首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   1084092篇
  免费   83010篇
  国内免费   2875篇
耳鼻咽喉   14119篇
儿科学   36729篇
妇产科学   30489篇
基础医学   156280篇
口腔科学   29625篇
临床医学   99093篇
内科学   212226篇
皮肤病学   23877篇
神经病学   86868篇
特种医学   41300篇
外国民族医学   308篇
外科学   163676篇
综合类   25021篇
现状与发展   1篇
一般理论   452篇
预防医学   84996篇
眼科学   25076篇
药学   77658篇
  3篇
中国医学   2161篇
肿瘤学   60019篇
  2019年   8666篇
  2018年   12178篇
  2017年   9431篇
  2016年   10720篇
  2015年   12194篇
  2014年   16785篇
  2013年   25864篇
  2012年   34376篇
  2011年   36474篇
  2010年   21656篇
  2009年   20346篇
  2008年   34150篇
  2007年   36443篇
  2006年   36656篇
  2005年   35539篇
  2004年   34656篇
  2003年   33248篇
  2002年   32216篇
  2001年   47644篇
  2000年   48527篇
  1999年   40968篇
  1998年   12317篇
  1997年   11131篇
  1996年   10998篇
  1995年   10631篇
  1994年   9837篇
  1993年   9165篇
  1992年   32749篇
  1991年   31941篇
  1990年   31427篇
  1989年   30309篇
  1988年   27563篇
  1987年   27724篇
  1986年   25862篇
  1985年   25063篇
  1984年   19049篇
  1983年   16183篇
  1982年   10174篇
  1981年   9196篇
  1979年   17261篇
  1978年   12691篇
  1977年   10845篇
  1976年   10202篇
  1975年   10581篇
  1974年   12631篇
  1973年   12149篇
  1972年   11114篇
  1971年   10269篇
  1970年   9536篇
  1969年   8823篇
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
61.
62.
63.
64.
65.
66.
67.
68.

Background

Arterial vascular anomalies in patients undergoing kidney transplantation (KT) are correlated with a higher incidence of early surgical complications, potentially causing graft loss. Arterial reconstruction allows patients to overcome these surgical challenges, thus minimizing the risk of poor outcomes. The aim of the present study is to retrospectively investigate the safety and effectiveness of the multiple arterial reconstruction technique with a Teflon patch in case of an unavailable aortic patch: to do so, surgical complications, graft function, and patient survival were evaluated.

Methods

During the period January 2009 to August 2016, 202 adult deceased-donor KTs were performed at our center. Group A (n = 27; reconstruction of multiple arteries) and Group B (n = 175; control group) were compared.

Results

No differences were observed between the 2 groups in terms of early postoperative course, with no vascular complication observed in Group A. No vascular patch infections were reported, nor longer cold ischemia time rates. Similarly, long-term survival rates were similar between the 2 groups.

Conclusions

The Teflon-patch arterial reconstruction technique appears to be safe and effective, with an acceptable balance of benefits and potential risks of using a prosthetic material. Studies based on larger series are needed to further validate this approach.  相似文献   
69.

Objective

Arch obstruction after the Norwood procedure is common and contributes to mortality. We determined the prevalence, associated factors, and practice variability of arch reintervention and assessed whether arch reintervention is associated with mortality.

Methods

From 2005 to 2017, 593 neonates in the Congenital Heart Surgeons' Society Critical Left Heart Obstruction cohort underwent a Norwood procedure. Median follow-up was 3.7 years. Multivariable parametric models, including a modulated renewal analysis, were performed.

Results

Of the 593 neonates, 146 (25%) underwent 218 reinterventions for arch obstruction after the Norwood procedure: catheter-based (n = 168) or surgical (n = 50) at a median age of 4.3 months (quartile 1-quartile 3, 2.6-5.7). Interdigitation of the distal aortic anastomosis was protective against arch reintervention. Development of ≥ moderate tricuspid valve regurgitation and right ventricular dysfunction at any point was associated with arch reintervention. Nonsignificant variables for arch reintervention included shunt type and preoperative aortic measurements. Surgical arch reintervention was protective against arch reintervention, but transcatheter reintervention was associated with increased reintervention. Arch reintervention was not associated with increased mortality. There was wide institutional variation in incidence of arch reintervention (range, 0-40 reinterventions per 100 years patient follow-up) and in preintervention gradient (range, 0-64 mm Hg).

Conclusions

Interdigitation of the distal aortic anastomosis during the Norwood procedure decreased the risk of arch reintervention. Surgical arch reintervention is more definitive than transcatheter. Arch reintervention after the Norwood procedure is not associated with increased mortality. Serial surveillance for arch obstruction, integrated with changes in right ventricular function and tricuspid valve regurgitation, is recommended after the Norwood procedure to improve outcomes.  相似文献   
70.
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号