全文获取类型
收费全文 | 7375篇 |
免费 | 442篇 |
国内免费 | 43篇 |
专业分类
耳鼻咽喉 | 145篇 |
儿科学 | 231篇 |
妇产科学 | 151篇 |
基础医学 | 1140篇 |
口腔科学 | 685篇 |
临床医学 | 482篇 |
内科学 | 1499篇 |
皮肤病学 | 206篇 |
神经病学 | 623篇 |
特种医学 | 190篇 |
外科学 | 687篇 |
综合类 | 36篇 |
一般理论 | 6篇 |
预防医学 | 749篇 |
眼科学 | 106篇 |
药学 | 506篇 |
中国医学 | 40篇 |
肿瘤学 | 378篇 |
出版年
2023年 | 47篇 |
2022年 | 154篇 |
2021年 | 310篇 |
2020年 | 203篇 |
2019年 | 234篇 |
2018年 | 279篇 |
2017年 | 194篇 |
2016年 | 239篇 |
2015年 | 307篇 |
2014年 | 332篇 |
2013年 | 432篇 |
2012年 | 607篇 |
2011年 | 703篇 |
2010年 | 367篇 |
2009年 | 323篇 |
2008年 | 452篇 |
2007年 | 501篇 |
2006年 | 412篇 |
2005年 | 384篇 |
2004年 | 331篇 |
2003年 | 264篇 |
2002年 | 223篇 |
2001年 | 58篇 |
2000年 | 51篇 |
1999年 | 49篇 |
1998年 | 37篇 |
1997年 | 32篇 |
1996年 | 25篇 |
1995年 | 18篇 |
1994年 | 7篇 |
1993年 | 18篇 |
1992年 | 26篇 |
1991年 | 19篇 |
1990年 | 25篇 |
1989年 | 15篇 |
1988年 | 22篇 |
1987年 | 15篇 |
1986年 | 11篇 |
1985年 | 18篇 |
1984年 | 10篇 |
1983年 | 10篇 |
1982年 | 6篇 |
1980年 | 5篇 |
1979年 | 5篇 |
1977年 | 5篇 |
1975年 | 5篇 |
1974年 | 7篇 |
1973年 | 7篇 |
1971年 | 6篇 |
1969年 | 6篇 |
排序方式: 共有7860条查询结果,搜索用时 960 毫秒
71.
Min Yuen Teo Jose Mauricio Mota Karissa A. Whiting Han A. Li Samuel A. Funt Chung-Han Lee David B. Solit Hikmat Al-Ahmadie Matthew I. Milowsky Arjun V. Balar Eugene Pietzak Guido Dalbagni Bernard H. Bochner Irina Ostrovnaya Dean F. Bajorin Jonathan E. Rosenberg Gopa Iyer 《European urology》2021,79(5):e158-e159
72.
Costa Davidson Ribeiro Pessoa Diego Rodrigues Seefeldt Vanessa Borelli Costa David Ribeiro Maia Daniel Tineu Leite dos Santos Maciel Thiago Mota Brenda Barros Magalhães Delpasso Carolina Alves Ribeiro Camila Alves Delpasso Nicolau Renata Amadei 《Lasers in medical science》2021,36(8):1681-1689
Lasers in Medical Science - This study compared the effects of LED therapy associated with occlusal splint (OS) on the signs and symptoms of temporomandibular disorder (TMD). In this randomized,... 相似文献
73.
Infertility is a major health issue affecting over 48.5 million couples around the world, with the male factor accounting for about 50% of the cases. The conventional semen analysis recommended by the World Health Organization (WHO) is the cornerstone in the evaluation of male fertility status. It includes macroscopic and microscopic evaluation of the ejaculate, which reflects the production of spermatozoa in the testes, the patency of the duct system and the glandular secretory activity. Evaluation of seminal fructose, sperm vitality and leucocytes (Endtz test) are useful adjuncts to semen analysis that provide information on specific clinical conditions. Though several computer-assisted sperm analysis (CASA) systems have been developed, conventional methods for semen analysis are still widely accepted in clinical practice. This review summarises the conventional techniques used in routine semen analysis and their diagnostic value in clinical andrology. 相似文献
74.
Courtney Pisano Renata Fabia Junxin Shi Krista Wheeler Sheila Giles Lisa Puett Dylan Stewart Susan Ziegfeld Jennifer Flint Jenna Miller Pablo Aguayo Emily C. Alberto Randall S. Burd Lisa Vitale Justin Klein Rajan K. Thakkar 《Burns : journal of the International Society for Burn Injuries》2021,47(3):545-550
BackgroundAccurate resuscitation of pediatric patients with large thermal injury is critical to achieving optimal outcomes. The goal of this project was to describe the degree of variability in resuscitation guidelines among pediatric burn centers and the impact on fluid estimates.MethodsFive pediatric burn centers in the Pediatric Injury Quality Improvement Collaborative (PIQIC) contributed data from patients with ≥15% total body surface area (TBSA) burns treated from 2014 to 2018. Each center's resuscitation guidelines and guidelines from the American Burn Association were used to calculate estimated 24-h fluid requirements and compare these values to the actual fluid received.ResultsDifferences in the TBSA burn at which fluid resuscitation was initiated, coefficients related to the Parkland formula, criteria to initiate dextrose containing fluids, and urine output goals were observed. Three of the five centers’ resuscitation guidelines produced statistically significant lower mean fluid estimates when compared with the actual mean fluid received for all patients across centers (4.53 versus 6.35 ml/kg/% TBSA, p < 0.001), (4.90 versus 6.35 ml/kg/TBSA, p = 0.002) and (3.38 versus 6.35 ml/kg/TBSA, p < 0.0001).ConclusionsThis variation in practice patterns led to statistically significant differences in fluid estimates. One center chose to modify its resuscitation guidelines at the conclusion of this study. 相似文献
75.
Holden W. Richards Junxin Shi Rajan K. Thakkar Sheila Giles Krista K. Wheeler Renata Fabia 《Burns : journal of the International Society for Burn Injuries》2021,47(2):322-326
BackgroundDespite the vast literature studying the opioid crisis, sparse data describe this in the pediatric burn population. This study sought to assess patient-level characteristics and their potential effects on opioid administration in nonsurgical pediatric burn inpatients.MethodsAdmitted burn patients from 2013 to 2018 with nonsurgical management at an American Burn Association (ABA) verified pediatric burn center were retrospectively identified. Morphine milligram equivalents by weight (MME/kg) per admission were evaluated through a multiple loglinear regression with race, sex, age, total body surface area burned (TBSA), and burn depth as predictors. Simple linear regression was used to evaluate the temporal trend of median opioid utilization.ResultsA total of 806 patients (55% White, 35% Black, 5% Hispanic, 5% Other) were included. In an adjusted analysis, no differences in opioid administration were seen by sex, burn degree, or for Blacks and Hispanics when compared with Whites. Increased MME/kg was associated with older age (10–18 years; p < 0.0001) and larger burns (>5% TBSA burned; p < 0.0001). From 2013 to 2018, median MME/kg per admission declined significantly (2013:0.21, 2018:0.09; p = 0.0103).ConclusionsNonsurgical burn patients who were older and presented with larger TBSA experienced marked increases in opioid utilization. Overall, opioid administration decreased over time. 相似文献
76.
Marina Guitton Rodrigues Paula Marcela Vilela Castro Tiago Careli de Almeida Fernanda Ribeiro Danziere Francisco Antonio Sergi Filho Beimar Edmundo Zeballos Sempertegui Juan Rafel Branez Leonardo Toledo Mota Marcelo Perosa de Miranda Regina Gomes dos Santos Tércio Genzini 《Transplantation proceedings》2021,53(2):661-664
ObjectiveThis study aimed to evaluate how cold ischemia time (CIT) interferes with liver graft function in the first 7 days after surgery for Custodiol (HTK) preserved organs.MethodsThis retrospective observational study analyzed the medical records of 38 transplantation patients at Hospital Leforte Liberdade, São Paulo, in 2018. The study population was divided into 2 groups (group A, CIT < 8 hours; group B, CIT > 8 hours). Postoperative parameters—such as international normalized ratio, total bilirubin, aspartate aminotransferase/alanine aminotransferase, alkaline phosphatase, gamma glutamyl transferase (GGT), lactate dehydrogenase, lactate, creatinine, red blood cell transfusion, need for hemodialysis, use of vasoactive drugs, endotracheal intubation time, length of stay in the intensive care unit (ICU), and length of hospital stay—were compared.ResultsGroup A (CIT < 8 hours) presented less need for red blood cell transfusions (odds ratio 0.29; confidence interval 0.06-0.98; P = .04), had a shorter hospital stay (P = .024), and had lower levels of total bilirubin (P = .05) and GGT (P = .05) in the first 7 postoperative days. The other variables showed no statistically significant difference.ConclusionIn livers preserved with Custodiol, CIT > 8 hours generated higher levels of total bilirubin and GGT in the postoperative period, in addition to higher hospital costs; greater need for red blood cell transfusions; and longer hospitalization, including longer stays in the ICU. 相似文献
77.
78.
Sérgio Soares Tiago Mota Gomes Gustavo Campos Filipe Medeiros João Bragança Xavier Martin Oliva 《Foot and Ankle Surgery》2021,27(5):567-576
BackgroundVascular injury after hallux valgus surgery is a rare condition but serious complications can ensue.MethodsWe performed an anatomical study using 26 cadaveric lower extremities. We enhanced first metatarsal bone’s (FMB) vascularization by injecting latex. Each specimen was classified according to the severity of hallux valgus deformity (HVD). Then we measured two distances: one between the first tarsometatarsal joint (FTMJ) to the first dorsal branch’s origin, the other between the first metatarsophalangeal joint (MTP) to the dorsal plexus’s origin.ResultsThe distance between the FTMJ and the first dorsal branch to the FMB ranges from 10 mm in normal feet to 15 mm in severe deformed feet. The distance between the MTP and the dorsal plexus’ origin ranges from 20 mm in normal feet to 25 mm in severe deformed feet.ConclusionsUnderstanding the foot’s vascular anatomy has allowed us to adapt surgical landmarks to the severity of the HVD and to avoid post-operative complications. 相似文献
79.
80.
Renata Indelicato Zac Adilson da Costa 《The Journal of clinical and aesthetic dermatology》2021,14(5):26
BACKGROUND: Androgenetic alopecia (AGA) is a common, genetically predisposed condition that begins after puberty and whose frequency increases with age; although biologically benign, AGA can impact patients both psychologically and socially, contributing to an impairment on their quality of life. OBJECTIVE: We sought to evaluate the psychological, social, and quality of life impairments inherent in women with AGA using 5% minoxidil daily for at least six months. DESIGN: Thirty-one women with diffuse central hair thinning and shaft miniaturization who were using 5% minoxidil daily for at least six months responded to a clinical questionnaire and underwent trichoscopy. RESULTS: 83.9 percent (n=26) of the participants reported they were satisfied with the 5% minoxidil treatment and its convenience. Hair loss influenced social life in 54.8 percent (n=17) of the respondents and choice of hair cut/hairstyle in 87.1 percent (n=27) of respondents. For 51.6 percent (n=16) hair loss was slightly increased, although it did not increase after beginning treatment. A frontoparietal pattern (74.2%, n=23), very low capillary density (61.3%, n=19), trichodynia (32.3%, n=10), and negative traction test (100%, n=31) were also observed. Miniaturization occurred in 100 percent (n=31) of patients, frontal/occipital hair thickness was reduced in 83.9 percent (n=26), and more than 10 percent of velus hair in the frontal area was observed in 83.9 percent (n=26) of patients. The number of hair shafts per follicular unit was reduced in 67.7 percent (n=21), and a higher frontal to occipital ratio of follicular units with one hair shaft was seen in 74.2 percent (n=23) of patients. Empty follicles, large numbers of peripillar brownish halo, scalp pigmentation, mild Ludwig''s baldness degree, and quality of life scores of 4±3.5 points were observed. CONCLUSION: Our results indicate that patient satisfaction and quality of life of women with AGA on 5% topical minoxidil are high, although hair loss influences daily habits and social life. 相似文献