全文获取类型
收费全文 | 6226篇 |
免费 | 312篇 |
国内免费 | 104篇 |
专业分类
耳鼻咽喉 | 171篇 |
儿科学 | 579篇 |
妇产科学 | 180篇 |
基础医学 | 639篇 |
口腔科学 | 176篇 |
临床医学 | 587篇 |
内科学 | 454篇 |
皮肤病学 | 129篇 |
神经病学 | 910篇 |
特种医学 | 620篇 |
外科学 | 1142篇 |
综合类 | 602篇 |
现状与发展 | 1篇 |
预防医学 | 160篇 |
眼科学 | 55篇 |
药学 | 150篇 |
4篇 | |
中国医学 | 11篇 |
肿瘤学 | 72篇 |
出版年
2024年 | 6篇 |
2023年 | 123篇 |
2022年 | 163篇 |
2021年 | 186篇 |
2020年 | 216篇 |
2019年 | 202篇 |
2018年 | 198篇 |
2017年 | 157篇 |
2016年 | 195篇 |
2015年 | 207篇 |
2014年 | 361篇 |
2013年 | 318篇 |
2012年 | 258篇 |
2011年 | 320篇 |
2010年 | 250篇 |
2009年 | 300篇 |
2008年 | 290篇 |
2007年 | 279篇 |
2006年 | 258篇 |
2005年 | 270篇 |
2004年 | 226篇 |
2003年 | 147篇 |
2002年 | 155篇 |
2001年 | 127篇 |
2000年 | 126篇 |
1999年 | 115篇 |
1998年 | 98篇 |
1997年 | 101篇 |
1996年 | 111篇 |
1995年 | 80篇 |
1994年 | 91篇 |
1993年 | 89篇 |
1992年 | 64篇 |
1991年 | 70篇 |
1990年 | 48篇 |
1989年 | 39篇 |
1988年 | 44篇 |
1987年 | 44篇 |
1986年 | 29篇 |
1985年 | 48篇 |
1984年 | 54篇 |
1983年 | 20篇 |
1982年 | 35篇 |
1981年 | 31篇 |
1980年 | 24篇 |
1979年 | 23篇 |
1978年 | 19篇 |
1977年 | 13篇 |
1976年 | 4篇 |
1974年 | 3篇 |
排序方式: 共有6642条查询结果,搜索用时 15 毫秒
51.
副乳癌的诊断和治疗(附12例报告) 总被引:5,自引:0,他引:5
我院1978~1996年共收治副乳癌12例,占同期收治的乳癌1065例的113%。12例中,男性副乳癌1例,占同期收治男性乳癌17例的589%。副乳癌多发生于腋下或腹股沟处,这些部位邻近腋窝或腹股沟淋巴结丰富的区域,发生转移较早,预后较差。本组患者5年生存率为3637%,明显低于乳癌术后的5年生存率4583%(P<0.05)。 相似文献
52.
目的为提高人口的基础素质提供理论依据。方法调查泰安市中心医院产科自1962年至1986年,25年间11年的出生登记资料。结果共15237名出生儿。对低体重儿死胎儿及畸形儿(三种不良儿)的发生情况进行了调查分析。共有低体重儿1245名,低体重率81.7‰,城市为61.3‰,农村108.3‰。死胎儿共183名,死胎率为12‰,城市为6‰,农村为19.8‰,RR=3.3。畸形儿总数为167名,畸形率11‰,城市6.7‰,农村16.5‰,RR=2。三种不良儿的发生率农村均明显高于城市,结论生育的最佳年龄在24岁至29岁之间,怀孕的最佳时间应在6至10月份之间。 相似文献
53.
This report describes an experimental model of chronic tonsillar herniation and its effects on the spinal cord. In ten rats, a small piece of chemically induced mammary cancer was transplanted to the supraoccipital bone. In all cases, the transplanted cancers grew into the posterior fossa, destroying the supraoccipital bone and compressing the cerebellum extradurally. In six of the ten rats, tonsillar herniation was observed at 8–14 weeks after transplantation. Transdural infiltration of the tumor cells was not apparent in any animal. In those rats with tonsillar herniation (n=6), the spinal cord from the C5 to the T8 segments showed enlargement of the central canal without exception. Histological examination revealed the following changes: stretching and thinning of the ependymal cells; swelling of the astrocytic processes; and extracellular edema, predominantly in the dorsal gray matter, but also in the ventral inner portion of the dorsal column. In the control group (n=4) and those rats without tonsillar herniation (n=4), such histological changes of the spinal cord were not observed. Although the lesions can not be regarded as representing mature syringomyelia, they most likely constitute an earlier evolutionary stage. 相似文献
54.
T Ul Haq K Munir Z Haider J Yaqoob U Usman 《Journal of Medical Imaging and Radiation Oncology》2005,49(2):140-143
Budd–Chiari syndrome (BCS) is characterized by obstruction of the hepatic venous outflow tract. Therapeutic options for BCS are limited. We report a case of a 21-year-old woman with protein S and C deficiency with gross ascites. Treatment with transjugular intrahepatic portosystemic shunt (TIPS) was attempted, which revealed occluded hepatic veins, so transcaval TIPS was performed. No serious procedure-related complication occurred. After successful shunt creation, the patient's symptoms subsided and she was discharged and followed up for 6 months. 相似文献
55.
目的:探讨以脑立体定向术治疗震颤麻痹、癫痫、癌性疼痛、慢性精神病及颅内金属异物的方法和疗效。方法:用多功能脑立体定向仪对不同疾病毁损其不同的核团。结果:震颤麻痹166例共182次手术中治愈13例次,显效145例次,有效11例次,无效12例次,死亡1例,有效率达929%;癫痫18例,显效11例,有效4例,无效3例,有效率达833%;癌性痛疼5例均显效;精神病3例,显效2例,有效1例;颅内异物2例均治愈。结论:脑立体定向术对以上疾病均取得了较为满意及良好的疗效,总有效率达924%,并且比传统开颅术简便安全 相似文献
56.
Ghaus M. Malik Balaji Sadasivan Robert S. Knighton James I. Ausman 《Child's nervous system》1991,7(1):43-47
Between January 1941 and June 1989, 46 children below the age of 18 with an arteriovenous malformation (AVM) were managed. There were 7 patients with AVM diagnosed before the age of 2; 10 patients were diagnosed between the ages of 3 and 10; and 29 patients were diagnosed between 11 and 18. There were equal numbers of male and female patients. Twenty-five of the AVMs were large (>5 cm longest diameter). All 7 AVMs diagnosed before the age of 2 were large. The usual clinical presentation was congestive heart failure, bruit and an enlarging head. Three patients underwent excision with 2 deaths and 1 excellent result. In 11 patients (aged 3–18) with AVM without history of hemorrhage, 3 had excision with 2 excellent and 1 fair result. Four remained stable. Four developed progressive deficits or hemorrhage. In 10 patients (aged 3–18) with AVM and hemorrhage who were treated medically, 7 (70%) had an episode of re-hemorrhage. Three patients had excision of AVM after re-hemorrhage, but before the age of 18 with an excellent result. Eighteen patients (aged 3–18) with AVM and a single episode of hemorrhage underwent excision with 17 excellent or good results and 1 fair result. The overall mortality was 7%. Eighty-five percent of the children with excision of AVM had an excellent or good result. The best treatment for AVM in children is surgical excision.Presented at the XVII Annual Meeting of the International Society for Pediatric Neurosurgery, Bombay 1989 相似文献
57.
目的:寻求Arnold—Chiari畸形合并脊髓空洞症的病因、发病机制和确实合适的手术方案及术式。方法:通过回顾性分析天津医科大学总医院神经外科在1990年至2003年间收治的143例病例,对比不同手术方式术前术后MRI和临床症状的变化,寻找其间的规律。结果:术前MRI显示,有空洞者比单纯小脑扁桃体下疝者后颅窝更加紧密。术后症状均缓解,MRI显示空洞均减小,但后颅窝减压术者可见小脑扁桃体回缩,而脊髓空洞一腹腔分流术者小脑扁桃体回缩不明显。结论:Arnold—Chiari畸形合并脊髓空洞症是多因素引起的疾病,不能以单一因素来解释。脊髓蛛网膜下腔,特别是颅颈结合部的脑脊液循环障碍,是各种病因的共同点。因此,解除脑脊液循环障碍是治疗这种疾病的关键环节和最终目的。 相似文献
58.
结构蛋白及血管形成因子在体表海绵状静脉畸形中的表达及意义 总被引:3,自引:0,他引:3
目的:研究结构蛋白及血管形成因子(VEGF)在体表海绵状静脉畸形(cavernous venous malformation,CVM)中的表达及意义。方法:1996-2000年CVM病理样本25例,取正常中、小型静脉各12例。采用Envision法免疫组化染色观察Ⅳ型胶原、纤维连接蛋白(Fn)、层粘连蛋白(Ln)及VEGF、血管生成素-1(Ang-1)等血管形成因子的表达,半定量分析结果。结果:Ⅳ型胶原、Fn和Ln在海绵状静脉畸形与中、小静脉中的分类似,但表达量明显较少。畸形组织和小静脉VEGF表达明显强于中型静脉,小静脉Ang-1表达明显强于静脉畸形和中型静脉。结论:Ln及VEGF表达变化可能是海绵状静脉畸形形成发展的重要因素。Ang-1表达减少可能参与海绵状静脉畸形的血管塑形障碍的发生。 相似文献
59.
We report herein the cases of two infants who developed right pneumonectomy syndrome, both of whom were born with gross C-type esophageal atresia (EA/TEF), and a hypoplastic right lung arising from the lower esophagus, being a bronchopulmonary foregut malformation (BPFM). Appropriate and well-timed treatments for a variety of sequelae primarily caused by the mediastinal shift must be considered after right pneumonectomy in early childhood. 相似文献
60.
Rawatmal B. Surana Syed K. Rafi Kevi L. Christopher Thomas J. Reid Raymond B. Weiss 《Clinical genetics》1995,47(6):321-323
An apparently balanced de novo reciprocal translocation t(5;21) (q13;q22) was demonstrated in a girl with acrobrachycephaly, ventriculomegaly, pulmonary stenosis and anal malformation. The possible relationships between her karyotype and malformations are discussed. 相似文献