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龙湘鹏 《心血管康复医学杂志》2012,21(3):250-253
目的:探讨血清脑利钠肽(BNP)对于急性冠脉综合征(ACs)患者的早期诊断价值以及与心肌坏死标志物的相关性。方法:入选ACS患者63例(ACS组),健康体检者22例(健康对照组)。ACS组被分为急性心肌梗死(AMI)组(25例)和不稳定型心绞痛(UAP)组(38例);根据累及冠状动脉病变血管数量将其中45例ACS患者分为单支病变组(10例)、双支病变组(14例)、三支及以上病变组(21例)。检测各组BNP、肌钙蛋白I(cT—nI)、肌酸激酶-同工酶(CK—MB)水平。结果:(1)与健康对照组比较,UAP组和AMI组BNP水平明显升高[(27.68±7.54)pg/ml比(48.59±146.30)pg/ml比(277.99±179.57)pg/ml,P〈0.013;ACS患者多支病变组BNP水平明显高于双支及单支病变组[(308.17±178.94)pg/ml比(187.35±156.27)pg/ml比(68.36±47.76)pg/ml,P〈0.05-〈0.013,双支病变组BNP水平明显高于单支病变组(P〈0.05);(2)ACS患者胸痛发作6h内,BNP、CK—MB水平明显高于健康对照组(P〈0.01),而cTnI无显著变化(P〉0.05);胸痛发作6~24h内,与健康对照组比较,ACS组BNP[(27.68±7.54)pg/ml比(280.45±155.27)pg/ml]、cTnI[(0.05±0.03)ng/ml比(10.45±4.01)ng/ml]、CK—MBE(6.79±1.42)U/L比(64.64±37.05)U/L]水平均明显升高(P〈0.01);直线相关分析显示BNP与eTnI、CK—MB呈正相关性(r=0.517,P=0.000;r=0.483,P=0.001)。结论:血清脑利钠肽水平与心肌缺血损伤严重程度及冠脉病变支数相关,对于急性冠脉综合征的早期诊断有临床应用价值。 相似文献
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肺与膀胱相通,上为荣养周身以御邪,下以气化排浊调津液,从肺与膀胱关系可以看出,太阳之气与肺气共同卫外,以顾护肌表皮毛,故临床针刺治疗太阳体证时可考虑从肺经穴入手。临床取肺经穴位调治膀胱及其经脉病时,应辨别虚实,采取对应的补泻手法,考虑大部分肺经穴提插、捻转补泻手法不便施展,笔者认为可根据辨证采用更为合适的迎随补泻、徐疾补泻、开阖补泻,即观其脉证,补泻择之。其实不仅肺经穴可治膀胱病,膀胱经穴亦可治肺病,由于肺与膀胱两者经气互通,其中一条经上的穴位可治疗另一条相通经的循行部位或主治方向的疾病。虽然脏腑别通理论在针灸学上具备广泛应用的基础,但因表里经脏腑相互属络关系,更多被提及、应用的是"肺与大肠相关"。容易忽视"肺膀胱别通"在"卫气供给""津液代谢"上的关联。故在临床针刺治疗膀胱病时,可从有别于常规、传统的选经取穴上论治,亦可基于"肺与膀胱相关"以膀胱经穴治肺病,或以两经同取的方式指导针刺治疗相关病证。 相似文献
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《The Annals of thoracic surgery》1988,46(6):652-653
We investigated the use of an automatic surgical stapler for ligation of the atrial appendage in sheep, and then applied this technique in patients. Fourteen adult sheep underwent ligation of the left atrial appendage using a surgical stapler with a rotating head and either absorbable or stainless steel staples. In 4 sheep, killed after two hours, no hemorrhage or intraatrial thrombus was observed acutely. Ten sheep were allowed to recover for 90 to 100 days, twice the expected absorption time of absorbable staples. There was complete obliteration of the left atrial appendage without evidence of intraatrial thrombus or staple migration. The absorbable staples were completely reabsorbed. We subsequently used this technique in 5 patients undergoing mitral valve procedures. There were no complications, and adequate obliteration of the atrial appendage was achieved. 相似文献
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Li Lu Yan Wang Tianhua Li Supeng Wang Shoulu Yang Yan Qing Xingong Li Yiqiang Wu Ming Liu 《RSC advances》2021,11(40):25010
This study investigated the improved properties of calcium carbonate (CaCO3) modified urea–formaldehyde (UF) resin adhesive for medium density fiberboard (MDF) production. The CaCO3 modified UF resins were prepared by adding different proportions of CaCO3 to a low molar ratio UF resin at the initial stage of a typical synthetic process of the resin. The physicochemical properties of the resins were measured. The mechanical and environmental performances of the resin-bonded MDF panels were tested. The results show that the viscosity and free formaldehyde content of UF resins with or without CaCO3 modification were not significantly different. The solid content of the CaCO3 modified UF resin was significantly lower than that of the control group. In addition, the measured gel time of the CaCO3 modified UF resin was 111–149 s, which was longer than that of the control resin (82 s). The gel time was further extended with the increase of the CaCO3 content in the UF resin. The chemical group and crystal structure of UF resins with or without the modification of CaCO3 were not significantly different. The internal bonding (IB) strength of the MDF panels significantly increased from 0.75 MPa to 0.97 MPa when the UF resin was modified with 2% of CaCO3. This study provides scientific support for the preparation of inorganic mineral modified UF resins for strength enhanced wood-based panel manufacturing.Reactions between CaCO3 and CH2O2 during polycondensation of UF resin produce Ca2+. Ionic bond complexation binds Ca2+ with UF resin. The UF resin crystalline percentage decreases from 26.86% to 22.71%. IB strength of resin bonded fiberboard increases from 0.75 to 0.94 MPa. 相似文献