全文获取类型
收费全文 | 48039篇 |
免费 | 4483篇 |
国内免费 | 3650篇 |
专业分类
耳鼻咽喉 | 303篇 |
儿科学 | 441篇 |
妇产科学 | 483篇 |
基础医学 | 5658篇 |
口腔科学 | 742篇 |
临床医学 | 6944篇 |
内科学 | 7492篇 |
皮肤病学 | 591篇 |
神经病学 | 2666篇 |
特种医学 | 1944篇 |
外国民族医学 | 23篇 |
外科学 | 4407篇 |
综合类 | 7773篇 |
现状与发展 | 15篇 |
一般理论 | 8篇 |
预防医学 | 2933篇 |
眼科学 | 1470篇 |
药学 | 5059篇 |
81篇 | |
中国医学 | 2857篇 |
肿瘤学 | 4282篇 |
出版年
2024年 | 154篇 |
2023年 | 867篇 |
2022年 | 2068篇 |
2021年 | 2636篇 |
2020年 | 1984篇 |
2019年 | 1663篇 |
2018年 | 1772篇 |
2017年 | 1532篇 |
2016年 | 1464篇 |
2015年 | 2184篇 |
2014年 | 2666篇 |
2013年 | 2349篇 |
2012年 | 3476篇 |
2011年 | 3899篇 |
2010年 | 2377篇 |
2009年 | 1858篇 |
2008年 | 2485篇 |
2007年 | 2560篇 |
2006年 | 2484篇 |
2005年 | 2576篇 |
2004年 | 1495篇 |
2003年 | 1335篇 |
2002年 | 1123篇 |
2001年 | 1111篇 |
2000年 | 1153篇 |
1999年 | 1222篇 |
1998年 | 791篇 |
1997年 | 803篇 |
1996年 | 624篇 |
1995年 | 573篇 |
1994年 | 517篇 |
1993年 | 303篇 |
1992年 | 379篇 |
1991年 | 308篇 |
1990年 | 282篇 |
1989年 | 250篇 |
1988年 | 231篇 |
1987年 | 208篇 |
1986年 | 154篇 |
1985年 | 111篇 |
1984年 | 50篇 |
1983年 | 38篇 |
1982年 | 19篇 |
1981年 | 12篇 |
1980年 | 13篇 |
1979年 | 12篇 |
1966年 | 1篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
11.
12.
13.
14.
This meta-analysis examined whether early decompressive craniectomy (DC) can improve control of intracranial pressure (ICP) and mortality in patients with traumatic brain injury (TBI).Medline, Cochrane, EMBASE, and Google Scholar databases were searched until May 14, 2015, using the following terms: traumatic brain injury, refractory intracranial hypertension, high intracranial pressure, craniectomy, standard care, and medical management. Randomized controlled trials in which patients with TBI received DC and non-DC medical treatments were included.Of the 84 articles identified, 8 studies were selected for review, with 3 randomized controlled trials s having a total of 256 patients (123 DCs, 133 non-DCs) included in the meta-analysis. Patients receiving DC had a significantly greater reduction of ICP and shorter hospital stay. They also seemed to have lower odds of death than patients receiving only medical management, but the P value did not reach significance (pooled odds ratio 0.531, 95% confidence interval 0.209–1.350, Z = 1.95, P = 0.183) with respect to the effect on overall mortality; a separate analysis of 3 retrospective studies yielded a similar result.Whereas DC might effectively reduce ICP and shorten hospital stay in patients with TBI, its effect in decreasing mortality has not reached statistical significance. 相似文献
15.
16.
Ye Gao Lei Xin Yu-Xin Wang Yuan-Hang Dong Zhuan Liao 《Scandinavian journal of gastroenterology》2020,55(1):105-113
AbstractBackground and aim: Capsule retention is the most common adverse event associated with video capsule endoscopy. The use of double-balloon enteroscopy-assisted capsule endoscope retrieval has been increasingly reported in recent years. However, evidence is limited regarding its success rate, associated factors, and subsequent clinical outcomes.Methods: A systematic review of relevant studies published before January 2019 was performed. Successful retrieval rate and associated factors, rate of endoscopic balloon dilation, and outcomes after double-balloon enteroscopy were summarized and pooled.Results: Within 154 associated original articles, 12 including 150 cases of capsule retrieval by double-balloon enteroscopy were included. The estimated pooled successful retrieval rate was 86.5% (95% confidence interval, 75.6–95.1%). Anterograde approach and capsules retained in the jejunum or trapped by malignant strictures were associated with a higher successful retrieval rate than the retrograde approach (62/83 [74.7%] vs. 10/38 [26.3%], p?<?.001) and capsules retained in the ileum (41/41 [100.0%] vs. 43/58 [74.1%], p?<?.001) or trapped by benign strictures (21/21 [100.0%] vs. 65/83 [78.3%], p?=?.043). Endoscopic balloon dilation was performed in 38.8% (95% confidence interval, 22.3–56.3%) of patients with benign strictures. Two perforations (1.3%) were reported as severe adverse events after double-balloon enteroscopy. A significantly lower surgery rate was found among cases with successful video capsule removal compared with unsuccessful cases (7.2% vs. 38.5%, p?=?.002).Conclusions: Double-balloon enteroscopy is feasible and safe for removing retained video capsule endoscopes, and its use could decrease the need for surgery in patients with benign strictures and facilitate subsequent surgery in patients with malignant strictures. 相似文献
17.
Joseph Biederman Haitao Gao Ann K Rogers Thomas J Spencer 《Neuropsychopharmacology》2006,60(10):1106-1110
BACKGROUND: The validity of parent reports regarding children's attention-deficit/hyperactivity disorder (ADHD) symptoms has been questioned. This study assessed whether parent reports were as sensitive as teacher reports to document change in ADHD symptoms during clinical trials with atomoxetine. METHODS: Data were compared from two randomized, double-blind, placebo-controlled clinical trials of atomoxetine using different versions (parent or teacher) of the same rating scale (Attention-Deficit/Hyperactivity Disorder Rating Scale-IV [parent or teacher] Version: Investigator Administered and Scored - ADHD RS). Exclusion criteria included history of bipolar disorder, psychosis, seizures, alcohol abuse, or positive drug screen. Patients (6-16 years old) were treated with atomoxetine (titrated to a maximum dose of 1.8 mg/kg/day) administered once daily for up to 7 weeks. Parent and teacher ratings were compared using an analysis of covariance (ANCOVA) model. RESULTS: The analysis (n = 318) showed that treatment effects (mean change, baseline to endpoint) were similar between parent and teacher ratings (total, p = .762; inattention, p = .519; hyperactive/impulsive, p = .955). Effect sizes also were similar based on total scores (parent ratings = .69; teacher ratings = .63). CONCLUSIONS: Parent reports are as sensitive as teacher reports in assessing the efficacy of long-acting pharmacologic treatment for ADHD in children during clinical trials using the nonstimulant atomoxetine. 相似文献
18.
医学插图的艺术创作 总被引:1,自引:1,他引:0
高平 《中国医学教育技术》2006,20(4):350-352
介绍了医学插图艺术创作的方法:即在依据医学科学内容的基础上,遵循美学规律,运用科学的艺术表现形式,准确、形象、生动地表达出医学科学的深刻内涵,从而实现医学科学与艺术完美结合的创作目标。 相似文献
19.
本文报告了暗纹节菱孢[Arthinium phaeospemum(Corda)Ellis]所致皮肤真菌病的组织病理学及超微结构观察。HE、PAS、镀银染色(Szatri)法及铅铀染色,对皮损的组织病理改变,进行了光镜及透射电镜观察。光镜下发现暗纹节菱孢引起真皮及皮下脂肪组织广泛性病理浸润,由多种细胞构成的肉芽肿,尤其对皮肤附属器严重破坏。在病理浸润中可见球形、卵圆形、菱形及晶体形,玫瑰红色、棕色及褐色孢子。透射电镜下见真皮成纤维细胞胞浆内吞噬多数界线清楚的圆形小体,空泡内也有相同的小体,胞浆空泡甚多,胞核完整。同时见到破坏的溶酶体。病理浸润内形态各异的孢子及不同颜色,是孢子生长的不同阶段。 相似文献
20.
Vincent Chung Liang Liu Zhaoxiang Bian Zhongzhen Zhao Wai Leuk Fong Wan Fung Kum Jing Gao Min Li 《Movement disorders》2006,21(10):1709-1715
The objective of this study is to assess the efficacy and safety of herbal medicines (HMs), as a monotherapy or adjunct therapy, compared to placebo or conventional approaches in the treatment of idiopathic Parkinson's disease (PD). We conducted a systematic review of randomized controlled trials from both conventional and alternative medicine sources. Outcome measures were overall improvement, quality of life, reduction of levodopa dose, and adverse events. Nine studies were included, each testing a different HM. Six of the trials had limited internal validity due to major flaws in design, including the lack of proper randomization; insufficient blinding; unclear inclusive criteria in terms of diagnostic criteria, baseline staging, and duration of disease; lack of proper sample size calculation; and insufficient data analysis. Imbalances in gender and ethnicity among the patients in the included trials were observed. No major adverse events emerged, and no specific pattern was detected from the trials describing such data. In addition to major methodological defects, heterogeneity in (1) HM tested, (2) control treatment, and (3) outcome measure hindered in-depth data analysis and synthesis. Current evidence is insufficient to evaluate the efficacy and safety of various HMs. Further studies with improved trial design and reporting, with assessment on cost-effectiveness, quality of life, and qualitative data are warranted. 相似文献