全文获取类型
收费全文 | 1191篇 |
免费 | 102篇 |
国内免费 | 16篇 |
专业分类
耳鼻咽喉 | 11篇 |
儿科学 | 59篇 |
妇产科学 | 22篇 |
基础医学 | 147篇 |
口腔科学 | 43篇 |
临床医学 | 137篇 |
内科学 | 369篇 |
皮肤病学 | 41篇 |
神经病学 | 41篇 |
特种医学 | 133篇 |
外科学 | 63篇 |
综合类 | 41篇 |
预防医学 | 62篇 |
眼科学 | 54篇 |
药学 | 58篇 |
中国医学 | 3篇 |
肿瘤学 | 25篇 |
出版年
2023年 | 7篇 |
2021年 | 23篇 |
2020年 | 21篇 |
2019年 | 25篇 |
2018年 | 20篇 |
2017年 | 28篇 |
2016年 | 31篇 |
2015年 | 40篇 |
2014年 | 31篇 |
2013年 | 50篇 |
2012年 | 28篇 |
2011年 | 26篇 |
2010年 | 59篇 |
2009年 | 51篇 |
2008年 | 36篇 |
2007年 | 51篇 |
2006年 | 34篇 |
2005年 | 37篇 |
2004年 | 25篇 |
2003年 | 26篇 |
2002年 | 23篇 |
2001年 | 20篇 |
2000年 | 30篇 |
1999年 | 19篇 |
1998年 | 50篇 |
1997年 | 42篇 |
1996年 | 47篇 |
1995年 | 28篇 |
1994年 | 38篇 |
1993年 | 31篇 |
1992年 | 16篇 |
1991年 | 25篇 |
1990年 | 17篇 |
1989年 | 33篇 |
1988年 | 22篇 |
1987年 | 18篇 |
1986年 | 17篇 |
1985年 | 14篇 |
1984年 | 11篇 |
1983年 | 13篇 |
1982年 | 19篇 |
1981年 | 15篇 |
1980年 | 19篇 |
1979年 | 8篇 |
1978年 | 8篇 |
1977年 | 16篇 |
1976年 | 9篇 |
1975年 | 9篇 |
1971年 | 5篇 |
1967年 | 6篇 |
排序方式: 共有1309条查询结果,搜索用时 15 毫秒
31.
GEMMA PELARGONIO MARIA L. NARDUCCI ELEONORA RUSSO MICHELA CASELLA PASQUALE SANTANGELI ROBERT CANBY AMIN AL‐AHMAD LARRY D. PRICE LUIGI DI BIASE CANDICE J. KWARK MARK HARWOOD FRANCESCO PERNA GIANLUIGI BENCARDINO CAROLINA IERARDI ENRICO M. TRECARICHI ENRICA SANTELLI MARIO TUMBARELLO PRASANT MOHANTY SHANE BAILEY JOHN DAVID BURKHARDT FULVIO BELLOCCI ANDREA NATALE ANTONIO DELLO RUSSO 《Journal of cardiovascular electrophysiology》2012,23(10):1103-1108
Transvenous Lead Extraction . Introduction: As the population ages, the number of elderly patients with implantable cardiac devices referred for transvenous lead extraction will dramatically increase in Western countries. The safety and effectiveness of lead extraction in elderly patients has not been well evaluated. We report the safety and effectiveness of transvenous lead extraction in octogenarians. Methods and Results: From January 2005 to January 2011, we reviewed data from consecutive patients ≥ 80 years referred to our institutions for transvenous lead extraction because of cardiac device infection or lead malfunction. Clinical characteristics, procedural features, and periprocedural major and minor complications were compared between octogenarians and younger patients. Out of 849 patients undergoing lead extraction in the participating institutions during the study period, 150 (18%) patients were octogenarians (mean age 84 years; range 80–96; 64% males). A significantly higher percentage of octogenarians presented with chronic renal failure (55% vs 26%; P < 0.001), history of malignancy (22% vs 6%; P < 0.001), and chronic obstructive pulmonary disease (46% vs 19%; P < 0.001). Complete lead extraction rates were similar in the 2 age groups (97% in octogenarians vs 96% in patients <80 years; P = 0.39). Periprocedural death occurred in 2 (1.3%) patients ≥80 years and in 5 (0.72%) patients <80 years (P = 0.45 for comparison). No differences in terms of other periprocedural major and minor complications were found between the 2 age groups. Conclusion: Despite presenting with a significantly higher rate of comorbidities, transvenous lead extraction can be performed safely and successfully in octogenarians. (J Cardiovasc Electrophysiol, Vol. 23 pp. 1103‐1108, October 2012) 相似文献
32.
33.
Srihari S. Naidu MD FACC FAHA FSCAI J. Dawn Abbott MD FACC FSCAI Jayant Bagai MD FSCAI James Blankenship MD MSc MSCAI Santiago Garcia MD FACC FSCAI Sohah N. Iqbal MD FACC FSCAI Prashant Kaul MD FSCAI Matheen A. Khuddus MD FACC FSCAI Lorrena Kirkwood RN BSN MS Steven V. Manoukian MD FACC FAHA FSCAI Manesh R. Patel MD FAHA Kimberly Skelding MD FACC FAHA FSCAI David Slotwiner MD FACC FHRS Rajesh V. Swaminathan MD FSCAI Frederick G. Welt MD FACC FSCAI Daniel M. Kolansky MD FACC FAHA FSCAI 《Catheterization and cardiovascular interventions》2021,98(2):255-276
The current document commissioned by the Society for Cardiovascular Angiography and Interventions (SCAI) and endorsed by the American College of Cardiology, the American Heart Association, and Heart Rhythm Society represents a comprehensive update to the 2012 and 2016 consensus documents on patient-centered best practices in the cardiac catheterization laboratory. Comprising updates to staffing and credentialing, as well as evidence-based updates to the pre-, intra-, and post-procedural logistics, clinical standards and patient flow, the document also includes an expanded section on CCL governance, administration, and approach to quality metrics. This update also acknowledges the collaboration with various specialties, including discussion of the heart team approach to management, and working with electrophysiology colleagues in particular. It is hoped that this document will be utilized by hospitals, health systems, as well as regulatory bodies involved in assuring and maintaining quality, safety, efficiency, and cost-effectiveness of patient throughput in this high volume area. 相似文献
34.
Percutaneous balloon aortic valvotomy was attempted in six consecutiveadolescents and young adults, (meanage 18 ± 5 years),with severe congenital aortic valvular stenosis. Peak systolicaortic valve gradient measurement and aortography was performedbefore and immediately after valvotomy, and a 16 monthsfollow-up. The single-balloon technique was used in two patientsand the double-balloon technique in four patients. After balloonvalvotomy the mean peak systolic aortic valve gradient (PSG)decreased from 122 ± 53 to 43 ± 20 mmHg (P >001). The haemodynamic improvement persisted at follow-up (PSG= 47 ±31 mmHg), except in one patient who had previouslyundergone aortic surgical valvotomy. One balloon valvotomy wasunsuccessful, presumably because of the selection of an inappropriatelysmall balloon. Two patients with critical aortic stenosis (PSG>165mmHg), who exhibited a thick aortic valve on echocardiographywith a relatively small aortic root and annulus, had a dramaticreduction in PSG. However, the degree of aortic regurgitationincreased significantly in both cases. The theoretical haemodynamicadvantage of the double versus the single balloon techniqueswas confirmed in one patient. We have demonstrated that percutaneousballoon aortic valvotomy using either the single- or double-balloontechnique is feasible in young adults with severe congenitalaortic stenosis. Further studies are required both to defineappropriate patients and the selection of balloon diameter andlength. 相似文献
35.
James C. Blankenship MD MHCM FSCAI 《Catheterization and cardiovascular interventions》2016,87(4):648-649
- Coronary embolization accounts for about 2% of ST elevation myocardial infarctions (STEMI).
- Thrombus aspiration may be particularly effective in these cases and may prevent the need for coronary stenting.
- Despite recent guidelines assigning a class III recommendation to routine thrombus aspiration, selective thrombus aspiration based on angiographic appearance may be effective.
36.
37.
Yousra H. AL JAZAIRY Hassan Suliman HALAWANY Nawaf AL HUSSAINAN Nassr AL MAFLEHI Nimmi Biju ABRAHAM Vimal JACOB 《Industrial health》2014,52(4):324-333
A disparity exists in the educational qualifications of dental assistants working in
various public and private institutions in Riyadh, Saudi Arabia. The aim of this study was
to assess the influence of professional and personal characteristics on job satisfaction
among dental assistants. A cross-sectional survey was performed among dental assistants
using a 24-item self-administered questionnaire. Multinomial logistic regression was used
to assess the relationship between overall job satisfaction and other variables. The
overall response rate was 72.1%. Factor analysis suggested that five underlying factors
were related to job satisfaction. The mean score for overall job satisfaction was 3.86
(satisfied) out of 5. Among the work environment factors, the highest mean score, 4.26
(satisfied), was obtained for quality of service, and the lowest mean score, 2.78
(neutral), was obtained for the perception of income. The income and general prospects of
the profession was significantly associated with overall job satisfaction. This study
suggests that for dental assistants, professional and personal life, quality of service,
perception of income and prestige and self-respect are important factors for job
satisfaction. Despite differences in professional formation standards, in general, the
study participants were considerably satisfied with their jobs. 相似文献
38.
Iman Amy Betawi Sinaria Kamil Abdel Jabbar Mohammad. A. AL Jabery Haidar Ibrahim Zaza Muhannad Al-Shboul 《Early child development and care》2014,184(12):1992-2003
This study examined fathers' perceptions regarding their home-based activities (HBA) and the influence of fathers' demographic characteristics on their perceptions and practices at home. A total of 396 fathers completed a survey questionnaire describing their demographic information, perceptions and their practices regarding their involvement in HBA. Results indicated that fathers have moderate level of practice concerning their HBA, yet they have low perception of their actual practice at HBA. In addition, there was a statistical significance in HBA due to fathers' age, educational level and specialisation which had an influence on their perceptions as well. Recommendations and implications of future research were discussed. 相似文献
39.
40.
AL Naik A Savlania A Gupta P Rastogi A Singh 《Annals of the Royal College of Surgeons of England》2021,103(3):e94
Behçet’s disease is a rare disease characterised by recurrent oral ulcers, with systemic manifestations including genital ulcers, ocular disease, skin lesions, gastrointestinal disease, neurologic disease, vascular disease and arthritis. Most clinical manifestations of Behçet’s disease are believed to be due to vasculitis. The heterogeneous clinical spectrum is influenced by sex, ethnicity and country of residence. Vascular manifestation in the form of isolated large brachial artery aneurysm is rare in children. Treatment involves aneurysmorrhaphy to avoid rupture or ischaemic sequelae in addition to lifelong medical management to control vasculitis. 相似文献