全文获取类型
收费全文 | 1194篇 |
免费 | 81篇 |
国内免费 | 9篇 |
专业分类
耳鼻咽喉 | 24篇 |
儿科学 | 38篇 |
妇产科学 | 34篇 |
基础医学 | 106篇 |
口腔科学 | 106篇 |
临床医学 | 123篇 |
内科学 | 284篇 |
皮肤病学 | 13篇 |
神经病学 | 57篇 |
特种医学 | 96篇 |
外科学 | 192篇 |
综合类 | 15篇 |
预防医学 | 25篇 |
眼科学 | 85篇 |
药学 | 31篇 |
中国医学 | 1篇 |
肿瘤学 | 54篇 |
出版年
2024年 | 1篇 |
2023年 | 8篇 |
2022年 | 20篇 |
2021年 | 21篇 |
2020年 | 23篇 |
2019年 | 33篇 |
2018年 | 54篇 |
2017年 | 28篇 |
2016年 | 43篇 |
2015年 | 62篇 |
2014年 | 62篇 |
2013年 | 64篇 |
2012年 | 80篇 |
2011年 | 76篇 |
2010年 | 55篇 |
2009年 | 42篇 |
2008年 | 70篇 |
2007年 | 81篇 |
2006年 | 86篇 |
2005年 | 79篇 |
2004年 | 65篇 |
2003年 | 47篇 |
2002年 | 51篇 |
2001年 | 22篇 |
2000年 | 29篇 |
1999年 | 33篇 |
1998年 | 3篇 |
1997年 | 2篇 |
1996年 | 4篇 |
1995年 | 6篇 |
1994年 | 1篇 |
1993年 | 5篇 |
1992年 | 5篇 |
1991年 | 9篇 |
1989年 | 5篇 |
1988年 | 1篇 |
1987年 | 3篇 |
1984年 | 1篇 |
1983年 | 1篇 |
1971年 | 1篇 |
1970年 | 1篇 |
1969年 | 1篇 |
排序方式: 共有1284条查询结果,搜索用时 31 毫秒
1.
Awoniyi O. Awonuga Nicola Dean Jamal Zaidi Rudiger U. Pittrof Jinan S. Bekir Seang-Lin Tan 《Journal of assisted reproduction and genetics》1996,13(4):293-297
Aim: Our aim was to compare the outcome in subsequent frozen embryo replacement cycles in four groups of patients who had elective cryopreservation of all their embryos because they were considered to be at increased risk of developing severe ovarian hyperstimulation syndrome.
Design: Sixty-two (91%) of 68 IVF cycles (68 patients) in which elective cryopreservation of all embryos was performed were analyzed. All patients continued on the GnRH agonist, buserelin, after oocyte recovery until the onset of vaginal bleeding. Frozen embryo replacement occurred in a hormone replacement cycle that started either on day 3 of the withdrawal bleed (group I;N=15) or after serum estradiol levels had fallen to <100 pmol/L (group II;N=16). The other patients commenced a frozen embryo replacement cycle several months later in either a hormone replacement (group III;N=15) or a natural (group IV;N=16) cycle.
Results: Two patients developed severe ovarian hyperstimulation syndrome. There were no significant differences among the four groups regarding demographic variables, the dose of hMG used, and the clinical outcome. There was a higher but not significantly different clinical pregnancy rate in group I (26.7%), compared to group II (12.5%), group III (13.3%), and group IV (18.8%).
Conclusions: Several options exist for the timing and protocol used for frozen embryo replacement in patients who had elective cryopreservation for the prevention of ovarian hyperstimulation syndrome, none of which was found to be clearly superior in this observational report.Presented at the 1994 Annual Conference of the American Fertility Society. 相似文献
2.
3.
Hirsh A.V.; Mills C.; Bekir J.; Dean N.; Yovich J.L.; Tan S.L. 《Human reproduction (Oxford, England)》1994,9(9):1710-1716
Microsurgical epididymal sperm aspiration (MESA) and in-vitrofertilization (IVF) were found to offer limited opportunityfor fatherhood to 45 men with obstructive azoospermia, due principallyto poor embryo implantation. Adequate sperm preparations wereobtained in 46/50 treatment cycles (92%), with the best motilityfound in the caput epididymis in 89% of cases. The mean fertilizationrate was 11.2% and fertilization occurred in 23 cycles (50%),with embryo transfer arising from 12/26 men with was aplasia(CAV), 4/9 with genital tract obstruction (EV) and 7/11 withirreversible vasectomy (VV). The overall implantation rate waslow, 8.7% per embryo transfer (11.7% per 2-3 embryo transfers)and was not improved by Fallopian transfer. There were two pregnancies(4% per cycle), both in the EV group where embryo formationand implatation (2/4, 50% per cycle) were optimum even thoughsperm preparations were paradoxically inferior to the CAV andVV groups. The spermatozoa retrieved in the two successful EVcycles were appreciably blood contaminated. Analysis of the21 failed embryo transfers showed delayed fertilization in 10cycles, cystic fibrosis (CF) mutation or familial disease in7/12 CAV men and the VV men were older (P<0.001). A pregnancywhich miscarried arose from a case of Young's syndrome, a carrierof CF mutation DF508. Male factors could thus be implicatedin the high embryo wastage of MESA cycles and might also beinfluencing implantation in other IVF procedures. Where feasible,male reconstructive surgery is preferable unless fertilizationcan be improved, possibly by speedier retrieval techniques orby permitting sperm capacitation in vitro, but probably moreeffectively by micro-assisted insemination. 相似文献
4.
Kerr AR Irvine JJ Search JJ Gingles NA Kadioglu A Andrew PW McPheat WL Booth CG Mitchell TJ 《Infection and immunity》2002,70(3):1547-1557
Variations in the host response during pneumonia caused by Streptococcus pneumoniae in susceptible (CBA/Ca) and resistant (BALB/c) inbred mouse strains were investigated. Significant differences were detected in survival time, core body temperature, lung-associated and systemic bacterial loads, mast cell numbers, magnitude and location of cytokine production, lung disruption, and ability of isolated lung cells to release the cytokine tumor necrosis factor (TNF) alpha in vitro. Overall, the results indicate that the reduced capacity of CBA/Ca mice to induce rapid TNF activity within the airways following infection with S. pneumoniae may be a factor in their elevated susceptibility to pneumococcal pneumonia. 相似文献
5.
Biochemical profile of blood serum of siraz <Emphasis Type="Italic">Capoeta capoeta umbla</Emphasis>
Abdulkadir Bayir A. Necdet Sirkecioğlu Harun Polat N. Mevlüt Aras 《Comparative clinical pathology》2007,16(2):119-126
Seasonal changes in blood plasma biochemistry of siraz Capoeta capoeta umbla were determined throughout 1 year. In the present study, while the highest values for glucose and globulin were found in
winter, the values for increased activities of total protein, albumin, calcium, sodium levels, albumin/globulin ratio, lactate
dehydrogenase, and alkaline phosphatase were determined in summer. We determined that blood biochemistry values of siraz,
which were positively affected by water temperature and pH, except glucose and globulin. Glucose and globulin were negatively
affected by water temperature and pH. Consequently, it was concluded that the seasons are key factors when blood parameters
are used as biomarkers for environmental alterations. It is difficult to define the most important factors affecting seasonal
changes of blood biochemistry in fish. 相似文献
6.
7.
8.
Engin Kölükçü Bekir S. Parlaktaş Vildan Kölükçü Fatih Firat Faik A. Deresoy Muzaffer Katar Yunus Emre Kuyucu Velid Unsal 《Andrologia》2021,53(3):e13985
The study aimed to investigate the effects of dexmedetomidine against ischaemia-reperfusion injury occurring after priapism in a model of induced-priapism in rats. A total of 18 male rats were randomised into three groups. Group 1 was the control group. A priapism model was performed rats in Group 2 and then ischaemia-reperfusion injury was evaluated. Group 3 had similar procedures to the rats in Group 2. Rats in Group 3 additionally had 100 μg/kg dexmedetomidine administered intraperitoneally immediately after reperfusion. Blood and tissue samples were analysed. Biochemical analysis of blood samples revealed a decrease in the levels of the pro-inflammatory cytokines including interleukin-1 beta (IL-1 Beta), interleukin-6 (IL-6), and tumour necrosis factor-alpha (TNF-alpha) in Group 3 compared to Group 2 (p:.04, p:.009 and p:.009, respectively). Similarly, the highest malondialdehyde (MDA) level was in Group 2 (p:.002). The levels of antioxidant enzymes superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) activities were significantly higher in Group 3 than that of Group 2 (p:.037 and p:.045, respectively). Direct microscopic examinations revealed positive changes in desquamation, oedema, inflammation and vasocongestion scores in Group 3 compared to Group 2 (p:.007, p:.008, p:.007 and p:.006, respectively). Dexmedetomidine has a protective effect against ischaemia-reperfusion injury in penile tissue. 相似文献
9.
10.
Direct trocar insertion versus Veress needle insertion in laparoscopic cholecystectomy 总被引:5,自引:0,他引:5
Yerdel MA Karayalcin K Koyuncu A Akin B Koksoy C Turkcapar AG Erverdi N Alaçayir I Bumin C Aras N 《American journal of surgery》1999,177(3):247-249
BACKGROUND: Direct insertion of the trocar is an alternative method to Veress needle insertion for the creation of pneumoperitoneum. The safety of direct disposable shielded trocar insertion for the creation of pneumoperitoneum was assessed by comparing with Veress needle insertion during laparoscopic cholecystectomy (LC). METHODS: One thousand five hundred patients undergoing LC with pneumoperitoneum were included in this study. In 470 patients the Veress needle insertion technique was used, and in 1,030 patients direct trocar insertion technique was used. Patients having indications for open trocar insertion were excluded from the study. RESULTS: Complication rate was significantly higher in the Veress needle group (14% versus 0.9%; P <0.01), and the two major complications, gastric perforation and iliac artery laceration, were also encountered in this group. CONCLUSIONS: Our results suggest that with a lower complication rate, direct insertion of the disposable trocar is a safe alternative to Veress needle insertion technique for the creation of pneumoperitoneum. Such an approach has further advantages such as less cost/instrumentation and rapid creation of pneumoperitoneum. 相似文献