全文获取类型
| 收费全文 | 2690835篇 |
| 免费 | 194828篇 |
| 国内免费 | 7882篇 |
专业分类
| 耳鼻咽喉 | 35865篇 |
| 儿科学 | 88393篇 |
| 妇产科学 | 73874篇 |
| 基础医学 | 377438篇 |
| 口腔科学 | 75420篇 |
| 临床医学 | 242666篇 |
| 内科学 | 538509篇 |
| 皮肤病学 | 64975篇 |
| 神经病学 | 222359篇 |
| 特种医学 | 103110篇 |
| 外国民族医学 | 752篇 |
| 外科学 | 399522篇 |
| 综合类 | 51391篇 |
| 现状与发展 | 6篇 |
| 一般理论 | 1007篇 |
| 预防医学 | 208301篇 |
| 眼科学 | 58895篇 |
| 药学 | 194529篇 |
| 8篇 | |
| 中国医学 | 5831篇 |
| 肿瘤学 | 150694篇 |
出版年
| 2021年 | 22681篇 |
| 2019年 | 23053篇 |
| 2018年 | 32635篇 |
| 2017年 | 24980篇 |
| 2016年 | 28485篇 |
| 2015年 | 32172篇 |
| 2014年 | 44158篇 |
| 2013年 | 65029篇 |
| 2012年 | 87420篇 |
| 2011年 | 92210篇 |
| 2010年 | 54917篇 |
| 2009年 | 52480篇 |
| 2008年 | 84735篇 |
| 2007年 | 89941篇 |
| 2006年 | 91145篇 |
| 2005年 | 87484篇 |
| 2004年 | 84229篇 |
| 2003年 | 80928篇 |
| 2002年 | 76794篇 |
| 2001年 | 130488篇 |
| 2000年 | 133344篇 |
| 1999年 | 112325篇 |
| 1998年 | 32063篇 |
| 1997年 | 28594篇 |
| 1996年 | 28882篇 |
| 1995年 | 27920篇 |
| 1994年 | 25605篇 |
| 1993年 | 23954篇 |
| 1992年 | 86448篇 |
| 1991年 | 82774篇 |
| 1990年 | 79901篇 |
| 1989年 | 77169篇 |
| 1988年 | 70529篇 |
| 1987年 | 69007篇 |
| 1986年 | 64475篇 |
| 1985年 | 61386篇 |
| 1984年 | 45630篇 |
| 1983年 | 38515篇 |
| 1982年 | 22773篇 |
| 1981年 | 20286篇 |
| 1979年 | 39537篇 |
| 1978年 | 27774篇 |
| 1977年 | 23559篇 |
| 1976年 | 21735篇 |
| 1975年 | 23153篇 |
| 1974年 | 27140篇 |
| 1973年 | 25742篇 |
| 1972年 | 24057篇 |
| 1971年 | 22239篇 |
| 1970年 | 20494篇 |
排序方式： 共有10000条查询结果，搜索用时 15 毫秒
61.
Elizabeth D. Krebs Robert B. Hawkins J. Hunter Mehaffey Clifford E. Fonner Alan M. Speir Mohammed A. Quader Jeffrey B. Rich Leora T. Yarboro Nicholas R. Teman Gorav Ailawadi 《The Journal of thoracic and cardiovascular surgery》2019,157(4):1533-1542.e2
Objectives
Expedient extubation after cardiac surgery has been associated with improved outcomes, leading to postoperative extubation frequently during overnight hours. However, recent evidence in a mixed medical-surgical intensive care unit population demonstrated worse outcomes with overnight extubation. This study investigated the impact of overnight extubation in a statewide, multicenter Society of Thoracic Surgeons database.Methods
Records from 39,812 patients undergoing coronary artery bypass grafting or valve operations (2008-2016) and extubated within 24 hours were stratified according to extubation time between 06:00 and 18:00 (day) or between 18:00 and 6:00 (overnight). Outcomes including reintubation, mortality, and composite morbidity-mortality were evaluated using hierarchical regression models adjusted for Society of Thoracic Surgeons predictive risk scores. To further analyze extubation during the night, a subanalysis stratified patients into 3 groups: 06:00 to 18:00, 18:00 to 24:00, and 24:00 to 06:00.Results
A total of 20,758 patients were extubated overnight (52.1%) and were slightly older (median age 66 vs 65 years, P < .001) with a longer duration of ventilation (4 vs 7 hours, P < .001). Day and overnight extubation were associated with equivalent operative mortality (1.7% vs 1.7%, P = .880), reintubation (3.7% vs 3.4%, P = .141), and composite morbidity-mortality (8.2% vs 8.0%, P = .314). After risk adjustment, overnight extubation was not associated with any difference in reintubation, mortality, or composite morbidity-mortality. On subanalysis, those extubated between 24:00 and 06:00 exhibited increased composite morbidity-mortality (odds ratio, 1.18; P = .001) but no difference in reintubation or mortality.Conclusions
Extubation overnight was not associated with increased mortality or reintubation. These results suggest that in the appropriate clinical setting, it is safe to routinely extubate cardiac surgery patients overnight. 相似文献62.
63.
64.
65.
66.
Lara Silveira Abdo Aguiar Rita de Cssia Rossini Lismary Aparecida de Forville Mesquita Gerson Dellatorre 《Journal of Cosmetic Dermatology》2019,18(6):1733-1736
Depigmented lesions may occur as postinflammatory sequelae of subacute cutaneous lupus erythematosus (SCLE), leading to great psychosocial impact. A 53‐year‐old male patient presented with post‐SCLE depigmented facial lesions after five years of disease stability. We proposed surgical treatment with melanocyte‐keratinocyte transplantation procedure (MKTP), and after five months the patient achieved 90% repigmentation, without Koebner phenomenon (KP). In theory, KP is a possible complication of MKTP procedure since the preparation of the receptor area involves the use of dermabrasion. In an attempt to avoid it, we suggest to maintain the treatment of the underlying disease and wait for a minimum period of disease stability before the procedure. 相似文献
67.
Nicholas E. Anton Tomoko Mizota Lava R. Timsina Jake A. Whiteside Erinn M. Myers Dimitrios Stefanidis 《American journal of surgery》2019,217(2):266-271
Introduction
Several studies demonstrated that simulator-acquired skill transfer to the operating room is incomplete. Our objective was to identify trainee characteristics that predict the transfer of simulator-acquired skill to the operating room.Methods
Trainees completed baseline assessments including intracorporeal suturing (IS) performance, attentional selectivity, self-reported use of mental skills, and self-reported prior clinical and simulated laparoscopic experience and confidence. Residents then followed proficiency-based laparoscopic skills training, and their skill transfer was assessed on a live-anesthetized porcine model. Predictive characteristics for transfer test performance were assessed using multiple linear regression.Results
Thirty-eight residents completed the study. Automaticity, attentional selectivity, resident perceived ability with laparoscopy and simulators, and post-training IS performance were predictive of IS performance during the transfer test.Conclusions
Promoting automaticity, self-efficacy, and attention selectivity may help improve the transfer of simulator-acquired skill. Mental skills training and training to automaticity may therefore be valuable interventions to achieve this goal. 相似文献68.
69.
70.
