全文获取类型
| 收费全文 | 2125208篇 |
| 免费 | 160839篇 |
| 国内免费 | 6393篇 |
专业分类
| 耳鼻咽喉 | 27582篇 |
| 儿科学 | 71531篇 |
| 妇产科学 | 59395篇 |
| 基础医学 | 311425篇 |
| 口腔科学 | 59232篇 |
| 临床医学 | 201658篇 |
| 内科学 | 407323篇 |
| 皮肤病学 | 45286篇 |
| 神经病学 | 174348篇 |
| 特种医学 | 78798篇 |
| 外国民族医学 | 651篇 |
| 外科学 | 303659篇 |
| 综合类 | 48798篇 |
| 现状与发展 | 1篇 |
| 一般理论 | 814篇 |
| 预防医学 | 177200篇 |
| 眼科学 | 48120篇 |
| 药学 | 156086篇 |
| 8篇 | |
| 中国医学 | 4829篇 |
| 肿瘤学 | 115696篇 |
出版年
| 2019年 | 17322篇 |
| 2018年 | 24421篇 |
| 2017年 | 18558篇 |
| 2016年 | 20602篇 |
| 2015年 | 23428篇 |
| 2014年 | 32266篇 |
| 2013年 | 49804篇 |
| 2012年 | 67240篇 |
| 2011年 | 71485篇 |
| 2010年 | 42067篇 |
| 2009年 | 38962篇 |
| 2008年 | 65742篇 |
| 2007年 | 69533篇 |
| 2006年 | 70029篇 |
| 2005年 | 67444篇 |
| 2004年 | 64801篇 |
| 2003年 | 61883篇 |
| 2002年 | 60000篇 |
| 2001年 | 95715篇 |
| 2000年 | 98196篇 |
| 1999年 | 82449篇 |
| 1998年 | 23605篇 |
| 1997年 | 21340篇 |
| 1996年 | 21154篇 |
| 1995年 | 20257篇 |
| 1994年 | 18768篇 |
| 1993年 | 17587篇 |
| 1992年 | 65886篇 |
| 1991年 | 64816篇 |
| 1990年 | 63010篇 |
| 1989年 | 60175篇 |
| 1988年 | 55449篇 |
| 1987年 | 54866篇 |
| 1986年 | 51821篇 |
| 1985年 | 49746篇 |
| 1984年 | 37606篇 |
| 1983年 | 31811篇 |
| 1982年 | 19214篇 |
| 1981年 | 17041篇 |
| 1979年 | 34442篇 |
| 1978年 | 24772篇 |
| 1977年 | 20543篇 |
| 1976年 | 19859篇 |
| 1975年 | 20525篇 |
| 1974年 | 25002篇 |
| 1973年 | 24323篇 |
| 1972年 | 22432篇 |
| 1971年 | 20918篇 |
| 1970年 | 19372篇 |
| 1969年 | 17829篇 |
排序方式： 共有10000条查询结果，搜索用时 15 毫秒
51.
M.F. Werner A. López-Rueda F.X. Zarco J. Blasco L. San Román S. Amaro E. Carrero R. Valero L. Oleaga J.M. Macho N. Bargalló 《Radiologia》2019,61(2):143-152
Purpose
Endovascular treatment with mechanical thrombectomy devices demonstrated high recanalization rates but functional outcome did not correlate with high rates of recanalization obtained. Patient selection prior to the endovascular treatment is very important in the final outcome of the patient. The primary aim of our study was to evaluate the prognostic value of posterior circulation Alberta Stroke Program Early CT Score (pc-ASPECTS) and Pons-Midbrain Index (PMI) scores in patients with Basilar Artery Occlusion (BAO) treated with successful angiographic recanalization after mechanical thrombectomy.Methods
Retrospective single-center study including 18 patients between 2008 and 2013 who had acute basilar artery occlusion managed with endovascular treatment within 24 hours from symptoms onset and with successful angiographic recanalization. The patients were initially classified into two groups according to clinical outcome and mortality at 90 days. For analysis we also divided patients into groups based on pc-ASPECTS (≥8vs.< 8) and PMI (≥3vs.< 3) on non-contrast CT (NCCT) and CT Angiography Source Images (CTASI). Imaging data were correlated to clinical outcome and mortality rate.Results
CTASI pc-ASPECTS, dichotomized at < 8 versus≥8, was associated with a favorable outcome (RR: 2.6; 95% CI: 1.3-5.2) and a reduced risk of death (RR: 6.5: 95% CI: 7.8-23.3). All patients that survived and were functionally independent had pc-ASPECTS score≥8. None of the 5 patients with CTASI pc-ASPECTS score less than 8 survived.Conclusion
PC-ASPECTS on CTASI is helpful for predicting functional outcome after BAO recanalization with endovascular treatment. These results should be validated in a randomized controlled trial in order to decide whether or not to treat a patient with BAO. 相似文献52.
53.
Alexandra B. Morshed Rachel G. Tabak Cynthia D. Schwarz Debra Haire-Joshu 《Journal of nutrition education and behavior》2019,51(2):237-244
Objective
To examine whether a healthy weight intervention embedded in the Parents as Teachers (PAT) home visiting program, which was previously found to improve mothers’ body mass index (BMI) and obesity-related behaviors, changed the BMI of preschool children or maternal feeding practices.Methods
This stratified randomized trial included preschool-aged children at risk for overweight whose mothers were overweight or had obesity (n?=?179). The Healthy Eating and Active Living Taught at Home (HEALTH) intervention was based on the Diabetes Prevention Program. Differences were examined using repeated-measures mixed-ANOVA models.Results
Compared with PAT usual care, the HEALTH intervention had no effect on children's BMI or maternal feeding practices. However, combined analyses showed that children's BMI percentile decreased (P??=?.007), BMI z-scores were maintained (P??=?.19), and 3 of 8 feeding practices improved over time (P < .05).Conclusions and Implications
Additional research is needed to assess the effectiveness of PAT to prevent preschool-age obesity using rigorous designs (eg, group-randomized trials) and to identify its active components. HEALTH is ready to be scaled up to prevent maternal weight gain through embedding within the national PAT program. 相似文献54.
Martin R. Späth Malte P. Bartram Nicolàs Palacio-Escat K. Johanna R. Hoyer Cedric Debes Fatih Demir Christina B. Schroeter Amrei M. Mandel Franziska Grundmann Giuliano Ciarimboli Andreas Beyer Jayachandran N. Kizhakkedathu Susanne Brodesser Heike Göbel Jan U. Becker Thomas Benzing Bernhard Schermer Martin Höhne Markus M. Rinschen 《Kidney international》2019,95(2):333-349
55.
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56.
57.
Notfall + Rettungsmedizin - 相似文献
58.
59.