全文获取类型
收费全文 | 209篇 |
免费 | 12篇 |
国内免费 | 13篇 |
专业分类
儿科学 | 13篇 |
基础医学 | 12篇 |
口腔科学 | 1篇 |
临床医学 | 26篇 |
内科学 | 56篇 |
皮肤病学 | 1篇 |
神经病学 | 5篇 |
特种医学 | 53篇 |
外科学 | 10篇 |
综合类 | 6篇 |
预防医学 | 10篇 |
眼科学 | 2篇 |
药学 | 32篇 |
肿瘤学 | 7篇 |
出版年
2022年 | 1篇 |
2021年 | 1篇 |
2020年 | 1篇 |
2019年 | 2篇 |
2018年 | 6篇 |
2017年 | 3篇 |
2016年 | 3篇 |
2015年 | 1篇 |
2014年 | 2篇 |
2013年 | 3篇 |
2012年 | 3篇 |
2010年 | 5篇 |
2009年 | 5篇 |
2008年 | 5篇 |
2007年 | 4篇 |
2006年 | 7篇 |
2005年 | 4篇 |
2004年 | 2篇 |
2003年 | 6篇 |
2001年 | 1篇 |
2000年 | 3篇 |
1999年 | 3篇 |
1998年 | 17篇 |
1997年 | 12篇 |
1996年 | 22篇 |
1995年 | 9篇 |
1994年 | 10篇 |
1993年 | 13篇 |
1992年 | 5篇 |
1991年 | 4篇 |
1990年 | 7篇 |
1989年 | 12篇 |
1988年 | 16篇 |
1987年 | 9篇 |
1986年 | 2篇 |
1985年 | 5篇 |
1984年 | 3篇 |
1983年 | 3篇 |
1982年 | 6篇 |
1981年 | 2篇 |
1980年 | 1篇 |
1977年 | 2篇 |
1975年 | 3篇 |
排序方式: 共有234条查询结果,搜索用时 31 毫秒
101.
Health promotion in hospitals: the attitudes, beliefs and practices of hospital nurses 总被引:3,自引:0,他引:3
Anita McBnde BH MA RGN 《Journal of advanced nursing》1994,20(1):92-100
This research paper explores the attitudes, beliefs and health promotion practices of hospital nurses working on acute adult wards, as demonstrated through the use of semi-structured postal questionnaires Responses were compared with those from hospital-based occupational therapists, physiotherapists, dietitians and medical consultants, in order to examine issues of consistency and continuity between professional groups and their interaction with patients in relation to health promotion activity The nurses are considered both as a homogeneous group and also in relation to their seniority within the profession Results demonstrate the lack of a coherent health promotion strategy within acute care settings and highlight the differing educational needs of nurses according to their professional role within the hospital By addressing these issues, a strategy can be developed to enhance health promotion in hospital by building on the concerns and needs identified by the nurses themselves Research literature and analysis of this study demonstrate that whilst the current position of health promotion in hospital is generally poor, nurses are keen to integrate health promotion into their practice 相似文献
102.
103.
当赛庚啶浓度在8×10~(-6)mol/L~2×10~(-4)mol/L之间时,该药对正常犬心肌肌质网Ca~(2+),Mg~(2+)—ATP酶活性几乎没有影响,仅在10~(-3)mol/L时对该酶活性才有一定的抑制作用(抑制率为39.85%,P<0.01)。正常犬心肌肌质网的~(45)Ca~(2+)摄取过程有明显的时间依赖性,至第30 min,其~(45)Ca~(2+)摄取量可达312.79±22.25 nmol/mg protein.赛庚啶对心肌肌质网的~(45)Ca~(2+)摄取有一定的抑制作用,其IC_(50)为1.94×10~(-4)mol/L。 相似文献
104.
Inadvertent tracheobronchial placement of feeding tubes 总被引:1,自引:0,他引:1
Seventeen adult patients in whom small-diameter, flexible-tipped feeding tubes had been inadvertently placed in the lung were identified during a 22-month period. In nine patients pneumothorax developed, all cases due to transpleural passage of small-diameter (2.7-mm) feeding tubes. In one of these patients, hydropneumothorax and subsequent empyema developed. Placement of larger diameter (4.3-mm) feeding tubes did not lead to pneumothorax, but pneumonitis developed in one patient after intrapulmonary instillation of antacid solution. Of the 17 patients, 15 had impaired mental status or diminished gag, cough, or swallowing reflexes; the remaining two were pharmacologically sedated during the procedure. Radiographic confirmation of feeding tube placement is essential to avoid these complications, with particular attention paid to the course of the tube. 相似文献
105.
Thoracic empyema: management with image-guided catheter drainage 总被引:1,自引:0,他引:1
Silverman SG; Mueller PR; Saini S; Hahn PF; Simeone JF; Forman BH; Steiner E; Ferrucci JT 《Radiology》1988,169(1):5-9
Forty-three patients with thoracic empyema were treated by means of image-guided catheter drainage. In 40 patients, image-guided catheter drainage was the primary treatment method; in three it was used after conventional, surgical chest tube placement failed. Drainage was performed with ultrasound guidance in 30 patients (69.8%), computed tomography in eight (18.6%), and fluoroscopy in five (11.6%). A combination of guidance modalities was used in six patients. Image-guided catheter drainage alone was successful in 31 of 43 patients (72.1%). In three patients (7%), empyemas were initially drained, but a thoracotomy was ultimately required because of a persistent pleural peel. In eight patients (18.6%), the procedure failed, predominantly due to tube clogging, persistent pneumothorax, or progressive development of a pleural peel. In one patient, drainage was successful but he died 10 days later of complications of renal failure. No major complications were encountered. Treatment of these patients requires a thorough understanding of the pathogenesis of pleural space infection, principles of empyema drainage, techniques of abscess drainage under image guidance, and the use of a pleural drainage system. 相似文献
106.
Combined spinal and epidural anaesthesia was used in 50 patients undergoing abdominal surgery. A fixed dose of 1.0 mL of 5 per cent lignocaine was injected intrathecally in all cases followed by 10 mL of 0.5 per cent bupivacaine epidurally, using “needle through needle” technique in the same lumbar intervertebral space. Subsequently epidural catheter was passed for top-up doses and postoperative analgesia. The advantages of this technique observed were immediate onset of intense block of prolonged, controllable duration and no incidence of post-spinal headache. Five cases developed intraoperative hypotension which required correction. No patient developed any complications of spinal and epidural anaesthesia.KEY WORDS: Anaesthesia epidural, Anaesthesia spinal 相似文献
107.
Medical management of interstitial ectopic pregnancy: a case report and literature review 总被引:3,自引:0,他引:3
Fisch JD; Ortiz BH; Tazuke SI; Chitkara U; Giudice LC 《Human reproduction (Oxford, England)》1998,13(7):1981-1986
Recent reports describe successful treatment of interstitial ectopic
pregnancies using methotrexate. While the number of reported cases is
increasing, no consensus exists regarding the management of this
complication of pregnancy. We present the successful use of combined
systemic and direct intrasac injection of methotrexate for an interstitial
pregnancy with the highest yet reported initial beta-human chorionic
gonadotrophin concentration (102,000 mIU/ml). We also describe the use of
Doppler ultrasound for monitoring treatment progression. Through a review
of the current literature, we propose to facilitate management decisions
and increase outcome success by summarizing previously reported treatment
regimens and by describing enhanced parameters for patient selection and
monitoring.
相似文献
108.
Raman Jay SB Jung BH Park BC Jeong SI Seo SS Jeon HM Lee HY Choi HG Jeon 《Urologic oncology》2017,35(3):118-119
Purpose
We investigated structural hypertrophy and functional hyperfiltration as compensatory adaptations after radical nephrectomy in patients with renal cell carcinoma according to the preoperative chronic kidney disease stage.Materials and methods
We retrospectively identified 543 patients who underwent radical nephrectomy for renal cell carcinoma between 1997 and 2012. Patients were classified according to preoperative glomerular filtration rate as no chronic kidney disease—glomerular filtration rate 90 ml/min/1.73 m2 or greater (230, 42.4%), chronic kidney disease stage II—glomerular filtration rate 60 to less than 90 ml/min/1.73 m2 (227, 41.8%), and chronic kidney disease stage III—glomerular filtration rate 30 to less than 60 ml/min/1.73 m2 (86, 15.8%). Computerized tomography performed within 2 months before surgery and 1 year after surgery was used to assess functional renal volume for measuring the degree of hypertrophy of the remnant kidney, and the preoperative and postoperative glomerular filtration rate per unit volume of functional renal volume was used to calculate the degree of hyperfiltration.Results
Among all patients (mean age = 56.0 y) mean preoperative glomerular filtration rate, functional renal volume, and glomerular filtration rate/functional renal volume were 83.2 ml/min/1.73 m2, 340.6 cm3, and 0.25 ml/min/1.73 m2/cm3, respectively. The percent reduction in glomerular filtration rate was statistically significant according to chronic kidney disease stage (no chronic kidney disease 31.2% vs. stage II 26.5% vs. stage III 12.8%, P<0.001). However, the degree of hypertrophic functional renal volume in the remnant kidney was not statistically significant (no chronic kidney disease 18.5% vs. stage II 17.3% vs. stage III 16.5%, P = 0.250). The change in glomerular filtration rate/functional renal volume was statistically significant (no chronic kidney disease 18.5% vs. stage II 20.1% vs. stage III 45.9%, P<0.001). Factors that increased glomerular filtration rate/functional renal volume above the mean value were body mass index (P = 0.012), diabetes mellitus (P = 0.023), hypertension (P = 0.015), and chronic kidney disease stage (P<0.001).Conclusions
Patients with a lower preoperative glomerular filtration rate had a smaller reduction in postoperative renal function than those with a higher preoperative glomerular filtration rate due to greater degrees of functional hyperfiltration. 相似文献109.
110.