床医学 | 1457篇 |
内科学 | 4812篇 |
皮肤病学 | 67篇 |
神经病学 | 46篇 |
特种医学 | 404篇 |
外科学 | 313篇 |
综合类 | 3462篇 |
现状与发展 | 3篇 |
预防医学 | 1435篇 |
眼科学 | 6篇 |
药学 | 2358篇 |
22篇 | |
中国医学 | 1497篇 |
肿瘤学 | 142篇 |
出版年
2024年 | 39篇 |
2023年 | 200篇 |
2022年 | 386篇 |
2021年 | 741篇 |
2020年 | 715篇 |
2019年 | 672篇 |
2018年 | 635篇 |
2017年 | 734篇 |
2016年 | 819篇 |
2015年 | 813篇 |
2014年 | 1272篇 |
2013年 | 2415篇 |
2012年 | 1250篇 |
2011年 | 1301篇 |
2010年 | 967篇 |
2009年 | 954篇 |
2008年 | 952篇 |
2007年 | 1113篇 |
2006年 | 1023篇 |
2005年 | 825篇 |
2004年 | 699篇 |
2003年 | 619篇 |
2002年 | 548篇 |
2001年 | 498篇 |
2000年 | 399篇 |
1999年 | 395篇 |
1998年 | 316篇 |
1997年 | 313篇 |
1996年 | 226篇 |
1995年 | 161篇 |
1994年 | 162篇 |
1993年 | 111篇 |
1992年 | 110篇 |
1991年 | 95篇 |
1990年 | 107篇 |
1989年 | 70篇 |
1988年 | 66篇 |
1987年 | 55篇 |
1986年 | 67篇 |
1985年 | 72篇 |
1984年 | 36篇 |
1983年 | 34篇 |
1982年 | 33篇 |
1981年 | 29篇 |
1980年 | 33篇 |
1979年 | 19篇 |
1978年 | 14篇 |
1977年 | 6篇 |
1976年 | 8篇 |
1975年 | 4篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
1.
2.
3.
Kimberly M. Avallone 《The Journal of asthma》2015,52(5):498-504
Objective: Despite its negative effects, smoking is more common among individuals with asthma compared to those without. Anxiety sensitivity (fear of arousal-related sensations) is associated with both smoking and asthma; however, no research, to date, has examined the interplay between these three factors. Thus, the purpose of the current study was to evaluate the mediating role of anxiety sensitivity in the association between asthma diagnosis and smoking status. Methods: The current study was a secondary analysis of data from three existing datasets of non-smokers and smokers with and without asthma (n?=?433; 56.3% female, Mage?=?34.01 years, SD?=?13.9). Participants provided information on their asthma diagnosis status and smoking status and completed self-report measures. Results: As hypothesized, after controlling for gender, race and age, there was a significant indirect effect of asthma diagnosis on smoking status through anxiety sensitivity (95% CI?=?0.07–0.48). Conclusions: These results indicate that the association between asthma diagnosis and smoking status appears to be driven, in part, by anxiety sensitivity and suggest that anxiety sensitivity may serve as an important target for prevention and intervention efforts for smokers with asthma. 相似文献
4.
5.
Leonardo Jönck Staub Roberta Rodolfo Mazzali Biscaro Erikson Kaszubowski Rosemeri Maurici 《The Journal of emergency medicine》2019,56(1):53-69
Background
Lung ultrasound can accelerate the diagnosis of life-threatening diseases in adults with respiratory symptoms.Objective
Systematically review the accuracy of lung ultrasonography (LUS) for emergency diagnosis of pneumonia, acute heart failure, and exacerbation of chronic obstructive pulmonary disease (COPD)/asthma in adults.Methods
PubMed, Embase, Scopus, Web of Science, and LILACS (Literatura Latino Americana e do Caribe em Ciências da Saúde; until 2016) were searched for prospective diagnostic accuracy studies. Rutter-Gatsonis hierarchical summary receiver operating characteristic method was used to measure the overall accuracy of LUS and Reitsma bivariate model to measure the accuracy of the different sonographic signs. This review was previously registered in PROSPERO (Centre for Reviews and Dissemination, University of York, York, UK; CRD42016048085).Results
Twenty-five studies were included: 14 assessing pneumonia, 14 assessing acute heart failure, and four assessing exacerbations of COPD/asthma. The area under the summary receiver operating characteristic curve of LUS was 0.948 for pneumonia, 0.914 for acute heart failure, and 0.906 for exacerbations of COPD/asthma. In patients suspected to have pneumonia, consolidation had sensitivity of 0.82 (95% confidence interval [CI] 0.74–0.88) and specificity of 0.94 (95% CI 0.85–0.98) for this disease. In acutely dyspneic patients, modified diffuse interstitial syndrome had sensitivity of 0.90 (95% CI 0.87–0.93) and specificity of 0.93 (95% CI 0.91–0.95) for acute heart failure, whereas B-profile had sensitivity of 0.93 (95% CI 0.72–0.98) and specificity of 0.92 (95% CI 0.79–0.97) for this disease in patients with respiratory failure. In patients with acute dyspnea or respiratory failure, the A-profile without PLAPS (posterior-lateral alveolar pleural syndrome) had sensitivity of 0.78 (95% CI 0.67–0.86) and specificity of 0.94 (95% CI 0.89–0.97) for exacerbations of COPD/asthma.Conclusion
Lung ultrasound is an accurate tool for the emergency diagnosis of pneumonia, acute heart failure, and exacerbations of COPD/asthma. 相似文献6.
Orapan Poachanukoon Nualanong Visitsunthorn Watcharee Leurmarnkul Pakit Vichyanond 《Pediatric allergy and immunology》2006,17(3):207-212
Quality of life (QoL) is an important consideration among asthma sufferers. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) is one of the most widely used instruments for measuring health-related QoL in children with asthma. The standardized version of PAQLQ contains 23 questions in three domains, i.e., activity limitation, symptoms and emotional function. The objective of this study was to validate the Thai-translated version of the PAQLQ. The study design consisted of a five-week single cohort study. Patients recorded symptoms, and peak expiratory flow rate (PEFR) each morning and evening during the first and fifth week of the study in asthma diary. At each clinic visit, a trained-interviewer administered the PAQLQ and performed spirometric measurements. Fifty-one children, ages between 7 and 17 yr participated in the study. Scores from the asthma diary were used to classify patients into stable vs. unstable groups. The construct validity of the questionnaire was confirmed in both cross-sectional and longitudinal studies by demonstrating correlations between various PAQLQ domains with clinical asthma parameters (asthma diary, beta-agonist use and PEFR). There was high internal consistency for scores of the three domains (Cronbach's alpha-coefficient = 0.83-0.95). For those with stable asthma, the reliability of PAQLQ was good for the rating scale (intra-class correlation coefficient--ICC = 0.84) and for total score (alpha = 0.97) indicating high reproducibility of the PAQLQ. The significant difference of changes QoL scores between stable and unstable groups was observed in all domains. We conclude that the Thai version of PAQLQ is valid and reliable for implementing in Thai children with asthma. 相似文献
7.
慢性肺心病哮喘持续状态218例临床分析 总被引:1,自引:0,他引:1
目的探索治疗慢性肺心病哮喘持续状态的方法。方法回顾性分析1983年10月~2005年3月收治的218例慢性肺心病哮喘持续状态患者的临床资料。结果哮喘持续状态在48h以内被控制的62例(28.4%);在72h以内控制的56例(25.7%);在120h以内控制的25例(11.5%);在168h以内控制的34例(15.6%);痊愈出院177例(81.2%);死亡41例(18.8%)。结论(1)治疗慢性肺心病哮喘持续状态.根据患者的病理变化.综合治疗.效果显著。(2)在治疗过程中.要恰当选择抗生素和平喘药;对那些血液黏滞度增高的患者.要加用血液稀释疗法。(3)测定血液黏滞度和氧饱和度.可以指导治疗、估计预后.应当列为常规检查。 相似文献
8.
目的探讨老年重症哮喘急性发作的院前急救措施。方法在常规平喘治疗基础上,治疗组用甲基泼尼松龙80mg加入5%葡萄糖溶液(0.9%氯化钠溶液)40ml中静脉注射,对照组用地塞米松10mg加入5%葡萄糖溶液(0.9%氯化钠溶液)20ml中静脉注射,观察治疗前、后两组患者临床疗效评分变化。结果治疗组比对照组起效快,疗效好,两组疗效间差异有显著性意义(P<0.01)。结论甲基泼尼松龙是老年重症哮喘院前急救的首选方法,尽早使用,有利于提高抢救成功率。 相似文献
9.
用放射配体结合分析法分别测定了正常组、特布他林组、特布他林十曲尼司特组豚鼠的肺组织β受体最大结合力和解离常数,结果显示:给特布他林后豚鼠肺组织β受体发生明显的向下调节.曲尼司特可预防此向下调节的发生. 相似文献
10.
A. Taytard J. F. Tessier J. G. Faugere J. Vergeret P. Freour 《European journal of epidemiology》1988,4(3):326-330
Professional exposure to vegetable dusts affect the respiratory function of the exposed subjects. A previous survey conducted in an industrial flour-mill demonstrated a higher frequency of respiratory symptoms in workers compared to a control group. Ten subjects employed in a work site particularly exposed to dust were studied. Each subject answered a questionnaire and performed on Mondays and Fridays, at the begenning and end of his work shift, a flow volume curve and an isocapnic hyperventilation test. The aerobiology of the professional environment was also measured. We noted: 1) in the flow volume curves: a drop in the FEV1 during the Monday morning shift, a significant difference between the FEV1 (p<0.05) and the MMEFR 25–75 (p<0.05) measured at 6 am on Monday and Friday, and between the MMEFR 25–75 values obtained at 12 noon on Monday and Friday (p<0.05). 2) after isocapnic hyperventilation, a significant drop in the MMEFR 25–75 at 6 am on Monday (p<0.01) and in the FEV1 and MMEFR 25–75 at 12 noon on Mondays (p<0.05), a significant drop in the FEV1 at 1 pm on Monday (p<0.01). 相似文献