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121.
Purpose : To present the importance of the concepts of Edward J Curran in relation to primary angle-closure glaucoma, and include a biographical sketch.
Method : An historical method is adopted.
Results : Curran's propositions of pupillary obstruction and its relief by peripheral iridotomy were conceded only after 30 years, and had to await laser surgery for fulfilment.
Conclusions : Edward J Curran's name should be enshrined in the history of ophthalmology. 相似文献
Method : An historical method is adopted.
Results : Curran's propositions of pupillary obstruction and its relief by peripheral iridotomy were conceded only after 30 years, and had to await laser surgery for fulfilment.
Conclusions : Edward J Curran's name should be enshrined in the history of ophthalmology. 相似文献
122.
WS Chung MB ChB MRCPsych YK Wing MRCP MRCPsych HFK Chiu MB BS MRPsych TS Lee MB ChB MRCPsych CN Chen FRCPsych FRANZCP 《International journal of clinical practice》1997,51(3):186-188
Narcolepsy is a chronic condition that usually afflicts the patient for decades. It is more common than is generally appreciated. However, it is likely to be misdiagnosed because doctors are unfamiliar with some of the symptoms. Its significant socioeconomic impact on the patient's quality of life warrants prompt medical attention. 相似文献
123.
HPLC柱切换法测定抗癌药米托蒽醌血浆浓度 总被引:9,自引:1,他引:8
新抗癌药米托蒽醌治疗剂量低,与血浆蛋白结合率较高,用一般样品预处理技术,操作麻烦费时。本文采用HPLC柱切换技术,以甲醇沉淀血浆蛋白,经超声振荡10 min,以YWG-CN为预处理柱(5cm×4.6 mm ID),水为预处理流动相,在线富集样品;以Shimpack CLC-ODS为分析柱(15cm×6 mm ID),甲醇—乙酸铵缓冲液(0.2 mol/L,pH 1.9)(48:52)为流动相,658 nm检测,内标法定量。净化富集样品操作简便,回收率好(85.5%);米托蒽醌的检测限为0.5 ng。血浆中最低检出浓度为6 ng/ml。日内变异系数为2.8~11%,日间变异系数为4.0~13.8%。在浓度为10~1000 ng/ml血浆范围内,呈线性关系。 相似文献
124.
TS RAGHU RAMAN DAL JIT SINGH DG JAYAPRAKASH LN RAJA 《Medical Journal Armed Forces India》1995,51(2):87-90
Seventeen children presenting with airway obstruction have been studied to highlight the similar clinical features of different etiological conditions, their diagnostic limitations, and the importance of early bronchoscopy. There were 8 patients with foreign body in lower airway, out of which 6 were vegetable foreign bodies. Few rarer conditions like membranous laryngotracheobronchitis, subglottic hemangioma and acyanotic congenital heart disease producing airway obstruction have been highlighted. There were 2 deaths in the study unrelated to endoscopic procedure.KEY WORDS: Airway obstruction, Bronchoscopy 相似文献
125.
Thirty-two patients with symptoms referable to the brachial plexus were evaluated with magnetic resonance (MR) imaging. Sixteen patients had undergone concurrent computed tomography (CT). MR imaging demonstrated normal findings in 16, 12 neoplasms, three cases of trauma, and one case of possible neural edema. Of the 16 patients with normal findings on MR images, eight had CT scans that were also normal. In one patient, MR images showed that the "mass" seen on CT was actually a tortuous blood vessel. In six of the 12 cases of neoplasm in which CT scans were available, MR imaging revealed more extensive disease. In the other six cases of tumor, MR imaging provided sufficient clinical information to obviate the need for CT or any other imaging modality. MR imaging provided definitive diagnoses in the three cases of trauma without further imaging. In one patient with paresthesia, MR imaging showed high signal intensity of the nerves on T2-weighted images, which was compatible with neural edema. A concurrent CT scan was normal. 相似文献
126.
Jeffrey J Leow Pravin Lingam Vanessa W Lim Karen TS Go Ming Terk Chiu Li Tserng Teo 《Singapore medical journal》2016,57(1):13-17
INTRODUCTION
In Singapore, as strict laws are a strong deterrent against armed violence, little is known about the epidemiology of penetrating stab wound injuries. Our study aimed to investigate the epidemiology of stab wound injuries at a major trauma centre in Singapore and determine if there was a difference in severity between self-inflicted stab wound (SI) injuries and those inflicted by others (IO).METHODS
We retrospectively reviewed all penetrating injuries at Tan Tock Seng Hospital, and identified and categorised all stab wound injuries as SI or IO. Basic demographic information, injury severity characteristics and outcome data were compared between these two groups. A review of all mortalities was performed, including recording the causes of death.RESULTS
Between 2005 and 2010, there were a total of 149 stab wound injuries, of which 24 (16.1%) were SI and 125 (83.9%) were IO injuries. Patients tended to be young (mean age 34.1 ± 14.2 years). The mean Injury Severity Score was significantly different between the SI and IO groups (8.8 ± 6.5 vs. 12.3 ± 8.1; p = 0.03). In both groups, the majority underwent an operative procedure (83.3% vs. 85.6%) and had an average hospital stay of four days.CONCLUSION
The study confirms our hypothesis that SI injuries tend to be less severe than IO injuries and are more likely to occur at home rather than at a public area. This finding may be useful in the triage of patients with stab wound injuries. 相似文献127.
Alloimmunization to D antigen and HLA in D-negative immunosuppressed oncology patients 总被引:1,自引:1,他引:0
D-negative patients may be divided into responders and nonresponders when immunized with D-positive red cells (RBC). Forty-nine D-negative oncology patients who received D-positive RBCs via platelet and white cell transfusions were studied to determine if nonresponders to D were likely to form lymphocytotoxic antibody (LCA). Nine patients developed anti-D in 16 to 390 days (mean = 112) after 2.6 to 481 ml (mean = 106) of D-positive RBCs. Forty patients had no evidence of anti-D after 0.8 to 535 ml (mean = 98) of D-positive RBCs and were followed for 14 to 1275 days (mean = 192). The anti-D group had no prior D-positive RBC transfusions, and two of five women making anti-D had previous pregnancies but no record of anti-D. LCA was found in four of nine (44%) patients with anti-D and in 12 of 40 (30%) patients without anti-D (p less than 0.50). Since both D and antigens HLA are considered highly immunogenic, it is of interest that the ability to form anti-D or LCA does not correlate. In fact, more patients (16/49; 32%) made LCA than anti-D (9/49; 18%). Of the 21 alloimmunized patients, 4 made both antibodies, while 17 had selective alloimmunization. It would thus appear that alloimmunization to D and HLA are not strongly linked and may indeed be unrelated. 相似文献
128.
129.
130.
TS RAGHU RAMAN RA GUPTA AK GUPTA B RAVICHANDER SL SOOD 《Medical Journal Armed Forces India》1997,53(2):99-103
One hundred, non-consecutive, non-randomized, cases of tuberculosis divided in 2 groups i.e. Group A including 50 BCG vaccinated children and Group B including 50 unvaccinated children were studied to determine the pattern of tuberculosis and the role of protein energy malnutrition in the pathogenesis of tuberculosis. Thirty four per cent of Group A and 52 per cent of Group B had severe protein energy malnutrition. Sixty eight per cent in Group A and 76 per cent in Group B had intrathoracic forms of tuberculosis. Twelve (24%) patients in Group A and 11 (22%) in Group B suffered from serious forms of tuberculosis including tubercular meningitis, miliary tuberculosis and disseminated tuberculosis. The difference was not statistically different (p>0.05). However, in severe form of tuberculosis, the morbidity in vaccinated group was less. Sixty six per cent of vaccinated children with disseminated forms of tuberculosis had features of severe protein energy malnutrition. BCG is not effective in preventing tubercular infection in children of preschool age. It is effective to a certain extent in localizing the infection to a particular organ. Severe protein energy malnutrition is a contributing factor in the genesis of tuberculosis in preschool children vaccinated with BCG at or immediately after birth.KEY WORDS: BCG vaccine, Protein energy malnutrition, Tuberculosis 相似文献