全文获取类型
收费全文 | 18962篇 |
免费 | 1299篇 |
国内免费 | 52篇 |
专业分类
耳鼻咽喉 | 154篇 |
儿科学 | 585篇 |
妇产科学 | 494篇 |
基础医学 | 2718篇 |
口腔科学 | 453篇 |
临床医学 | 2523篇 |
内科学 | 3504篇 |
皮肤病学 | 354篇 |
神经病学 | 1804篇 |
特种医学 | 479篇 |
外国民族医学 | 1篇 |
外科学 | 1738篇 |
综合类 | 164篇 |
一般理论 | 21篇 |
预防医学 | 2376篇 |
眼科学 | 291篇 |
药学 | 1185篇 |
1篇 | |
中国医学 | 38篇 |
肿瘤学 | 1430篇 |
出版年
2024年 | 18篇 |
2023年 | 180篇 |
2022年 | 306篇 |
2021年 | 572篇 |
2020年 | 410篇 |
2019年 | 548篇 |
2018年 | 620篇 |
2017年 | 450篇 |
2016年 | 535篇 |
2015年 | 552篇 |
2014年 | 762篇 |
2013年 | 1021篇 |
2012年 | 1571篇 |
2011年 | 1526篇 |
2010年 | 844篇 |
2009年 | 799篇 |
2008年 | 1291篇 |
2007年 | 1290篇 |
2006年 | 1169篇 |
2005年 | 1081篇 |
2004年 | 1012篇 |
2003年 | 841篇 |
2002年 | 823篇 |
2001年 | 164篇 |
2000年 | 145篇 |
1999年 | 179篇 |
1998年 | 168篇 |
1997年 | 136篇 |
1996年 | 116篇 |
1995年 | 98篇 |
1994年 | 84篇 |
1993年 | 90篇 |
1992年 | 93篇 |
1991年 | 59篇 |
1990年 | 77篇 |
1989年 | 76篇 |
1988年 | 63篇 |
1987年 | 52篇 |
1986年 | 32篇 |
1985年 | 44篇 |
1984年 | 42篇 |
1983年 | 52篇 |
1982年 | 37篇 |
1981年 | 43篇 |
1980年 | 40篇 |
1979年 | 35篇 |
1978年 | 19篇 |
1977年 | 17篇 |
1976年 | 13篇 |
1969年 | 12篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
121.
Kraus Ludwig Loy Johanna K. Wilms Nicolas Starker Anne 《Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz》2021,64(6):652-659
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - Nach der Collectivity-of-Drinking-Cultures-Theorie von Skog finden Veränderungen des Alkoholkonsums in allen... 相似文献
122.
Providing Hearing Assistance to Low-Income Adults at Risk for Social Isolation: Preliminary Findings
123.
Anania Pasquale Battaglini Denise Balestrino Alberto DAndrea Alessandro Prior Alessandro Ceraudo Marco Rossi Diego Criminelli Zona Gianluigi Fiaschi Pietro 《Neurosurgical review》2021,44(3):1243-1253
Neurosurgical Review - Posterior cranial fossa tumours frequently develop hydrocephalus as first presentation in up to 80% of paediatric patients and 21.4% of adults, although it resolves after... 相似文献
124.
Marysol Luna Jason D Guss Laura S Vasquez-Bolanos Macy Castaneda Manuela Vargas Rojas Jasmin M Strong Denise A Alabi Sophie D Dornevil Jacob C Nixon Erik A Taylor Eve Donnelly Xueyan Fu M Kyla Shea Sarah L Booth Rodrigo Bicalho Christopher J Hernandez 《Journal of bone and mineral research》2021,36(9):1823-1834
Modifications to the constituents of the gut microbiome influence bone density and tissue-level strength, but the specific microbial components that influence tissue-level strength in bone are not known. Here, we selectively modify constituents of the gut microbiota using narrow-spectrum antibiotics to identify components of the microbiome associated with changes in bone mechanical and material properties. Male C57BL/6J mice (4 weeks) were divided into seven groups (n = 7–10/group) and had taxa within the gut microbiome removed through dosing with: (i) ampicillin; (ii) neomycin; (iii) vancomycin; (iv) metronidazole; (v) a cocktail of all four antibiotics together (with zero-calorie sweetener to ensure intake); (vi) zero-calorie sweetener only; or (vii) no additive (untreated) for 12 weeks. Individual antibiotics remove only some taxa from the gut, while the cocktail of all four removes almost all microbes. After accounting for differences in geometry, whole bone strength was reduced in animals with gut microbiome modified by neomycin (−28%, p = 0.002) and was increased in the group in which the gut microbiome was altered by sweetener alone (+39%, p < 0.001). Analysis of the fecal microbiota detected seven lower-ranked taxa differentially abundant in animals with impaired tissue-level strength and 14 differentially abundant taxa associated with increased tissue-level strength. Histological and serum markers of bone turnover and trabecular bone volume per tissue volume (BV/TV) did not differ among groups. These findings demonstrate that modifications to the taxonomic components of the gut microbiome have the potential to decrease or increase tissue-level strength of bone independent of bone quantity and without noticeable changes in bone turnover. © 2021 American Society for Bone and Mineral Research (ASBMR). 相似文献
125.
Tanya C. Saraiya Skye Fitzpatrick Kathryn Zumberg‐Smith Teresa Lpez‐Castro Sudie E. Back Denise A. Hien 《Journal of traumatic stress》2021,34(1):56-68
The debate around the construct validity of complex posttraumatic stress disorder (CPTSD) has begun to examine whether CPTSD diverges from posttraumatic stress disorder (PTSD) when it co‐occurs with the diagnosis of borderline personality disorder (BPD). The present study (a) examined the construct validity of CPTSD through a latent class analysis of a non–treatment‐seeking sample of young trauma‐exposed adults and (b) characterized each class in terms of trauma characteristics, social emotions (e.g., shame, guilt, blame), and interpersonal functioning. A total of 23 dichotomized survey items were chosen to represent the symptoms of PTSD, CPTSD, and BPD and administered to 197 trauma‐exposed participants. Fit statistics compared models with 2–4 latent classes. The four‐class model showed the best fit statistics and clinical interpretability. Classes included a “high PTSD+CPTSD+BPD” class, characterized by high‐level endorsement of all symptoms for the three diagnoses; a “moderate PTSD+CPTSD+BPD” class, characterized by endorsement of some symptoms across all three diagnoses; a “PTSD” class, characterized by endorsement of the ICD‐11 PTSD criteria; and a “healthy” class, characterized by low symptom endorsement overall. Pairwise comparisons showed individuals in the high PTSD+CPTSD+BPD class to have the highest levels of psychological distress, traumatic event history, adverse childhood experiences, and PTSD symptoms. Shame was the only social emotion to significantly differ between the classes, p = .002, η² = .16. The findings diverge from the literature, indicating an overlap of PTSD, CPTSD, and BPD symptoms in a non–treatment‐seeking community sample. Further, shame may be a central emotion that differentiates between presentation severities following trauma exposure. 相似文献
126.
Max Henningsen Bernd Jaenigen Stefan Zschiedrich Przemyslaw Pisarski Gerd Walz Johanna Schneider 《Transplantation proceedings》2021,53(5):1589-1598
BackgroundLeukopenia is a common complication after kidney transplantation. The etiology is multifactorial, with medication adverse effects and cytomegalovirus infection as main causes. Optimal strategies to prevent or treat posttransplant leukopenia remain unknown. We aimed to identify risk factors for leukopenia and to investigate the benefit of switching the immunosuppressive therapy to hydrocortisone as a continuous infusion.MethodsWe retrospectively evaluated all patients with leukopenia after kidney transplantation between 2007 and 2017 at our center relative to age- and sex-matched controls.ResultsLeukopenia was associated with the degree of rejection therapy before leukopenia, the immunosuppressive therapy before transplantation, and an induction therapy with rabbit antithymocyte globulin. Patients with leukopenia exhibited increased mortality, an increased incidence of bacterial and viral infections, and more acute rejections. Switching to hydrocortisone as a continuous infusion in patients with severe leukopenia decreased the duration of leukopenia and the incidence of subsequent viral infections, especially with cytomegalovirus.ConclusionLeukopenia is a risk factor for infectious complications and mortality, and it is associated with acute rejection. Switching immunosuppressive therapy to hydrocortisone as a continuous infusion is a safe approach to reduce the duration of leukopenia and the incidence of viral infections. 相似文献
127.
128.
Markus Walther Victor Valderrabano Martin Wiewiorski Federico Giuseppe Usuelli Martinus Richter Tiago Soares Baumfeld Johanna Kubosch Oliver Gottschalk Udo Wittmann 《Foot and Ankle Surgery》2021,27(3):236-245
BackgroundThe aim of this study is to systematically review the literature on clinical outcomes of patients who have undergone autologous matrix-induced chondrogenesis (AMIC) for treatment of osteochondral lesions of the talus (OCL) and compare the studies’ outcomes.MethodsPubmed and Embase were searched in January 2020 for articles concerning OCL surgery. Studies were included if they had a minimum 1-year follow-up and the primary measures were functional outcomes. The meta-analysis compared the Visual Analogic Score (VAS), the American Orthopedic Foot and Ankle Score (AOFAS), and the Foot Function Index (FFI) between baseline and follow-up of 1?2 years, and 3?5 years. A random effects model was used to evaluate outcome changes.ResultsThe search returned 15 studies, with a total of 492 patients. The VAS improved 4.45 and 4.6 points from baseline to the 1?2 year and 3?5 year follow-up, respectively (p < 0.001). AOFAS improved 31.59 and 32.47 points from baseline to the 1?2 year and 3?5 year follow-up, respectively (p < 0.001). The FFI showed a significant improvement of 30.93 points from baseline to year 3?5 (p < 0.001). A total of 6 patients with revision surgeries have been reported within the follow up period. It was not possible to correlate clinical features like lesion size, surgical approach, and bone marrow stimulation technique to the reported outcome.ConclusionSurgical treatment of OCL via the AMIC procedure provided significant improvement in the functional outcome and pain scores when compared to the pre-operative values. Improvements were observed up to 5 years post-operatively. 相似文献
129.
Niall Cribben Denise Gonoud Leo G. Kevin 《Anaesthesia and Intensive Care Medicine》2021,22(4):232-237
The purpose of cardiopulmonary bypass is to maintain perfusion and oxygenation of the vital organs in the absence of heart and lung function, usually to facilitate surgery on the heart, but occasionally in other situations. Although the intricacies of the modern extracorporeal circuit and the conduct of cardiopulmonary bypass are the domain of the clinical perfusion scientist (‘perfusionist’), safe surgery mandates a good understanding of some fundamentals by the anaesthetist and the surgeon. This review is aimed at the anaesthetist. First, we will systematically examine the main components of the extracorporeal circuit, travelling in the direction that blood travels, from the venous cannula to the arterial cannula. Then we will describe the process of preparing for bypass, ‘going on’, conducting a bypass run, and weaning and separation from bypass. It is crucial to have clear communication between the surgeon, perfusionist and anaesthetist. This can be difficult for the novice because a quite specific language has evolved in cardiac operating theatres to signal key events in the cardiopulmonary bypass sequence. As we go through this article, we will highlight commonly used terminology and expressions used. 相似文献
130.
Sudeshna Paul Taylor Melanson Sumit Mohan Katherine Ross-Driscoll Laura McPherson Raymond Lynch Denise Lo Stephen O. Pastan Rachel E. Patzer 《American journal of transplantation》2021,21(1):314-321
Kidney transplant program performance in the United States is commonly measured by posttransplant outcomes. Inclusion of pretransplant measures could provide a more comprehensive assessment of transplant program performance and necessary information for patient decision-making. In this study, we propose a new metric, the waitlisting rate, defined as the ratio of patients who are waitlisted in a center relative to the person-years referred for evaluation to a program. Furthermore, we standardize the waitlisting rate relative to the state average in Georgia, North Carolina, and South Carolina. The new metric was used as a proof-of-concept to assess transplant-program access compared to the existing transplant rate metric. The study cohorts were defined by linking 2017 United States Renal Data System (USRDS) data with transplant-program referral data from the Southeastern United States between January 1, 2012 and December 31, 2016. Waitlisting rate varied across the 9 Southeastern transplant programs, ranging from 10 to 22 events per 100 patient-years, whereas the program-specific waitlisting rate ratio ranged between 0.76 and 1.33. Program-specific waitlisting rate ratio was uncorrelated with the transplant rate ratio (r = −.15, 95% CI, −0.83 to 0.57). Findings warrant collection of national data on early transplant steps, such as referral, for a more comprehensive assessment of transplant program performance and pretransplant access. 相似文献