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排序方式: 共有1908条查询结果,搜索用时 15 毫秒
71.
Daniele Pastori Evaristo Ettorre Gregory Y.H. Lip Angela Sciacqua Francesco Perticone Francesco Melillo Cosmo Godino Rossella Marcucci Martina Berteotti Francesco Violi Pasquale Pignatelli Mirella Saliola Danilo Menichelli Marco Antonio Casciaro Vito Menafra 《British journal of clinical pharmacology》2020,86(12):2455
72.
Rossella E. Nappi Andrew M. Kaunitz Johannes Bitzer 《The European journal of contraception & reproductive health care》2016,21(2):106-115
Objectives: The clinical utility of extended regimen combined oral contraceptives (COCs) is increasingly being recognised. Our objective was to understand the attitudes of women and clinicians about the use of these regimens. We present the rationale for extended regimen COCs from a historical perspective, and trace their evolution and growing popularity in light of their clinical benefits. We conclude by offering potential strategies for counselling women about extended regimen COC options.Methods: We conducted a MEDLINE search to identify and summarise studies of extended regimen COCs, focusing on attitudes of women and clinicians regarding efficacy, safety/tolerability and fewer scheduled bleeding episodes and other potential benefits.Results: The body of contemporary literature on extended regimen COCs suggests that their contraceptive efficacy is comparable to that of conventional 28-day (i.e., 21/7) regimens. For women seeking contraception that allows infrequent scheduled bleeding episodes, particularly those who suffer from hormone withdrawal symptoms and cyclical symptoms (e.g., headache, mood changes, dysmenorrhoea, heavy menstrual bleeding), extended regimen COCs are an effective and safe option. Although satisfaction with extended regimen COCs in clinical trials is high, misperceptions about continuous hormone use may still limit the widespread acceptance of this approach.Conclusions: Despite the widespread acceptance among clinicians of extended regimen COCs as an effective and safe contraceptive option, these regimens are underused, likely due to a lack of awareness about their availability and utility among women. Improved patient education and counselling regarding the safety and benefits of extended regimen COCs may help women make more informed contraceptive choices. 相似文献
73.
In this study we evaluated different radiographic exams for the localization of impacted maxillary canines (orthopantomography (OPT), laterolateral and posteroanterior teleradiography, parallax method, laterolateral, occlusal radiography, computerized axial tomography, cone beam CT) highlighting the advantages and disadvantages of each. Four patients with impacted maxillary canines underwent selected radiographic investigations which allowed us to discuss their potential in identifying the position relative to the impacted teeth in the upper jaw. It was not possible to carry out all methods on the same patient as the level of radiation exposure experienced by each patient would too high and therefore unethical. Each method revealed the position of the canine with respect to the adjacent structures and the inclination of the major axis of the impacted tooth with respect to the plane of reference. We then evaluated the ease of use, the dosage of radiation emitted, the significance of the localization of the impacted canine, the immediacy of availability of the information required and the cost of each method. Each technique presented intrinsic advantages and limitations; however CBCT provides elements which escape during traditional radiographic analysis and is therefore indicated in case of impacted teeth or cranio-facial structural anomalies. 相似文献
74.
Gembillo Guido Siligato Rossella Cernaro Valeria Satta Ersilia Conti Giovanni Salvo Antonino Romeo Adolfo Calabrese Vincenzo Sposito Giovanna Ferlazzo Guido Santoro Domenico 《International urology and nephrology》2022,54(2):395-403
International Urology and Nephrology - Inflammation, oxidative stress (OS), atherosclerosis and resistant hypertension (RH) are common features of chronic kidney disease (CKD) leading to a higher... 相似文献
75.
Michele Maruccia MD PhD Rossella Elia MD Eleonora Nacchiero MD PhD Giuseppe Giudice MD 《Microsurgery》2020,40(2):241-246
The columella is one of the smallest subunits of the nose, but the loss of this structure has important aesthetic and structural implications. Few papers in literature present microsurgical techniques for the reconstruction of an isolated columellar defect. This report describes the use of a prelaminated radial forearm free flap (RFFF) for the reconstruction of an isolated columellar defect and reviews the current literature. A 45-year-old woman presented to our Unit with a history of palate squamous cell carcinoma and severe nasal deformity with an almost complete loss of the columella. A prelaminated RFFF with the fifth rib was used for a two-staged reconstruction of the isolated columellar defect. The radial pedicle was anastomosed to the facial vessels and the postoperative course was uneventful. Complete survival of the flap was achieved and, 10 months postoperatively, the patient had bilateral nasal patency, with an increased tip projection and a good aesthetic result. A prelaminated RFFF can be considered a valuable reconstructive option in cases of a large composite defect of the columella and limited availability of adjacent tissues. 相似文献
76.
77.
Arif A. Khokhar BMBCh Alessandra Laricchia MD Francesco Ponticelli MD Won-Keun Kim MD Francesco Gallo Damiano Regazzoli MD Marco Toselli MD Alessandro Sticchi MD Rossella Ruggiero MD Alberto Cereda MD Adriana Zlahoda-Huzior MD Andrea Fisicaro MD Ilja Gardi MD Antonio Mangieri MD Bernhard Reimers MD Dariusz Dudek MD Antonio Colombo MD Francesco Giannini MD 《Catheterization and cardiovascular interventions》2021,98(3):595-604
78.
Antonio Lombardo Sergio Scavino Giovanni Scornavacca Giuseppe Oliva Costantino Sipione Rossella Cacciola Luciano Motta 《Acta diabetologica》1986,23(1):1-12
Summary The authors report data obtained from a 3-year study of CSII and humanized insulin (semi-synthetic human insulin) administered
to 18 insulin-dependent subjects in the outpatient clinic. The aim of this study was to evaluate the validity of insulin pumps
in long-term treatment. Metabolic parameters were significantly improved (p<0.001) in the first month and remained so with
only slight alterations throughout treatment. The authors underline some metabolic problems (ketosis) caused by malfunctioning
of the insulin pumps, by the difficulties with the infusion sytem or by nodular skin lesions at the infusion site. Only these
lesions called for treatment to be discontinued in 4 patients. The highest incidence of nodular skin lesions was seen after
one year’s uninterrupted treatment and they seem connected to the duration of treatment rather than to the patients’ negligence
(inadequate hygiene, delayed needle substitution). The authors conclude that CSII treatment is valid over short-term periods,
whereas it presents drawbacks over long-term administration. 相似文献
79.
Carotid artery stenting in the presence of contralateral carotid occlusion: mind the hyperperfusion syndrome! 总被引:2,自引:0,他引:2
Antonino Nicosia Emanuele Leotta Sharam Moshiri Alfredo R Galassi Rossella Barbagallo Daniela Santonocito Corrado Tamburino Valeria Calvi Giuseppe Giuffrida 《Italian heart journal》2004,5(2):152-156
Stroke is the third cause of death in western countries and its complications lead to significant socio-economic problems related to the prolonged hospitalization and rehabilitation of patients with neurological lesions. Severe atherosclerotic lesions of the carotid artery are the main cause of stroke and transient ischemic attacks. Their incidence may reach 5-7% per year in patients with carotid artery stenosis > 70% with or without symptoms. Time-honored carotid endarterectomy is still regarded as the gold standard therapy for primary and secondary prevention of stroke. However, surgery is not free of complications and the rate of perioperative stroke ranges from 5.1 to 14.3%. A group of patients at a particularly high risk of stroke during surgical endarterectomy is represented by patients with significant carotid stenosis in the presence of an occluded contralateral artery. Indeed, carotid cross-clamping during operative surgery in the absence of an adequate collateral flow may result in a critical flow reduction during the operation and therefore increases the risk of periprocedural strokes. In the North American Symptomatic Carotid Endarterectomy (NASCET) trial, the overall risk of stroke was 5.1%, whereas it increased up to 14.3% in patients with an occluded contralateral carotid artery. Recently, carotid stenting has been increasingly used as an endovascular technique for carotid revascularization, especially after the introduction of neuroprotection devices which improved the safety of the procedure. Therefore, it may be an attractive alternative to carotid endarterectomy, especially when the surgical risk is too high. We describe the immediate and late outcomes of 3 patients treated with carotid artery stenting in the presence of contralateral carotid occlusion. 相似文献
80.
Nappi RE Sances G Brundu B Ghiotto N Detaddei S Biancardi C Polatti F Nappi G 《Neuroendocrinology》2003,78(1):52-60
To assess the neuroendocrine correlates of menstrual status migrainosus (MSM) and menstrual migraine (MM), we evaluated the prolactin (PRL) and cortisol responses to the direct central serotoninergic (5-HT) agonist meta-chlorophenylpiperazine (m-CPP) administered orally (0.5 mg/kg) during the follicular (FP: +6, +8) and luteal phases (LP: -4, -6) of the same menstrual cycle. Ten women with MSM (migraine attacks occurring within 2 days of the onset of menstrual bleeding but lasting more than 72 h) and 9 women with MM (migraine occurring within 2 days of the onset of menstrual bleeding with a typical duration of attacks) were studied. Six healthy women served as controls. Blood samples were taken at times -30, 0 and every 30 min over 4 h. Statistical analysis was performed using MANOVA followed by Duncan's post hoc comparisons. We found that the PRL response to the m-CPP test was significantly blunted in MSM compared with MM and controls in both phases of the menstrual cycle (F = 4.6; p < 0.001). Indeed, the PRL area under the curve (AUC) after m-CPP was higher in both MM and controls compared with MSM (F = 12.7; p < 0.001). The m-CPP-induced cortisol response was absent in MSM compared with MM and controls in both FP and LP (F = 4.1; p < 0.001). On the other hand, the pattern of the plasma cortisol response to m-CPP was similar in MM and controls throughout the menstrual cycle. In addition, the basal plasma cortisol levels were significantly higher in MSM compared with controls (p < 0.001) and MM (p < 0.001) during FP, but not in LP, and progressively decreased over time. Thus, no significant effect of the menstrual cycle phase and diagnosis on the cortisol AUC was found, while a significant diagnosis effect (F = 25.6; p < 0.001) on %delta(max) plasma cortisol levels was evident and consistent with the lack of cortisol response to m-CPP in MSM during the FP and LP compared with MM and controls. A derangement in central 5-HT control of pituitary PRL, and even more so in cortisol release, is present in women with MSM, but not with MM, regardless of the phase of the menstrual cycle, suggesting the involvement of some 5-HT(1) and 5-HT(2) receptor subtypes in the occurrence of extremely severe migraine attacks triggered by menstruation. 相似文献