全文获取类型
收费全文 | 17196篇 |
免费 | 1457篇 |
国内免费 | 928篇 |
专业分类
耳鼻咽喉 | 153篇 |
儿科学 | 234篇 |
妇产科学 | 331篇 |
基础医学 | 2111篇 |
口腔科学 | 348篇 |
临床医学 | 2279篇 |
内科学 | 2726篇 |
皮肤病学 | 259篇 |
神经病学 | 879篇 |
特种医学 | 520篇 |
外国民族医学 | 7篇 |
外科学 | 1852篇 |
综合类 | 2439篇 |
现状与发展 | 1篇 |
一般理论 | 11篇 |
预防医学 | 978篇 |
眼科学 | 437篇 |
药学 | 1747篇 |
8篇 | |
中国医学 | 697篇 |
肿瘤学 | 1564篇 |
出版年
2024年 | 62篇 |
2023年 | 274篇 |
2022年 | 630篇 |
2021年 | 746篇 |
2020年 | 558篇 |
2019年 | 544篇 |
2018年 | 595篇 |
2017年 | 489篇 |
2016年 | 451篇 |
2015年 | 726篇 |
2014年 | 916篇 |
2013年 | 931篇 |
2012年 | 1308篇 |
2011年 | 1426篇 |
2010年 | 920篇 |
2009年 | 717篇 |
2008年 | 888篇 |
2007年 | 914篇 |
2006年 | 872篇 |
2005年 | 829篇 |
2004年 | 587篇 |
2003年 | 560篇 |
2002年 | 405篇 |
2001年 | 377篇 |
2000年 | 382篇 |
1999年 | 445篇 |
1998年 | 285篇 |
1997年 | 273篇 |
1996年 | 189篇 |
1995年 | 184篇 |
1994年 | 141篇 |
1993年 | 109篇 |
1992年 | 116篇 |
1991年 | 91篇 |
1990年 | 79篇 |
1989年 | 73篇 |
1988年 | 93篇 |
1987年 | 90篇 |
1986年 | 53篇 |
1985年 | 53篇 |
1984年 | 27篇 |
1983年 | 22篇 |
1982年 | 18篇 |
1981年 | 15篇 |
1980年 | 13篇 |
1979年 | 31篇 |
1978年 | 9篇 |
1975年 | 9篇 |
1974年 | 9篇 |
1972年 | 8篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
1.
2.
3.
外伤性延迟性脾破裂的诊断和治疗(附21例报告) 总被引:1,自引:0,他引:1
目的探讨外伤性延迟性脾破裂的发病规律、临床特点、诊断和治疗方法。方法结合国内外资料及本组病例进行回顾性分析。结果明确诊断16例,误诊为肝破裂2例,宫外孕破裂2例,脾肿瘤1例。21例均手术治疗,行脾切除14例,其中保留副脾2例;脾切除加自体脾组织网膜内移植术3例;脾缝合修补术3例;脾部分切除术1例。死亡1例,原因有就诊晚、失血性休克。结论本病由于腹腔内出血与受伤时间间隔长,容易误诊。诊断除依靠病史、临床表现外,应及时进行腹腔穿刺、B超及CT检查。治疗以脾切除为主,可根据病情、脾破裂的程度以及是否有合并伤等情况采取保脾手术。 相似文献
4.
腰椎节段形态对峡部、小关节应力及小关节接触力影响的有限元分析 总被引:1,自引:0,他引:1
目的:探讨腰椎形态结构变化对峡部裂性滑脱及小关节退变的作用和意义。方法:采用改良的“非种子区域分割方法”及非平行“最佳切割平面”等一系列新型计算机辅助设计(CAD)方法精确建立包括椎间盘高度、腰椎小关节角、椎间盘前凸角改变的L4~L5活动节段有限元模型;在2700N轴向压缩载荷条件下,分别对各有限元模型的峡部、小关节应力、小关节接触力以及椎间盘负载进行测试。结果:压缩载荷下,腰椎活动节段峡部、小关节等效应力及小关节接触力随椎间盘高度的减小而减小,随小关节角的增大而增加,随椎间盘前凸角的增加而减小。结论:椎间盘高度、腰椎小关节角、椎间盘前凸角等形态结构变化对腰椎节段有限元模型的峡部、小关节应力及小关节接触力有明显的影响。提示腰椎峡部应力性骨折及小关节退变的发生与椎间盘高度、腰椎小关节角、椎间盘前凸角等解剖形态因素有关。 相似文献
5.
Anterior mediastinal immature teratoma with precocious puberty in a child with Klinefelter syndrome.
Pen-Hua Su Shi-Ping Luh Da-Mien Yieh Jia-Yuh Chen Suh-Jen Chen Huei-Mei Hung Pei-Fen Liao 《台湾医志》2005,104(8):601-604
ABSTRACT: Klinefelter syndrome occurs in approximately 1 in 1000 males. A 4-year-old boy presented with precocious puberty and an anterior mediastinal mass. Serum alpha-fetoprotein and human chorionic gonadotropin levels were mildly increased. Computed tomography revealed a germ cell tumor (GCT) of the mediastinum. Complete resection of the tumor was performed. Histologic analysis revealed an immature teratoma. Males with Klinefelter syndrome develop GCTs at a rate 50 times higher than unaffected males. This case report calls attention to the need to rule out Klinefelter syndrome in boys who present with precocious puberty and a mediastinal GCT. 相似文献
6.
指背腱膜的解剖学研究 总被引:1,自引:1,他引:0
目的 探讨指背腱膜的构成特点及临床意义。方法 在30只成人尸体手标本上,通过模拟手术,对指背腱膜的构成特点进行了应用解剖学观测。结果 指背腱膜的构成复杂,其中的外侧腱束、外侧束、外侧腱和中央束在手指畸形的发生中有着特殊的临床意义。外侧腱束主要形成伸近节指间关节的功能解剖机制;其与外侧束形成的密切纤维联系而具有协同外侧腱的功能;该腱束与屈肌腱鞘有联系又使其具有平衡屈肌和伸肌肌力的作用。中央束在指背腱膜的整体协调、畸形的发生及矫正过程中起着重要的功能。结论 通过对指背腱膜的解剖研究,可以解释因指屈、伸肌腱平衡被破坏后所形成的畸形。 相似文献
7.
TF Leung WC Tsoi CK Li KW Chik MMK Shing PMP Yuen 《Acta paediatrica (Oslo, Norway : 1992)》1998,87(6):705-777
We describe a 15-y-old girl with Fechtner-like syndrome, who is the first Chinese reported to have this rare syndrome. She presented with left homonymous hemianopia and neuroimaging revealed haemorrhage in both parietal and occipital lobes. Peripheral blood smear showed macrothrombocytopenia and intracytoplasmic inclusion bodies inside leucocytes. Thrombocytopenia and proteinuria responded to intravenous immunoglobulin and pulsed methylprednisolone. This case illustrates that life-threatening haemorrhage can occur in patients with Fechtner syndrome. Although there was no effective treatment reported in the literature, high dose steroid and immunoglobulin seemed to be useful in our patient. Our patient also had nephritic-nephrotic syndrome with renal insufficiency, which is unusual in adolescent female patients. 相似文献
8.
MED术中应用自制器械处理后纵韧带钙化及骨赘增生 总被引:1,自引:0,他引:1
目的探讨脊柱后路显微内镜(microendoscopic disectomy,MED)手术治疗腰椎间盘突出症合并后纵韧带钙化及椎体后缘骨赘增生的方法. 方法 MED手术中应用自制弧形纤维环刀和L形打入器治疗115例该类患者. 结果全组随访12~30个月,平均22个月,按MacNab标准:优、良109例,可5例,差1例,优良率94.8(109/115).未出现硬脊膜破裂及神经孙上,未发生椎间隙感染,无中转开放手术. 结论正确运用MED技术,配合采用自制器械及相应的改良方法,能较好地处理合并后纵韧带钙化及椎体后缘骨赘增生的难题,进一步扩大了手术适应证范围,提高了疗效及安全性. 相似文献
9.
Feng-Yuan Liu Chien-Yu Lin Joseph T Chang Shu-Hang Ng Shy-Chyi Chin Hung-Ming Wang Chun-Ta Liao Sheng-Chieh Chan Tzu-Chen Yen 《Journal of nuclear medicine》2007,48(10):1614-1619
Conventional work-up (CWU) with chest radiography, abdominal ultrasonography, and skeletal scintigraphy has limited value in M staging of nonkeratinizing nasopharyngeal carcinoma (NPC). Our aim was to evaluate whether (18)F-FDG PET could replace CWU by comparing their diagnostic efficacies. METHODS: Patients with histologically proven nonkeratinizing NPC and no prior treatment were prospectively enrolled. All study participants underwent CWU and (18)F-FDG PET for primary M staging. Distant metastasis was considered to be present if there was any reliable evidence identified within 1 y after diagnosis. The comparative diagnostic efficacies of (18)F-FDG PET, CWU, and the combination of (18)F-FDG PET and CWU (PET+CWU) were evaluated using the areas under the receiver-operating-characteristic (ROC) curves. RESULTS: Sixty-one (20.3%) of 300 eligible patients were found to have distant metastases. On a patient-based analysis, (18)F-FDG PET was found to be more effective than CWU (P < 0.001), whereas it was equally effective with PET+CWU (P = 0.130). On region-based analyses, (18)F-FDG PET was more effective than skeletal scintigraphy and chest radiography for detecting bone metastases (P < 0.001) and chest metastases (P < 0.001), respectively. (18)F-FDG PET and abdominal ultrasound were equally effective for detecting hepatic metastases (P = 0.127). On region-based analyses, the combination of (18)F-FDG PET and CWU did not yield any noticeable increase in diagnostic efficacy. CONCLUSION: (18)F-FDG PET can replace CWU in primary M staging of nonkeratinizing NPC. 相似文献
10.
BACKGROUND: Cutaneous metastasis from adenoid cystic carcinoma of the salivary gland is very rare. OBJECTIVE: To present an unusual case of cutaneous metastasis from adenoid cystic carcinoma of the right parotid gland. METHODS: A 63-year-old woman with multiple subcutaneous nodules on the abdomen and a gradually enlarged mass over the right parotid area was examined. A skin biopsy was taken from one of the abdominal nodules. RESULT: Skin biopsy demonstrated the characteristic histopathologic features of metastatic adenoid cystic carcinoma. A subsequent computerized tomography of the head and neck revealed a huge soft tissue mass involving the right parotid gland. Computerized tomography of the chest revealed extensive nodular pleural thickening, and pleural biopsy also showed typical histopathologic features of metastatic adenoid cystic carcinoma. All of these results are consistent with the diagnosis of an adenoid cystic carcinoma of the right parotid gland with disseminated metastases. CONCLUSION: We report a rare case of cutaneous metastasis from adenoid cystic carcinoma of the right parotid gland. The presentation of cutaneous metastasis is often nonspecific and may mimic benign lesions. Subcutaneous nodules that are rapidly developing or eruptive, are rapidly growing and have stony hardness in nature, have pain or tenderness, and have nonhealing ulceration remind us of the possibility of cutaneous metastases. Dermatologists and dermatologic surgeons should keep the diagnosis of cutaneous metastasis in mind and always perform skin biopsy when encountering these lesions. 相似文献