全文获取类型
收费全文 | 31930篇 |
免费 | 2685篇 |
国内免费 | 1344篇 |
专业分类
耳鼻咽喉 | 390篇 |
儿科学 | 584篇 |
妇产科学 | 570篇 |
基础医学 | 3897篇 |
口腔科学 | 543篇 |
临床医学 | 3386篇 |
内科学 | 5325篇 |
皮肤病学 | 742篇 |
神经病学 | 2124篇 |
特种医学 | 1037篇 |
外国民族医学 | 13篇 |
外科学 | 4084篇 |
综合类 | 4050篇 |
现状与发展 | 4篇 |
一般理论 | 19篇 |
预防医学 | 1917篇 |
眼科学 | 1148篇 |
药学 | 2572篇 |
19篇 | |
中国医学 | 1086篇 |
肿瘤学 | 2449篇 |
出版年
2024年 | 61篇 |
2023年 | 434篇 |
2022年 | 936篇 |
2021年 | 1389篇 |
2020年 | 1033篇 |
2019年 | 968篇 |
2018年 | 1086篇 |
2017年 | 955篇 |
2016年 | 956篇 |
2015年 | 1247篇 |
2014年 | 1548篇 |
2013年 | 1489篇 |
2012年 | 2306篇 |
2011年 | 2351篇 |
2010年 | 1342篇 |
2009年 | 1122篇 |
2008年 | 1658篇 |
2007年 | 1680篇 |
2006年 | 1648篇 |
2005年 | 1652篇 |
2004年 | 1203篇 |
2003年 | 1029篇 |
2002年 | 917篇 |
2001年 | 779篇 |
2000年 | 793篇 |
1999年 | 768篇 |
1998年 | 430篇 |
1997年 | 361篇 |
1996年 | 273篇 |
1995年 | 290篇 |
1994年 | 232篇 |
1993年 | 168篇 |
1992年 | 303篇 |
1991年 | 287篇 |
1990年 | 276篇 |
1989年 | 251篇 |
1988年 | 217篇 |
1987年 | 203篇 |
1986年 | 197篇 |
1985年 | 150篇 |
1984年 | 106篇 |
1983年 | 71篇 |
1982年 | 49篇 |
1981年 | 53篇 |
1979年 | 73篇 |
1978年 | 51篇 |
1977年 | 52篇 |
1974年 | 65篇 |
1973年 | 60篇 |
1972年 | 63篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
31.
Jugular foramen neuromas: a review of 14 cases 总被引:7,自引:0,他引:7
We present 14 patients with jugular foramen neuromas treated in the professorial unit at the National Hospital, Queen Square, in the 20-year period from 1969 to 1989. The growth characteristics and associated symptomatology of these tumors are variable, and often they do not give rise to a typical jugular foramen syndrome, making differentiation from other low cerebellopontine angle tumors difficult and occasionally impossible. One tumor presented mainly in the neck, but the remaining 13 were predominantly intracranial and their anatomical relationships as defined radiologically determined the surgical approach used. Nine tumors were resected using a posterior fossa approach, three required a combined posterior fossa and neck dissection, and one a combined supratentorial and infratentorial craniotomy. The aim of operation was total excision of the tumor, which was achieved in 10 patients; the remaining three all suffered recurrence. There was no operative mortality and little long-term disability. 相似文献
32.
Awoniyi O. Awonuga Nicola Dean Jamal Zaidi Rudiger U. Pittrof Jinan S. Bekir Seang-Lin Tan 《Journal of assisted reproduction and genetics》1996,13(4):293-297
Aim: Our aim was to compare the outcome in subsequent frozen embryo replacement cycles in four groups of patients who had elective cryopreservation of all their embryos because they were considered to be at increased risk of developing severe ovarian hyperstimulation syndrome.
Design: Sixty-two (91%) of 68 IVF cycles (68 patients) in which elective cryopreservation of all embryos was performed were analyzed. All patients continued on the GnRH agonist, buserelin, after oocyte recovery until the onset of vaginal bleeding. Frozen embryo replacement occurred in a hormone replacement cycle that started either on day 3 of the withdrawal bleed (group I;N=15) or after serum estradiol levels had fallen to <100 pmol/L (group II;N=16). The other patients commenced a frozen embryo replacement cycle several months later in either a hormone replacement (group III;N=15) or a natural (group IV;N=16) cycle.
Results: Two patients developed severe ovarian hyperstimulation syndrome. There were no significant differences among the four groups regarding demographic variables, the dose of hMG used, and the clinical outcome. There was a higher but not significantly different clinical pregnancy rate in group I (26.7%), compared to group II (12.5%), group III (13.3%), and group IV (18.8%).
Conclusions: Several options exist for the timing and protocol used for frozen embryo replacement in patients who had elective cryopreservation for the prevention of ovarian hyperstimulation syndrome, none of which was found to be clearly superior in this observational report.Presented at the 1994 Annual Conference of the American Fertility Society. 相似文献
33.
通过对动物模型实验治疗的病理观察,评价全肺大容量灌洗治疗矽肺的效果,并优选灌洗液。对40只家兔和10只幼猪经SiO2染尘处理后,各随机分为药物组、盐水组和对照组。4~5周后施行全肺大容量灌洗。治疗后3~5个月处死各组动物,进行病理双盲检查。经统计学秩和检验,兔与猪各组肺矽结节纤维化级别分布的差异有非常显著意义(P<0.005)。经卡方检验,各灌洗组的纤维化程度与对照组相比,差异亦有非常显著意义(P<0.01)。灌洗液中药与盐水比,P<0.05;盐水与西药比,P<0.05。兔和猪矽肺各灌洗组的效果明显优于对照组。灌洗液中药优于盐水,盐水又优于西药 相似文献
34.
本文对62例急性高血压脑出血进行了着重于治疗的分析。脑出血病严重威胁患者生命,死亡率高,病残率高。治疗的关键是绝对卧床,避免搬动;积极治疗及控制脑水肿、降低颅内压;头置冰帽以减低脑耗氧量,减轻脑水肿,促进脑细胞功能的恢复;加强护理,预防及治疗并发症是提高患者生存时间及存活率的重要环节;对出血量多、患者一般情况较好者,作者主张手术治疗,清除颅内血肿,可减轻症状,提高存活率及降低病残率。 相似文献
35.
Doug Joshua Max Wolf Jane Matthews Lee Tan William Sheridan Glenn Pilkingtonh Fiona Page 《Leukemia & lymphoma》1994,14(3):303-309
The Australian Leukaemia Study Group myeloma study (MM1) aimed to determine the prognostic significance of clinical and immunophenotypic markers in patients with multiple myeloma. All patients were treated with standard dose melphalan and prednisone. Seventy-four patients were entered and the median survival was 27 months. Serum beta 2-microglobulin (βM) and albumin levels were the only significant clinical factors influencing survival (p = 0.007 and p = 0.008, respectively). Patients with raised levels of CD38+ lymphocytes at presentation had a significantly shorter survival than patients with normal levels (p = 0.01, logrank test, median 19 months vs 33 months). CD38 antigen expression was independent of β2M but patients with raised levels of CD38 had significantly lower levels of albumin than patients with normal levels (p = 0.001) which may explain their poorer survival. Salmon and Durie stage was not associated with antigen expression. No other B-cell antigens (CD10, CD19, CD20, CD21, CD22, CD23, FMC1 or FMC7) or plasma cell antigens tested (PCA-1) were found to be associated with prognosis. Patients who achieved plateau phase had a better prognosis than those who did not (p = 0.04 in a landmark analysis). Patients who achieved plateau phase following an objective response appeared to have a better prognosis than those who were in plateau phase at presentation (p = 0.09 in a landmark analysis). Light chain isotype suppression (LCIS) was not associated with a significant survival advantage and did not correlate with any known prognostic indicator. We conclude that phenotypic analysis of peripheral blood lymphocytes for CD38 antigen at diagnosis may be useful as a prognostic indicator in patients with myeloma. 相似文献
36.
The mould collection of the Centraalbureau voor Schimmelcultures, Baarn, The Netherlands, was screened for isolates originating from warm-blooded animals. The range of species indicates that distribution of clinically relevant, pathogenic or opportunistic strains over the fungal kingdom is non-random. Some opportunistic fungi possess adaptations to life under hostile environmental conditions, enabling them to survive inside the human body. Presence of melanin or carotene seems to be an important virulence factor. Opportunistic fungi which sporulate in submersion are able to disseminate or cause severe local mycoses when the aspecific immune system of the host is impaired. Mycoses caused by a few dimorphic fungi, mostly in their natural ecological niche living in association with vertebrates, are promoted by specific immune deficiencies. 相似文献
37.
本文应用磁性磷酸酶-抗碱性磷酸酶桥联酶标技术(APAAP),对27例原发性肾小球疾病患者外周血T淋巴细胞亚群进行观察。结果表明:本组病例表现为CD细胞升高,CD细胞减少,和CD/CD比值增加。提示原发性肾小球疾病可导致细胞免疫功能改变,T淋巴细胞亚群的变化,是肾组织损害的一个间接证据,可作为临床诊断一个有价值的参考指标。 相似文献
38.
本文应用“冷沉淀”法制备纤维组织粘合剂。对纤维组织粘合剂中主要成份和含量进行了测定,并测定了主要理化性质,建立了动物实验模型,观察了实验兔对纤维粘合剂的反应。 相似文献
39.
Eight patients who developed severe ovarian hyperstimulation syndrome (OHSS) were identified among 1302 patients undergoing in-vitro fertilization (IVF) over a 1 year period (prevalence of 0.6%); 63% had ultrasonically diagnosed polycystic ovaries (PCO) and 75% were undergoing their first attempt at IVF. Pretreatment with a superactive luteinizing hormone-releasing hormone (LHRH) analogue significantly increased the prevalence of severe OHSS (1.1% versus 0.2%, P less than 0.05) compared with ovarian stimulation with clomiphene citrate and human menopausal gonadotrophin (HMG). The mean serum oestradiol concentration on the day of human chorionic gonadotrophin (HCG) administration was 8200 +/- 2300 pmol/l. A mean of 19.6 +/- 6.8 follicles had been aspirated and 13.1 +/- 7.7 oocytes recovered at transvaginal ultrasound-directed oocyte recovery. All patients had an embryo transfer and luteal support in the form of HCG. The clinical pregnancy rate was 88%, multiple pregnancy rate 71% and implantation rate 63.5 +/- 41.3%. In a group of seven patients who were hospitalized for moderate OHSS during the same period, peak oestradiol levels were significantly lower than in those with severe OHSS (P less than 0.05). Of the group with moderate OHSS, 57% had PCO, the clinical pregnancy rate was 100% and multiple pregnancy rate 43%. Patients with ultrasound-diagnosed PCO have an increased risk of developing OHSS and the dose of HMG administered to them should be minimized. In patients at risk of developing OHSS, progesterone instead of HCG should be used for luteal support. Transfer of a maximum of two embryos or freezing all embryos for transfer in a subsequent cycle may reduce the likelihood of multiple pregnancy. 相似文献
40.
Omeprazole May Kill Helicobacter pylori 总被引:2,自引:0,他引:2
K. L. Goh M.D. K. K. Tan M.D. P. E. Anderson M.D. 《The American journal of gastroenterology》1991,86(1):124-124