全文获取类型
收费全文 | 10136篇 |
免费 | 565篇 |
国内免费 | 69篇 |
专业分类
耳鼻咽喉 | 220篇 |
儿科学 | 236篇 |
妇产科学 | 184篇 |
基础医学 | 1280篇 |
口腔科学 | 345篇 |
临床医学 | 618篇 |
内科学 | 2567篇 |
皮肤病学 | 309篇 |
神经病学 | 1023篇 |
特种医学 | 250篇 |
外科学 | 1215篇 |
综合类 | 56篇 |
一般理论 | 1篇 |
预防医学 | 362篇 |
眼科学 | 141篇 |
药学 | 767篇 |
中国医学 | 29篇 |
肿瘤学 | 1167篇 |
出版年
2023年 | 61篇 |
2022年 | 118篇 |
2021年 | 214篇 |
2020年 | 114篇 |
2019年 | 169篇 |
2018年 | 216篇 |
2017年 | 168篇 |
2016年 | 191篇 |
2015年 | 204篇 |
2014年 | 272篇 |
2013年 | 333篇 |
2012年 | 537篇 |
2011年 | 551篇 |
2010年 | 321篇 |
2009年 | 250篇 |
2008年 | 505篇 |
2007年 | 557篇 |
2006年 | 532篇 |
2005年 | 567篇 |
2004年 | 547篇 |
2003年 | 509篇 |
2002年 | 450篇 |
2001年 | 312篇 |
2000年 | 281篇 |
1999年 | 258篇 |
1998年 | 127篇 |
1997年 | 91篇 |
1996年 | 85篇 |
1995年 | 94篇 |
1994年 | 73篇 |
1993年 | 71篇 |
1992年 | 184篇 |
1991年 | 158篇 |
1990年 | 179篇 |
1989年 | 145篇 |
1988年 | 147篇 |
1987年 | 162篇 |
1986年 | 123篇 |
1985年 | 135篇 |
1984年 | 97篇 |
1983年 | 78篇 |
1982年 | 40篇 |
1980年 | 40篇 |
1979年 | 63篇 |
1978年 | 38篇 |
1977年 | 36篇 |
1975年 | 33篇 |
1974年 | 42篇 |
1973年 | 32篇 |
1972年 | 35篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
11.
We investigated the clinical background of patients at Shin-Kokura Hospital who showed a positive culture of pleural effusion
during the period from January 1998 through December 2002. Microorganism cultures of the pleural effusions of 127 patients
were performed in this 5-year period. Seventeen patients showed a positive microorganism culture from a pleural effusion,
and 12 of these patients (70.6%) were 60 years old or more. Ten patients were diagnosed with thoracic empyema. Thirteen patients
had an underlying disease such as malignancy (5 cases), diabetes mellitus (4 cases), etc. A purulent effusion and a high concentration
of lactic dehydrogenase (LDH) in the pleural fluid were more frequently recognized in the positive-culture group. A total
of 21 strains of microorganism were isolated from the 17 patients, including 10 strains of Gram-positive cocci, 6 strains
of Gram-negative bacilli, 3 strains of anaerobes, 1 strain of mycobacterium (Mycobacterium tuberculosis), and 1 strain of fungus. Susceptibility to antimicrobial agents was generally good for most of the microorganisms isolated.
Of the 17 patients, chest-tube drainage was performed in 13, and 6 needed a surgical operation. Twelve patients improved,
but 5 died. In this study, thoracic empyema accounted for 58.8% of the 17 cases with a positive culture of pleural effusion.
Of the 10 thoracic empyema patients, 5 patients needed surgical treatment in spite of adequate antimicrobial treatment and
chest-tube drainage. Our data indicate that thoracic empyema is still difficult to treat, and thus adequate and rapid treatment
is needed for any pleural infection. 相似文献
12.
Tetsuya Nomura Tatsuya Kawasaki Takuji Tanabe Akihiro Azuma Hiroaki Matsubara 《Annals of thoracic and cardiovascular surgery》2007,13(2):118-121
Mediastinal cystic tumors are well-marginated round lesions that comprise 12% to 18% of all mediastinal masses. These lesions include a variety of diseases with overlapping radiologic appearances and variable prognoses. Pathological examinations are almost always required for differential diagnosis. We encountered a case of anterior mediastinal tumor discovered in the process of investigation of Raynaud's phenomenon. Taking into account the tumor location, a pericardial cyst was initially suspected. However, the tumor was surgically resected and histopathological examinations demonstrated thymus-like tissue in the cyst walls. Raynaud's phenomenon greatly improved after surgery. These findings suggested that cystic thymoma originated from ectopic thymic tissue and is accompanied by paraneoplastic syndrome. 相似文献
13.
14.
15.
Mitsuru Koizumi Yasuhiko Yamada Etsuji Nomura Maki Amano Yuji Okajima Hiromi Okizuka Keiko Yamada Seishi Sawano Takashi Kitahara Takashi Yamashita Minoru Nakane Toshio Ishikawa 《Annals of nuclear medicine》1995,9(2):101-104
A case of recurrent medullary thyroid cancer (MTC) was evaluated with123I-MIBG,99mTc(V)-dimercaptosuccinic acid (DMSA), and201Tl scintigraphy. This patient had been operated on for MTC in the right thyroid. Recently a left neck mass was noticed, and was suspected of being a. recurrence of MTC based on increased plasma calcitonin (CT) and carcinoembryonic antigen (CEA). He was operated on for the neck mass which revealed MTC, and papillary thyroid cancer was incidentally found in the left thyroid, but the CT and CEA levels remained high, and remaining MTC tumor was suspected. But the location of the tumor was unknown. Although99mTc(V)-DMSA scintigraphy is generally believed to be superior in sensitivity to123I-MIBG scintigraphy, it did not demonstrate the tumor site but201Tl and123I-MIBG did. Furthermore,123I-MEBG scintigraphy has greater specificity for tumors which arise in the neural crest. Judging from the results of this case and cases reported in the literatures, both123I-MIBG and99mTc(V)-DMSA should be performed in the detection of recurrent MTC. 相似文献
16.
Tamikuni Komatsu Masayuki Nomura Youzou Kakudate Syuzou Fujiwara R. B. Heimann 《Macromolecular chemistry and physics.》1995,196(9):3031-3040
Dehydrochlorinated poly(vinylidene chloride) proved to be a conjugated polyene-polyene polymer. Shock compression of the polymer formed a large portion of graphite and trace amounts of diamond and of an unknown carbon. The unknown carbon belongs to the hexagonal crystal system and possesses the cell dimension α0 = 0.338 nm. A comparison with known carbynes was made in terms of the crystalline parameters. 相似文献
17.
18.
A Ueda K Aoyama T Ueda K Obama T Ueno S Hokama S Nomura 《British journal of industrial medicine》1992,49(7):499-506
The only workers presently exposed to bagasse dust in Japan are the employees of sugar refineries and lacquerware factories. A follow up study of six former cases of bagassosis from among the retired employees of a paper board factory, closed since 1973, showed that none of the subjects still had bagassosis. Examinations of 70 employees of a sugar refinery for allergic reactions also showed no case of bagassosis. Seven cases with suspicious shadows of bagassosis on chest radiographs and four cases with positive serum precipitin to stored bagasse were, however, found among those 70 subjects. The results show the disappearance of a past episode of bagassosis and the possibility of a new occurrence of bagassosis among the employees of sugar refineries and lacquerware factories in the near future in Japan. 相似文献
19.
Radiotherapy for pediatric brain stem glioma: radiation dose, response, and survival. 总被引:2,自引:0,他引:2
T Hibi N Shitara S Genka T Fuchinoue I Hayakawa T Tsuchida K Nomura T Kondo K Takakura 《Neurosurgery》1992,31(4):643-50; discussion 650-1
An analysis of 39 patients under 20 years of age with brain stem glioma treated with radiotherapy between 1977 and 1991 was undertaken. Twenty-eight (71.2%) of the patients responded well to initial radiotherapy, and 11 (28.8%) responded poorly. Median survival for the total patient population was 10 months. Response rates and median survivals were influenced by radiation dose: 45.5% and 9 months at doses less than 4499 cGy (n = 11), 83.3% and 13 months at doses between 4500 and 5499 cGy (n = 12), 66.7% and 11.5 months at doses between 5500 and 6499 cGy (n = 9), and 100% and 10 months at doses more than 6500 cGy (n = 7). Multivariate analysis revealed the response to initial radiotherapy was the only predictor of survival with radiation doses up to 6499 cGy. Four of the patients who responded well demonstrated radiological and/or histological calcification within or around the tumor at the time of clinical deterioration. Radiation injury was confirmed in two autopsy cases. The possibility that intratumoral radiation injury causes clinical deterioration is suggested. 相似文献
20.
A 41-year-old hemodialyzed woman developed ascites and was found to have secondary iron overload. The dose of administered iron was approximately 11-12 g, and her serum ferritin level was 15,000 ng/ml (15,000 micrograms/l). There were no signs of congestive heart failure, fluid overload, or liver cirrhosis. A program of weekly phlebotomy combined with recombinant human erythropoietin (rhEPO) therapy was tried to eliminate the iron congestion. After 9 months of this therapy, about 5 g of iron had been removed. The ascites completely disappeared, and her serum ferritin level fell to 5,800 ng/ml (5,800 micrograms/l). This suggests that such combined therapy would be useful when iron overload must be corrected rapidly. Before therapy, the sterile ascitic fluid showed exudative characteristics with 3.7 g/dl (37 g/l) of total protein. The serum-ascites albumin difference was 0.6 g/dl (6 g/l), and the fluid contained 1,400 inflammatory cells/mm3 (1.4 X 10(9)/l). Notably, the serum-ascites albumin difference increased in parallel with iron elimination. These findings suggested that iron deposition may have played a role in changing the permeability of the peritoneum, or in impairing lymphatic drainage, both of which are presumed to be pathogenetic factors of nephrogenic ascites. 相似文献