全文获取类型
收费全文 | 13189篇 |
免费 | 715篇 |
国内免费 | 92篇 |
专业分类
耳鼻咽喉 | 116篇 |
儿科学 | 314篇 |
妇产科学 | 231篇 |
基础医学 | 1854篇 |
口腔科学 | 353篇 |
临床医学 | 1171篇 |
内科学 | 3603篇 |
皮肤病学 | 224篇 |
神经病学 | 1233篇 |
特种医学 | 396篇 |
外科学 | 1893篇 |
综合类 | 41篇 |
一般理论 | 4篇 |
预防医学 | 633篇 |
眼科学 | 190篇 |
药学 | 726篇 |
中国医学 | 28篇 |
肿瘤学 | 986篇 |
出版年
2023年 | 89篇 |
2022年 | 189篇 |
2021年 | 355篇 |
2020年 | 258篇 |
2019年 | 296篇 |
2018年 | 383篇 |
2017年 | 284篇 |
2016年 | 328篇 |
2015年 | 392篇 |
2014年 | 534篇 |
2013年 | 688篇 |
2012年 | 1089篇 |
2011年 | 1072篇 |
2010年 | 627篇 |
2009年 | 554篇 |
2008年 | 914篇 |
2007年 | 920篇 |
2006年 | 877篇 |
2005年 | 845篇 |
2004年 | 788篇 |
2003年 | 650篇 |
2002年 | 617篇 |
2001年 | 96篇 |
2000年 | 81篇 |
1999年 | 105篇 |
1998年 | 116篇 |
1997年 | 99篇 |
1996年 | 101篇 |
1995年 | 72篇 |
1994年 | 66篇 |
1993年 | 51篇 |
1992年 | 45篇 |
1991年 | 48篇 |
1990年 | 34篇 |
1989年 | 31篇 |
1988年 | 27篇 |
1987年 | 21篇 |
1986年 | 20篇 |
1985年 | 19篇 |
1984年 | 34篇 |
1983年 | 29篇 |
1982年 | 24篇 |
1981年 | 23篇 |
1980年 | 12篇 |
1979年 | 10篇 |
1978年 | 9篇 |
1977年 | 9篇 |
1976年 | 12篇 |
1975年 | 10篇 |
1974年 | 11篇 |
排序方式: 共有10000条查询结果,搜索用时 46 毫秒
41.
Antonio D'Andrilli Anna Maria Ciccone Federico Venuta Mohsen Ibrahim Claudio Andreetti Domenico Massullo Rita Formisano Erino A Rendina 《European journal of cardio-thoracic surgery》2008,33(3):440-443
OBJECTIVE: We report the long-term results of our 16-year experience with laryngotracheal resection for benign stenosis. METHODS: Between 1991 and 2006, 35 consecutive patients (19 males, 16 females) underwent laryngotracheal resection for subglottic postintubation (32) or idiopathic (3) stenosis. Mean age was 43 years (range 14-71). At the time of surgery 13 patients presented with tracheostomy and 7 with a Dumon stent. The upper limit of the stenosis was from 0.6 to 1.5 cm below the vocal cords. The length of airway resection ranged between 1.5 and 6 cm. Suprahyoid release was performed in two patients and pericardial release in one. Nine patients had psychiatric and/or neurological post-coma disorders. Mean follow-up is over 5 years (61 months; range 3-194). RESULTS: There was no perioperative mortality. Thirty patients (85.7%) had excellent or good anatomic and functional results. Four patients (11.4%) presented restenosis at a distance of 25-110 days from the operation. Restenosis was successfully treated by endoscopic procedures in all four patients. One patient (2.9%) presented anastomotic dehiscence that required temporary tracheostomy closed after 1 year with no sequelae. Three patients (8.4%) had wound infection. Long-term follow-up was uneventful also in patients who had early complications. CONCLUSIONS: Long-term follow-up confirms that laryngotracheal resection is the definitive curative treatment for benign subglottic stenosis. Surgical complications can be successfully managed by non-operative procedures. Despite the occurrence of early complications, excellent and stable results can still be obtained at long term. 相似文献
42.
Vittorio Petraccone Finizia Auriemma Francesco Dal Poggetto Claudio De Rosa Gaetano Guerra Paolo Corradini 《Macromolecular chemistry and physics.》1993,194(5):1335-1345
In this contribution, the X-ray diffraction (XRD) pattern of a highly oriented sample of syndiotactic polystyrene in the mesomorphic form, collected by an automatic diffractometer, is presented, thus providing quantitative and more complete information relative to the diffracted intensity. The structural changes induced by annealing procedures in mesomorphic samples are shown through the analysis of the XRD patterns: both unoriented and oriented mesomorphic samples are transformed gradually into α-form crystals. On the basis of these evidences and of preliminary comparisons between the calculated Fourier transform of simplified models and the experimental diffraction intensity, it is suggested that the local organization in triplets of trans-planar chains, typical of the different modifications of the α-form, would be largely present also in the disordered chain agglomerates of the mesomorphic form. 相似文献
43.
44.
Myocardial protection in adult cardiac surgery: current options and future challenges 总被引:3,自引:0,他引:3
Francesco Nicolini Cesare Beghi Claudio Muscari Andrea Agostinelli Alessandro Maria Budillon Igino Spaggiari Tiziano Gherli 《European journal of cardio-thoracic surgery》2003,24(6):986-993
Current techniques of myocardial protection are evolving with the use of less conventional modalities of cardioplegia and have reduced the morbidity and mortality of cardiac operations. Blood cardioplegic solutions appear superior to cold cardioplegia in terms of myocardial protection and adjuncts as glutamate/aspartate enhancement, antioxidant supplementation, nitric oxide donors and maintenance of calcium homeostasis seem effective. In the near future, further experimental and clinical investigations about pharmacological preconditioning, sodium–hydrogen exchangers inhibition and gene therapy need to be addressed to well define their potential role in the improvement of current techniques of myocardial protection that are suboptimal in high-risk clinical settings. 相似文献
45.
Etienne Pralong Claudio Pollo Jean-Guy Villemure Damien Debatisse 《Movement disorders》2007,22(13):1879-1884
Besides clinical efficacy, the mechanisms of action of deep brain stimulation (DBS) are still debated. To shed light on this complex issue, we have taken the opportunity to record the response of globus pallidus internus (GPi) neurones to 100 Hz stimulations in a case of Lesch-Nyhan syndrome (LNS) where four pallidal electrodes were implanted. Three types of response were observed, 2/19 neurones were unaffected by DBS. About 7/19 neurones were inhibited during DBS stimulation and 10/19 neurones were excited during DBS stimulation. Both effects ceased when DBS was turned off. Inhibited neurones were situated lower that exited ones on the trajectory (1.25 and 4.65 mm above the center of GPi respectively). These observations suggest that locally DBS induces a reversible inhibition of neurone firing rate while at the same time distantly exciting the main afferents to and/or efferents from the GPi. Both actions would result in a strong GPi inhibition that does not preclude increased outflow from the GPi. 相似文献
46.
Claudio Franceschi MD 《Nutrition reviews》2007,65(S3):S173-S176
Widespread aging at the population level is a recent phenomenon that emerged in affluent societies. Inflammation is necessary to cope with damaging agents and is crucial for survival, particularly to cope with acute inflammation during our reproductive years. But chronic exposure to a variety of antigens, especially to some viruses such as cytomegalovirus, for a period much longer than that predicted by evolution, induces a chronic low-grade inflammatory status that contributes to age-associated morbidity and mortality. This condition carries the proposed name "inflammaging". Centenarians are unique in that, despite high levels of pro-inflammatory markers, they also exhibit anti-inflammatory markers that may delay disease onset. The key to successful aging and longevity is to decrease chronic inflammation without compromising an acute response when exposed to pathogens. 相似文献
47.
48.
Angelo Sghirlanzoni Davide Pareyson Claudio Benvenuti Giovanni Cei Vittorio Cosi Mariella Lombardi Mariaflavia Nicora Roberta Ricciardi Ferdinando Cornelio 《Journal of neurology》1992,239(3):165-169
Summary The efficacy of intranasally administered neostigmine was tested in 22 patients with generalized myasthenia gravis (MG). Topical therapy to the highly vascularized oropharynx proved to be quickly effective in 5–15 min both clinically and electrophysiologically. Twenty-eight MG patients were then recruited from different centres and their morning doses of oral pyridostigmine were substituted with intranasal neostigmine over a period of 2 or 3 weeks. Intranasal neostigmine proved to be equally efficacious in this regimen. No side-effect was noted even in 4 patients treated in this way for 1 year. Intranasal administration of anti-acetylcholinesterase may be very beneficial: (1) for patients with irregular absorption of oral doses; (2) early in the morning and every time a fast and temporary effect is needed; (3) in bulbar impairment and emergencies, in which a handy atomizer may be life-saving.Presented in part at the XIV World Congress of Neurology, New Delhi, 22–27 October 1989 相似文献
49.
Prevalence of hereditary ataxias and spastic paraplegias in Molise,a region of Italy 总被引:8,自引:0,他引:8
Alessandro Filla Giuseppe De Michele Roberto Marconi Luigi Bucci Carmine Carillo Anna Elisa Castellano Lucio Iorio Claudio Kniahynicki Francesco Rossi Giuseppe Campanella 《Journal of neurology》1992,239(6):351-353
Summary An epidemiological survey of hereditary ataxias and paraplegias was conducted in Molise, a region of Italy (335, 211 inhabitants on 1 January 1989). Total prevalence was 7.5 x 10–5 inhabitants (95% confidence limits 4.8–11.1). There were 7 patients with Friedreich's disease, 5 with early onset cerebellar ataxia with retained tendon reflexes, 4 with ataxia-telangiectasia, 9 with hereditary spastic paraplegias (2 autosomal dominant and 7 autosomal recessive cases). There was no patient with autosomal dominant cerebellar ataxia. 相似文献
50.
The traditional algorithms (Marinelli-Quimby and MIRD) used for the absorbed dose calculation in radionuclide therapy generally assume that the mass of the target organs does not change with time. In radioiodine therapy for Graves' disease this approximation may not be valid. In this paper a mathematical model of thyroid mass reduction during the clearance phase (30-35 days) after 131I administration to patients with Graves' disease is presented. A new algorithm for the absorbed dose calculation is derived, taking into account the reduction of the mass of the gland resulting from the 131I therapy. It is demonstrated that thyroid mass reduction has a considerable effect on the calculated radiation dose. Either the model of the thyroid mass reduction or the new equation for the absorbed dose calculation depend on a parameter k for each patient. This parameter can be calculated after the administration of a diagnostic amount of radioiodine activity (0.37-1.85 MBq). Thus, thyroid absorbed dose and thyroid mass reduction during the first month after therapy can be predicted before therapy administration. The absorbed dose values calculated by the new algorithm are compared to those calculated by the traditional Marinelli-Quimby and MIRD algorithms. 相似文献