全文获取类型
收费全文 | 6062篇 |
免费 | 664篇 |
国内免费 | 128篇 |
专业分类
耳鼻咽喉 | 37篇 |
儿科学 | 40篇 |
妇产科学 | 81篇 |
基础医学 | 555篇 |
口腔科学 | 128篇 |
临床医学 | 936篇 |
内科学 | 760篇 |
皮肤病学 | 60篇 |
神经病学 | 1248篇 |
特种医学 | 424篇 |
外科学 | 744篇 |
综合类 | 778篇 |
预防医学 | 159篇 |
眼科学 | 263篇 |
药学 | 279篇 |
9篇 | |
中国医学 | 159篇 |
肿瘤学 | 194篇 |
出版年
2024年 | 61篇 |
2023年 | 314篇 |
2022年 | 459篇 |
2021年 | 559篇 |
2020年 | 454篇 |
2019年 | 343篇 |
2018年 | 279篇 |
2017年 | 270篇 |
2016年 | 225篇 |
2015年 | 233篇 |
2014年 | 374篇 |
2013年 | 399篇 |
2012年 | 345篇 |
2011年 | 344篇 |
2010年 | 285篇 |
2009年 | 253篇 |
2008年 | 213篇 |
2007年 | 203篇 |
2006年 | 241篇 |
2005年 | 152篇 |
2004年 | 154篇 |
2003年 | 128篇 |
2002年 | 84篇 |
2001年 | 60篇 |
2000年 | 43篇 |
1999年 | 35篇 |
1998年 | 38篇 |
1997年 | 48篇 |
1996年 | 30篇 |
1995年 | 21篇 |
1994年 | 19篇 |
1993年 | 20篇 |
1992年 | 19篇 |
1991年 | 20篇 |
1990年 | 16篇 |
1989年 | 13篇 |
1988年 | 11篇 |
1987年 | 10篇 |
1986年 | 14篇 |
1985年 | 23篇 |
1984年 | 9篇 |
1983年 | 4篇 |
1982年 | 12篇 |
1981年 | 4篇 |
1980年 | 4篇 |
1979年 | 2篇 |
1978年 | 2篇 |
1977年 | 3篇 |
1976年 | 1篇 |
1975年 | 1篇 |
排序方式: 共有6854条查询结果,搜索用时 15 毫秒
11.
VIM thalamic stimulation for tremor in a patient with IgM paraproteinaemic demyelinating neuropathy. 总被引:1,自引:0,他引:1
Evzen R?zicka Robert Jech Katerina Zárubová Jan Roth Dusan Urgosík 《Movement disorders》2003,18(10):1192-1195
We demonstrate the effect of deep brain stimulation of the ventral intermediate thalamic nucleus on intractable action tremor, in a 72-year-old man suffering from neuropathy associated with monoclonal gammopathy. 相似文献
12.
Histoplasmosis is a fungal disease that affects humans and is caused by Histoplasma capsulatum. The presentation of the infection may be acute, chronic, or disseminated. The disseminated form has extrapulmonary manifestations which may include oral manifestation a. A patient with AIDS sought treatment and he had disseminated histoplasmosis with oral manifestations. The purpose of this case report and literature review is to emphasize the role the dental team has in the diagnosis of disseminated disease when a patient presents with oral manifestations associated with the disease. This case report is clinically relevant because it is not uncommon for oral manifestations to be one of the first signs of systemic disease. 相似文献
13.
Manic episode with psychotic symptoms induced by subthalamic nucleus stimulation in a patient with Parkinson's disease. 总被引:5,自引:0,他引:5
Jan Herzog Julia Reiff Paul Krack Karsten Witt Bettina Schrader Dieter Müller Günther Deuschl 《Movement disorders》2003,18(11):1382-1384
Deep brain stimulation of the subthalamic nucleus (STN-DBS) is an established therapy for Parkinson's disease (PD). A manic episode with psychotic symptoms induced by STN-DBS occurred in a previously psychiatrically healthy patient, focusing on the role of STN-DBS in influencing not only motor but also emotional behaviour. 相似文献
14.
Martin Krause Wolfgang Fogel Volker Tronnier Sabine Pohle Konstanze H?rtnagel Ute Thyen Jens Volkmann 《Movement disorders》2006,21(12):2255-2257
Pantothenate kinase-associated neurodegeneration (PKAN) is a rare autosomal recessive disorder with onset in childhood and rapid progression. There is no causative and insufficient symptomatic drug therapy. Deep brain stimulation (DBS) of the internal pallidum (GPi) has been reported to improve motor function. Most case reports, however, are limited to short observational periods. The impact of DBS on the progression and life expectancy in PKAN is unknown. We present a 5-year outcome and video documentation of bilateral GPi-DBS of an adolescent patient suffering from genetically defined PKAN. 相似文献
15.
16.
Deep brain stimulation for Parkinson's disease dissociates mood and motor circuits: a functional MRI case study. 总被引:2,自引:0,他引:2
Taresa Stefurak David Mikulis Helen Mayberg Anthony E Lang Stephanie Hevenor Peter Pahapill Jean Saint-Cyr Andres Lozano 《Movement disorders》2003,18(12):1508-1516
Behavioral disturbances have been reported with subthalamic (STN) deep brain stimulation (DBS) treatment in Parkinson's disease (PD). We report correlative functional imaging (fMRI) of mood and motor responses induced by successive right and left DBS. A 36-year-old woman with medically refractory PD and a history of clinically remitted depression underwent uncomplicated implantation of bilateral STN DBS. High-frequency stimulation of the left electrode improved motor symptoms. Unexpectedly, right DBS alone elicited several reproducible episodes of acute depressive dysphoria. Structural and functional magnetic resonance imaging (fMRI) imaging was carried out with sequential individual electrode stimulation. The electrode on the left was within the inferior STN, whereas the right electrode was marginally superior and lateral to the intended STN target within the Fields of Forel/zona incerta. fMRI image analysis (Analysis of Functional NeuroImages, AFNI) contrasting OFF versus ON stimulation identified significant lateralized blood oxygen level-dependent (BOLD) signal changes with DBS (P < 0.001). Left DBS primarily showed changes in motor regions: increases in premotor and motor cortex, ventrolateral thalamus, putamen, and cerebellum as well as decreases in sensorimotor/supplementary motor cortex. Right DBS showed similar but less extensive change in motor regions. More prominent were the unique increases in superior prefrontal cortex, anterior cingulate (Brodmann's area [BA] 24), anterior thalamus, caudate, and brainstem, and marked widespread decreases in medial prefrontal cortex (BA 9/10). The mood disturbance resolved spontaneously in 4 weeks despite identical stimulation parameters. Transient depressive mood induced by subcortical DBS stimulation was correlated with changes in mesolimbic cortical structures. This case provides new evidence supporting cortical segregation of motor and nonmotor cortico-basal ganglionic systems that may converge in close proximity at the level of the STN and the adjacent white matter tracts (Fields of Forel/zona incerta). 相似文献
17.
Acute psychotropic effects of bilateral subthalamic nucleus stimulation and levodopa in Parkinson's disease. 总被引:9,自引:0,他引:9
Aurélie Funkiewiez Claire Ardouin Paul Krack Valérie Fraix Nadège Van Blercom Jing Xie Elena Moro Alim-Louis Benabid Pierre Pollak 《Movement disorders》2003,18(5):524-530
High-frequency deep brain stimulation (DBS) of the subthalamic nucleus (STN) improves the motor symptoms of Parkinson's disease (PD). Opposite changes in mood, such as mania or depression, have been reported after surgery, but it is not known whether these side effects are specifically related to STN DBS. To learn whether STN DBS also influences the limbic loop, we investigated acute subjective psychotropic effects related to levodopa or bilateral STN DBS. After a median postoperative follow-up of 12 months, 50 PD patients completed the Addiction Research Center Inventory (ARCI), assessing subjective psychotropic effects in four conditions: off-drug/on-stimulation; off-drug/off-stimulation; on-drug/off-stimulation; and on-drug/on-stimulation. Both levodopa and STN DBS improved all the ARCI subscales, indicating subjective feelings of well being, euphoria, increase in motivation, and decrease in fatigue, anxiety, and tension. A suprathreshold dose of levodopa was significantly more effective than STN DBS, using the same electrical parameters as for chronic stimulation, on four of the five ARCI subscales. We concluded that 1) both STN DBS and levodopa have synergistic acute beneficial psychotropic effects in PD, 2) the psychotropic effects of both treatments need to be considered in the long-term management of chronic STN DBS, and 3) the results indicate an involvement of the limbic STN in mood disorders of PD. 相似文献
18.
Etienne Pralong Claudio Pollo Jean-Guy Villemure Damien Debatisse 《Movement disorders》2007,22(13):1879-1884
Besides clinical efficacy, the mechanisms of action of deep brain stimulation (DBS) are still debated. To shed light on this complex issue, we have taken the opportunity to record the response of globus pallidus internus (GPi) neurones to 100 Hz stimulations in a case of Lesch-Nyhan syndrome (LNS) where four pallidal electrodes were implanted. Three types of response were observed, 2/19 neurones were unaffected by DBS. About 7/19 neurones were inhibited during DBS stimulation and 10/19 neurones were excited during DBS stimulation. Both effects ceased when DBS was turned off. Inhibited neurones were situated lower that exited ones on the trajectory (1.25 and 4.65 mm above the center of GPi respectively). These observations suggest that locally DBS induces a reversible inhibition of neurone firing rate while at the same time distantly exciting the main afferents to and/or efferents from the GPi. Both actions would result in a strong GPi inhibition that does not preclude increased outflow from the GPi. 相似文献
19.
20.
目的 :探讨耕耘疗法在中小面积深度烧伤创面治疗中的疗效。方法 :对小面积深Ⅱ度~浅Ⅲ度烧伤创面进行了耕耘疗法 ,然后外用MEBO。结果 :治愈 16 5例 ,深Ⅱ度创面多在 17± 2 0天内愈合。浅Ⅲ度创面也在 2 8± 3 0天内愈合。结论 :通过采用耕耘方法可改善深度创面的局部微循环 ,尽快清除坏死组织 ,促进创面液化 ,充分发挥MEBO药效 ,使创面愈合期明显缩短 ,减少了疤痕率 相似文献