全文获取类型
收费全文 | 3748篇 |
免费 | 189篇 |
国内免费 | 19篇 |
专业分类
耳鼻咽喉 | 18篇 |
儿科学 | 310篇 |
妇产科学 | 29篇 |
基础医学 | 274篇 |
口腔科学 | 99篇 |
临床医学 | 280篇 |
内科学 | 763篇 |
皮肤病学 | 38篇 |
神经病学 | 220篇 |
特种医学 | 107篇 |
外科学 | 894篇 |
综合类 | 86篇 |
一般理论 | 2篇 |
预防医学 | 161篇 |
眼科学 | 124篇 |
药学 | 252篇 |
中国医学 | 9篇 |
肿瘤学 | 290篇 |
出版年
2023年 | 37篇 |
2022年 | 78篇 |
2021年 | 202篇 |
2020年 | 91篇 |
2019年 | 131篇 |
2018年 | 171篇 |
2017年 | 121篇 |
2016年 | 141篇 |
2015年 | 140篇 |
2014年 | 213篇 |
2013年 | 241篇 |
2012年 | 357篇 |
2011年 | 376篇 |
2010年 | 196篇 |
2009年 | 170篇 |
2008年 | 226篇 |
2007年 | 220篇 |
2006年 | 186篇 |
2005年 | 145篇 |
2004年 | 146篇 |
2003年 | 104篇 |
2002年 | 82篇 |
2001年 | 27篇 |
2000年 | 24篇 |
1999年 | 30篇 |
1998年 | 19篇 |
1997年 | 5篇 |
1996年 | 11篇 |
1995年 | 5篇 |
1994年 | 4篇 |
1993年 | 2篇 |
1992年 | 8篇 |
1991年 | 5篇 |
1990年 | 6篇 |
1989年 | 4篇 |
1987年 | 1篇 |
1986年 | 3篇 |
1985年 | 1篇 |
1984年 | 1篇 |
1982年 | 1篇 |
1978年 | 2篇 |
1977年 | 1篇 |
1974年 | 3篇 |
1973年 | 1篇 |
1972年 | 1篇 |
1971年 | 3篇 |
1970年 | 1篇 |
1969年 | 2篇 |
1968年 | 5篇 |
1967年 | 4篇 |
排序方式: 共有3956条查询结果,搜索用时 328 毫秒
121.
Ashish Gupta Harish K. Rao Raghav Pande Soumya Gupta 《The Indian journal of surgery》2013,75(1):27-29
A middle aged housewife presented with an anterior abdominal wall mass which was slowly growing over a period of 1 years over the midline scar of previous caesarean section with cystic degeneration in a part of the tumor. Fine needle aspiration cytology revealed a papillary serous cystadenoma. At exploratory laparotomy tumor was seen arising from the ventral surface of the parietal peritoneum with normal viscera, omentum and ovaries. The pathologist reported the tumor as Benign Multicystic Peritoneal Mesothelioma. It is a rare but clinically favourable neoplasm with wide excision as the definitive treatment. Of the 130 cases reported in the literature, it has the least incidence in the Indian Subcontinent. 相似文献
122.
123.
ABSTRACTPostprocedural bleeding is a rare but life threatening complication of endoscopic cystogastrostomy which may require surgical management in some patients. The presence of adhesions and inflammation due to antecedent acute pancreatitis, difficult location of the bleeding site and breach in the posterior wall of stomach pose significant challenges during the surgical management. Here we have described the surgical approach and technique that we used to manage three patients who required surgery for life threatening bleeding after endoscopic cystogastrostomy. 相似文献
124.
Arman Kilic Ashish S. Shah Christian A. Merlo Christine G. Gourin Anne O. Lidor 《Surgical endoscopy》2013,27(5):1754-1760
Background
This study aimed to evaluate early outcomes after antireflux surgery for lung transplant (LTx) recipients in the United States.Methods
Adult patients undergoing elective antireflux surgery between 2003 and 2008 were identified in the Nationwide Inpatient Sample. A propensity-matched analysis compared early outcomes between prior LTx recipients and well-matched control subjects consisting of non-LTx patients undergoing elective antireflux surgery during the same era. The primary outcome was inpatient mortality, and the secondary outcomes were hospital length of stay (LOS), perioperative complications, and hospital costs.Results
During the study period, 401 LTx recipients underwent elective antireflux surgery. These patients were well matched with 401 control patients in terms of age, sex, individual and overall comorbidity burden, hospital teaching status, hospital location, hospital antireflux volume, and open versus laparoscopic approach. The overall operative mortality rate was 1.4 %, with no difference between the groups. The overall and individual morbidity rates also were similar. The LOS and hospital costs were significantly greater in the LTx group. Multivariable logistic regression analysis confirmed that prior LTx did not confer an increased risk of inpatient mortality after antireflux surgery.Conclusions
To date, this is the largest study to examine outcomes of antireflux surgery for LTx recipients. Operative mortality and morbidity appear to be comparable with those of the general population, although resource utilization is greater. Based on these data, trials to evaluate the role of antireflux surgery in preserving allograft function after LTx should not be hindered by a perceived notion of prohibitive operative risk in this patient population. 相似文献125.
126.
Farshid Dayyani Curtis A. Pettaway Ashish M. Kamat Mark F. Munsell Kanishka Sircar Lance C. Pagliaro 《Urologic oncology》2013,31(7):1171-1177
ObjectivesPrimary carcinomas of the urethra (PCU) are rare and often advanced when diagnosed. Treatment standards are lacking. We studied treatment response and survival in a cohort of patients with PCU, with emphasis on modern platinum-containing chemotherapy regimens plus surgery for advanced disease.Materials and methodsThis was a retrospective chart review of consecutive patients with PCU seen by medical oncologists at our institution over a recent 5-year period. Outcome was measured as best response to chemotherapy. Kaplan-Meier estimates were generated for survival and Cox proportional hazard was used for prognostic factors for survival.ResultsThe 44 patients (64% women) included had a median age at diagnosis of 66.5 years. The most prevalent histologic subtypes of PCU were squamous cell carcinoma and adenocarcinoma. At diagnosis, 43% already had lymph node-positive [lymph node (LN)+] disease, and 16% had distant metastases. The entire cohort's overall survival (OS) was 31.7 months. The response rate to platinum-containing neoadjuvant chemotherapy was 72%. Twenty-one patients with locally advanced or LN+ PCU underwent chemotherapy plus surgery. Their median OS from chemotherapy initiation was 25.6 months. Four of 9 patients (44%) with LN+ PCU at diagnosis were alive at our review, with a minimum follow-up of more than 3 years.ConclusionsModern platinum-containing regimens appear to be effective in advanced PCU. Preoperative chemotherapy is associated with prolonged disease-free survival in a subgroup of LN+ cases. 相似文献
127.
Nehal H. Patel Ashish R. Jain Vivek K. Iyer Anand G. Shah Dipti A. Jain Anjanaben A. Shah 《Annals of Indian Academy of Neurology》2013,16(3):352-356
Background:
Therapeutic relevance of computed tomography (CT) in children with partial seizures is reported to be remarkably low (1-2%). However, in the developing countries where infections involving the nervous system are common, routine CT scan of brain may help in finding treatable causes of seizures.Objective:
Aim of this study was to evaluate the significance of CT scan of brain in the management of children with partial seizures.Materials and Methods:
Children with partial epilepsy, whose predominant seizure type was focal motor seizures, were included in the study. CT scan of brain was done in all children aged between 1 month and 12 years with partial seizures of unknown etiology prospectively. The clinical findings of these children were noted along with the CT findings.Results:
Between August 2001 and July 2002, of the 200 children with seizure disorder 50 children who satisfied the inclusion criteria were included in the study. CT scan of brain was normal in 16 children (32%) and was abnormal in 34 children (68%). Twenty children (~60% of abnormal scan) had potentially correctable lesions: Tuberculoma (n = 13), neurocysticercosis (n = 3), and brain abscess (n = 4). Five children had changes representing static pathology that did not influence patient management. The clinical features correlated with CT findings in 78% children.Conclusion:
Children with partial motor seizures have high probability of having abnormal findings on CT scan of brain, especially, neuro-infections which are potentially treatable. Therefore, CT scan brain should be carried out in all children with partial motor seizures especially, in developing countries. 相似文献128.
Amandeep Kumar Manish Singh Sharma Bhawani Shanker Sharma Rohit Bhatia Manmohan Singh Ajay Garg Rajinder Kumar Ashish Suri Poodipedi Sarat Chandra Shashank Sharad Kale Ashok Kumar Mahapatra 《Annals of Indian Academy of Neurology》2013,16(4):509-515
Introduction:
Life-threatening, space occupying, infarction develops in 10-15% of patients after middle cerebral artery infarction (MCAI). Though decompressive craniectomy (DC) is now standard of care in patients with non-dominant stroke, its role in dominant MCAI (DMCAI) is largely undefined. This may reflect the ethical dilemma of saving life of a patient who may then remain hemiplegic and dysphasic. This study specifically addresses this issue.Materials and Methods:
This retrospective analysis studied patients with DMCAI undergoing DC. Patient records, operation notes, radiology, and out-patient files were scrutinized to collate data. Glasgow outcome scale (GOS), Barthel index (BI) and improvement in language and motor function were evaluated to determine functional outcome.Results:
Eighteen patients between 22 years and 72 years of age were included. 6 week, 3 month, 6 month and overall survival rates were 66.6% (12/18), 64% (11/17), 62.5% (10/16) and 62.5% (10/16) respectively. Amongst ten surviving patients with long-term follow-up, 60% showed improvement in GOS, 70% achieved BI score >60 while 30% achieved full functional independence. In this group, motor power and language function improved in 9 and 8 patients respectively. At last follow-up, 8 of 10 surviving patients were ambulatory with (3/8) or without (5/8) support. Age <50 years corresponded with better functional outcome amongst survivors (P value –0.0068).Conclusion:
Language and motor outcomes after DC in patients with DMCAI are not as dismal as commonly perceived. Perhaps young patients (<50 years) with DMCAI should be treated with the same aggressiveness that non-DMCAI is currently dealt with.Key Words: Craniectomy, dominant, middle cerebral artery, outcome, stroke 相似文献129.
130.