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81.
Sukjoong Oh Dong Hoe Koo Min-Jung Kwon Kihyun Kim Cheolwon Suh Chang-Ki Min Sung-Soo Yoon Ho-Jin Shin Deog-Yeon Jo Jae-Yong Kwak Jin Seok Kim Sang Kyun Sohn Young-Don Joo Hyeon-Seok Eom Sung-Hyun Kim Yang Soo Kim ChulSoo Kim Yeung-Chul Mun Hawk Kim Dong Soon Lee Jae Hoon Lee 《Annals of hematology》2014,93(8):1353-1361
This study was designed to evaluate the prevalence of chromosomal abnormalities and to identify the specific abnormalities associated with poor prognosis. A total of 2,474 patients whose conventional cytogenetics were available at the time of diagnosis were evaluated via a nationwide registry. Normal metaphase cytogenetics was observed in 2,012 patients (81.3%). Among the 462 patients with chromosomal abnormalities, there were 161 (34.8%) patients with hyperdiploidy, 197 (42.6%) with pseudodiploidy, 79 (17.1%) with hypodiploidy, and 25 (5.5%) with near-tetraploidy. Deletion 13 (Δ13) in metaphase was observed in 167 patients (6.8%). Fluorescent in situ hybridization (FISH) was carried out in 967 patients (39.1%), and 66 (13.7%) out of 482 and 63 (10.3%) out of 611 patients were positive for t(4;14) and del(17p), respectively. With a median follow-up duration of 25.1 months, the median overall survival (OS) was 51.2 months (95% confidence interval, 46.5–55.9 months). In univariate analysis, the following four chromosomal abnormalities were significantly associated with a poor survival outcome: Δ13, hypodiploidy, del(13q) in FISH, and del(17p) in FISH. In the subsequent multivariate analysis, in which del(13q) and del(17p) in FISH were excluded due to a relatively low number of patients, Δ13 and hypodiploid status were independently associated with a poor survival outcome after adjusting for important clinical factors, including age, sex, performance, beta2-microglobulin, albumin, and lactate dehydrogenase (LDH). Using conventional metaphase cytogenetics, we confirmed that both Δ13 and hypodiploid status were robust poor prognostic factors. The metaphase karyotyping should remain the primary cytogenetic tool and an essential investigation for risk stratification in newly diagnosed multiple myeloma patients. 相似文献
82.
Young Choi Jae Man Kwak So Hak Chung Gu Hee Jung Jae Do Kim 《Clinics in Orthopedic Surgery》2014,6(1):72-79
Background
This study was conducted to examine the clinical usefulness and efficacy of endoscopic curettage on benign bone tumor.Methods
Thirty-two patients (20 men and 12 women) with benign bone tumor were included in the study. The patients were aged between five and 76 years; the mean follow-up period was 27.05 months (range, 9.6 to 39.9 months). The primary sites include simple bone cyst (9 cases), fibrous dysplasia (6 cases), enchondroma (5 cases), non-ossifying fibroma (4 cases), bone infarct (3 cases), aneurysmal bone cyst (1 case), chondroblastoma (1 case), osteoblastoma (1 case), intraosseous lipoma (1 case), and Brodie abscess (1 case). A plain radiography was performed to assess the radiological recovery. Radiological outcomes, including local recurrence and bone union, were evaluated as excellent, good, poor, and recurred.Results
In our series, there were 27 cases (84.4%) of good or better outcomes, six cases (18.8%) of complications (4 local recurrence, 1 wound infection, and 1 pathologic fracture).Conclusions
Our results showed that endoscopic curettage and bone graft had a lower rate of recurrence and a higher cure rate in cases of benign bone tumor. It can, therefore, be concluded that endoscopic curettage and bone graft might be good treatment modalities for benign bone tumors. 相似文献83.
Youn-Jee Chung Boah Chae Se-Hyun Kwak Jae-Yen Song Ah-Won Lee Hyun-Hee Jo Young-Ok Lew Jang-Heub Kim Mee-Ran Kim 《International journal of medical sciences》2014,11(3):276-281
Uterine myomas are the most common gynecologic tumor in women of reproductive age. Treatment options of uterine myomas consist of surgical, medical and interventional therapy such as uterine artery embolization or myolysis. Given that it is the most common type of tumor in women of reproductive age, the treatment of uterine myomas must prioritize uterine conservation. There are several drugs for medical treatment of uterine myoma such as gonadotropin releasing hormone (GnRH) agonist, selective estrogen receptor modulator (SERM) and antiprogesterone. The objective of this study was to compare the effect of GnRH agonist, SERM, and antiprogesterone in the treatment of uterine myomas in vitro. The effect of drugs was evaluated through the cell viability assay in cultured leiomyoma cells, western blot analysis of proliferating cell nuclear antigen (PCNA), and BCL-2 protein expression. As a result, mifepristone single-treated group represents the most significant reduction in myoma cell viability and proliferation. When pretreated with leuprolide acetate, raloxifene shows more significant reduction in myoma cell viability and proliferation than mifepristone. This study suggests one of the possible mechanisms how medications act on uterine myoma, especially at the molecular level. 相似文献
84.
Ji Yeon Lee Ji Young Kim Chang Hyu Choi Hong Soon Kim Kyung Cheon Lee Hyun Jeong Kwak 《Pediatric cardiology》2014,35(2):289-294
Continuous noninvasive cardiac output monitoring (NICOM) is a clinically useful tool in the pediatric setting. This study compared the ability of stroke volume variation (SVV) measured by NICOM with that of respiratory variations in the velocity of aortic blood flow (△Vpeak) and central venous pressure (CVP) to predict of fluid responsiveness in mechanically ventilated children after ventricular septal defect repair. The study investigated 26 mechanically ventilated children after the completion of surgery. At 30 min after their arrival in an intensive care unit, a colloid solution of 10 ml/kg was administrated for volume expansion. Hemodynamic variables, including CVP, stroke volume, and △Vpeak in addition to cardiac output and SVV in NICOM were measured before and 10 min after volume expansion. The patients with a stroke volume increase of more than 15 % after volume expansion were defined as responders. The 26 patients in the study consisted of 13 responders and 13 nonresponders. Before volume expansion, △Vpeak and SVV were higher in the responders (both p values <0.001). The areas under the receiver operating characteristic curves of △Vpeak, SVV, and CVP were respectively 0.956 (95 % CI 0.885–1.00), 0.888 (95 % CI 0.764–1.00), and 0.331 (95 % CI 0.123–0.540). This study showed that SVV by NICOM and △Vpeak by echocardiography, but not CVP, reliably predicted fluid responsiveness during mechanical ventilation after ventricular septal defect repair in children. 相似文献
85.
Kyungtae Ko In Gab Jeong Woo Suk Choi Ju Hyun Lim Ja Hee Suh Ja Hyeon Ku Yangsoon Park Kyung Cheol Moon Hyeon Hoe Kim Choung-Soo Kim Cheol Kwak 《International journal of clinical and experimental pathology》2014,7(9):6141-6148
The long-term mortality risk from prostate cancer increases in lymph node (LN) positive patients. This study was done to assess the effect of lymph node Gleason score (LNGS) on prognosis in patients with LN-positive prostate cancer. Among the 1,415 patients who received pelvic lymph node dissection (PLND), 117 (8.4%) patients had a positive LN. The PGS of the prostate specimens and the LNGS of the positive LNs were assessed by uropathologists. The median age of patients at surgery was 67 years (interquartile range [IQR], 62-71 years) and the median follow-up duration was 44.3 months (IQR, 27.0-78.5 months). Pathologic Gleason scores (PGS) of 6-9 included one (0.9%), 53 (49.5%), 22 (20.6%), and 31 (29.0%) patients. The median total number of retrieved LNs was 9.0 (IQR, 5.3-12.8). The median number of positive LNs was one (IQR, 1-2). Cancer architecture with a Gleason pattern and score were observed in LNs as in ordinary prostate specimens. LNGS 6-9 included nine (8.1%), 57 (51.4%), 31 (27.9%), and 14 (12.6%) patients. The speaman’s analysis showed the meaningful correlation between PGS and LNGS (P = 0.249, P = 0.011). The univariate analysis showed that the number of positive LNs and LNGS were significantly associated with prostate cancer-specific survival (P = 0.028; P = 0.005). The same architecture that is seen in the prostate was seen in positive LNs, and LNGS may be a significant prognostic factor in patients with LN-positive prostate cancer. 相似文献
86.
Porous polydimethylsiloxane (PDMS) has garnered interest owing to its large inner surface area, high deformability, and lightweight, while possessing inherent properties, such as transparency, flexibility, cost-effectiveness, ease of fabrication, chemical/mechanical stability, and biocompatibility. For producing porous PDMS, gas foaming, sacrificial template, and emulsion template techniques have been used extensively. However, the aforementioned methods have difficulty in achieving submicron-sized inner pores, which is advantageous for improving flexibility and transparency. This study demonstrates a simple fabrication method for obtaining porous PDMS with fine pores partially down to the sub-micron scale. This is possible by the use of cheap, volatile, and easily accessible isopropyl alcohol (IPA) as a co-solvent in water and pre-PDMS emulsion. IPA shows an affinity towards both water and prepolymer, resulting in an increased distribution of small water particles inside PDMS before curing. These water particles evaporate while curing the prepolymer emulsion, thereby generating fine pores. The fine size and number density of pores are controlled by water and the added amount of IPA, resulting in adjustable mechanical, optical, and thermal properties of porous PDMS.A fabrication method for obtaining fine-pored PDMS is presented. Low-cost, volatile, and easily accessible IPA is used as a co-solvent in water and PDMS emulsions, allowing porous PDMS with adjustable mechanical, optical and thermal properties. 相似文献
87.
88.
89.
Kim Dae Woo Kim Yong Min Min Jin-Young Kim Jeong-Whun Kim Jin-Kook Mo Ji-Hun Shin Jae-Min Cho Kyu-Sup Kwak Sang Gyu Shin Seung-Heon 《European archives of oto-rhino-laryngology》2020,277(3):761-765
European Archives of Oto-Rhino-Laryngology - Fungus ball (FB) is the most common type of fungal rhinosinusitis and the prevalence of FB has increased over the past 10 years. The aim of... 相似文献