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71.
436例小儿肺炎的中西医结合治疗 总被引:1,自引:0,他引:1
对436例肺炎患儿在抗生素治疗的同时,给予清热宣肺,化痰平喘,健脾益气,养阴清肺中药口服,结果总有效率达97.25%。中西医结合治疗小儿肺炎可以缩短病程,减少抗生素的使用。 相似文献
72.
儿童非霍奇金淋巴瘤与p53蛋白表达的关系 总被引:2,自引:0,他引:2
目的探讨儿童非霍奇金淋巴瘤 (NHL)与p53蛋白表达的关系。方法用免疫组化En vision法检测 64例 (惰性淋巴瘤 8例 ,侵袭性淋巴瘤 42例 ,高度侵袭性淋巴瘤 1 4例 )NHLp53蛋白 ,根据p53蛋白阳性细胞百分率将表达水平分为 4级 :0级 (阴性 ) ,1级 (1 %~ 2 5 % ) ,2级 (2 6 %~ 50 % ) ,3级 (>50 % )。结果惰性淋巴瘤组 7 8(87 5 % )p53表达为 0级 ,侵袭性淋巴瘤组 36 42 (86 1 % )表达为1级 ,高度侵袭性淋巴瘤组 1 1 1 4 (78 6 % )表达为 2~ 3级 ,儿童NHL蛋白表达水平与其侵袭性密切相关 (P <0 0 1 )。 2 5例随访 7~ 68个月 ,p53 0~ 1级NHL完全缓解率 (CRR ,1 1 1 4 )高于p53 2~ 3级NHLCRR(1 1 1 ,P <0 0 1 ) ,前者生存率 (1 3 1 4 )高于后者 (3 1 1 ,P <0 0 1 )。结论p53蛋白表达阳性细胞百分率是判断NHL恶性度、疗效及预后较可靠的参数。肿瘤性p53蛋白表达检测对中高度恶性儿童NHL的诊断有参考价值 相似文献
73.
目的 探讨高压氧治疗对脑外伤患者血糖的影响。方法 将100例脑外伤患者随机分为治疗组和对照组,分别测量治疗前后两组患者血糖浓度。结果 高压氧治疗后脑外伤患者血糖浓度较对照组明显降低。结 论高压氧治疗能使脑外伤后升高的血糖降低,促进受损伤脑组织修复。 相似文献
74.
The current study focused on a sample of adults (N = 67) experiencing bereavement following the loss of a child. The Post Traumatic Growth Inventory (PTGI) was used to assess whether bereaved parents were able to perceive benefit from their trauma, and whether there were gender differences in perception of benefit. The impact of the following variables on the PTGI was also assessed: the nature and length of time since the loss, and the age and marital status of the bereaved. The results indicated that bereaved parents do perceive benefit from their loss. However, there was poor evidence to suggest perception of benefit along gender lines. Results also indicated a potential relation between greater perception of benefit and those bereaved through illness, and more perception of benefit for the longer the time elapsed since the bereavement. Lastly, there was a tendency for younger individuals and married respondents to obtain higher scores on the PTGI. 相似文献
75.
Over a period of 4 years, 39 children with lymphadenitis were treated surgically; in 31 cases cervical lymph nodes were the main location. In 9 cases the lymphadenitis was caused by mycobacterial infection.Staphylococcus aureus was the most frequent causative organism of unspecific lymphadenitis (11 cases). The therapy of choice appears to be surgical treatment and medical care after operation. Especially in mycobacterial lymphadenitis, complete surgical excision of the lymph node is decisive for definitive healing. There was only 1 case of therapy-resistant, relapsing cervical lymphadenitis that needed a second operation. Causative organisms in this case wereMycobacterium avium andMycobacterium intracellulare. All other patients showed an uneventful postoperative clinical course. We believe that a consequent diagnostic process and cooperation between the pediatric surgeon and pediatrician are necessary for effective therapy. 相似文献
76.
Eleni Petridou Freda E. Alexander Dimitrios Trichopoulos Katharine Revinthi Nick Dessypris Naomi Wray Stavros Haidas Dimitrios Koliouskas Helen Kosmidis Fani Piperopoulou Fotini Tzortzatou 《Cancer causes & control : CCC》1997,8(2):239-245
A total of 872 children aged up to 14 years, who were diagnosed withleukemia in Greece during the decade 1980-89, were allocated by place ofresidence to the 601 administrative districts of the country. Evaluation ofspatial clustering was done using the Potthoff-Whittinghill method, whichvalidly assesses heterogeneity of leukemia risk among districts with variableexpected numbers of cases. There was highly significant evidence for spatialclustering occurring particularly among children living in urban and, to alesser extent, semi-urban areas. The evidence was stronger for childrenyounger than 10 years old, applied also to children in different five-yearage groups, and persisted when cases of acute lymphoblastic leukemia wereanalyzed separately. These findings provide support to the hypothesis thatlocalized environmental exposures could contribute to the etiology ofchildhood leukemia, but they cannot distinguish between exposures of physicalor chemical nature, nor can they exclude socially conditioned patterns ofexposure to infectious agents. 相似文献
77.
P. Dervanian L. Macé T.A. Folliguet A. di Virgilio J.M. Grinda J.F. Fuzellier B. De Geeter P. Morville J.Y. Neveux 《Pediatric cardiology》1998,19(4):369-373
The prognosis of Marfan syndrome in both adult and pediatric patients is primarily related to the cardiovascular complications.
In infantile Marfan syndrome, although involvement of the mitral valve is the most frequently encountered cardiovascular lesion,
the aortic root can be more worrisome because of its excessive dilatation, leading to aortic insufficiency or dissection.
If the role of elective surgery is relatively well defined for adult patients, it is still debated during childhood. We report
two patients, aged 22 months and 5 years, each presenting an aortic root aneurysm related to Marfan syndrome, and each treated
with the Bentall procedure without specific age-related mortality or morbidity. These two patients experienced normal growth
and were free of any complication for a follow-up period of 8 and 2 years, respectively. More than an absolute value of the
aortic root dimension, it is the conjunction of the rate of progression of the aortic root dilatation, the degree and the
duration of the aortic valve regurgitation, and its resulting left ventricular dysfunction that must be taken into consideration
in choosing the surgical option. 相似文献
78.
The aim of this study was to assess the physical performance in long-term survivors of acute leukaemia in childhood and to
evaluate the effects of anthracycline therapy. Electrocardiography, echocardiography and spiroergometry were carried out on
56 patients aged 9–28 years, of whom 44 patients had been treated with 15–483 mg/m2 doxorubicin (or equivalent). Acute leukaemia had been diagnosed 1.5–16 years earlier. Of the patients 75% reached normal
maximal oxygen uptake, 69% normal oxygen uptake at the anaerobic threshold and 95% normal maximal work rate. Of the patients
75% achieved adequate values for maximal heart rate and 78% normal blood lactate concentration. No difference was seen between
patients treated with and without anthracyclines.
Conclusion The results of this study provide little evidence for cardiopulmonary impairment in long-term survivors of ALL. Both the
cardiac function, as evaluated by ECG and echocardiography, and the physical performance in spiroergometry are normal in a
large number of these patients. Anthracycline treatment does not appear to have a negative effect on these parameters.
Received: 30 October 1996 / Accepted in revised form: 7 October 1997 相似文献
79.
The impact of childhood epilepsy on neurocognitive and behavioral performance: a prospective longitudinal study 总被引:9,自引:0,他引:9
PURPOSE: To assess neurocognitive and behavioral performance in children with idiopathic epilepsy (CWE, n = 74), their siblings without epilepsy (control, n = 23), and children with migraine (CWM, n = 13), and to identify medical factors related to learning or behavioral problems in CWE. METHODS: Subjects, ages 8-13 years with IQs of >/=80, completed a neurocognitive test battery annually for =3 years. For CWE, age at seizure onset, most recent EEG results, seizure type, seizure frequency, current antiepileptic drug (AED), and most recent AED serum levels were documented at each visit. RESULTS: CWE and CWM had high rates of grade retention and placement in special education compared with sibling controls. CWE performed worse than controls on numerous neurocognitive variables. These differences persisted over time. CWE with abnormal EEGs scored lower than CWE with normal EEGs on reading and spelling measures, even with comparable IQs. Age at seizure onset, seizure type, and seizure frequency were not related to neurocognitive or behavioral test scores. CWE taking carbamazepine (CBZ) performed better than CWE taking valproate (VPA) on academic achievement measures, although the study lacked controls necessary to assess this finding thoroughly. CWM did not differ from CWE or controls in cognitive or academic achievement skills. CONCLUSIONS: Long-term risk of learning problems exists among CWE as compared with controls, even with normal IQs and well-controlled seizures. Predicting learning problems in CWE based on medical factors remains elusive. Monitoring of educational progress and neurocognitive screening may be most effective in assessing academic risk for CWE. 相似文献
80.
Summary A rare case of a spinal papillary meningioma in a 19-year-old adolescent is described. Six months after radical resection
the patient showed dissemination along the cerebrospinal pathway. Papillary meningiomas are rare tumours with a relatively
high incidence in childhood. Most papillary meningiomas reported in the literature are considered as aggressive variants of
meningioma with often local recurrence, dissemination in the CSF and metastases to remote sites. This case supports that,
although the histogenesis remains unexplained, papillary meningiomas deserve recognition on the basis of their high morbidity
and mortality. 相似文献