全文获取类型
收费全文 | 18409篇 |
免费 | 1171篇 |
国内免费 | 356篇 |
专业分类
耳鼻咽喉 | 181篇 |
儿科学 | 193篇 |
妇产科学 | 342篇 |
基础医学 | 906篇 |
口腔科学 | 294篇 |
临床医学 | 2273篇 |
内科学 | 2812篇 |
皮肤病学 | 126篇 |
神经病学 | 534篇 |
特种医学 | 784篇 |
外国民族医学 | 2篇 |
外科学 | 3490篇 |
综合类 | 2550篇 |
现状与发展 | 1篇 |
预防医学 | 1643篇 |
眼科学 | 2008篇 |
药学 | 1218篇 |
10篇 | |
中国医学 | 243篇 |
肿瘤学 | 326篇 |
出版年
2024年 | 41篇 |
2023年 | 339篇 |
2022年 | 654篇 |
2021年 | 872篇 |
2020年 | 844篇 |
2019年 | 739篇 |
2018年 | 726篇 |
2017年 | 668篇 |
2016年 | 753篇 |
2015年 | 723篇 |
2014年 | 1598篇 |
2013年 | 1467篇 |
2012年 | 1084篇 |
2011年 | 1229篇 |
2010年 | 1018篇 |
2009年 | 874篇 |
2008年 | 775篇 |
2007年 | 786篇 |
2006年 | 694篇 |
2005年 | 557篇 |
2004年 | 502篇 |
2003年 | 444篇 |
2002年 | 381篇 |
2001年 | 301篇 |
2000年 | 281篇 |
1999年 | 207篇 |
1998年 | 165篇 |
1997年 | 163篇 |
1996年 | 125篇 |
1995年 | 123篇 |
1994年 | 116篇 |
1993年 | 86篇 |
1992年 | 67篇 |
1991年 | 56篇 |
1990年 | 68篇 |
1989年 | 53篇 |
1988年 | 59篇 |
1987年 | 55篇 |
1986年 | 36篇 |
1985年 | 35篇 |
1984年 | 19篇 |
1983年 | 27篇 |
1982年 | 23篇 |
1981年 | 19篇 |
1980年 | 17篇 |
1979年 | 18篇 |
1978年 | 22篇 |
1977年 | 9篇 |
1976年 | 10篇 |
1973年 | 3篇 |
排序方式: 共有10000条查询结果,搜索用时 46 毫秒
31.
目的探讨急性梗阻性化脓性胆管炎伴多器官衰竭的治疗方法。方法对25例急性梗阻性化脓性胆管炎伴多器官衰竭的患者采取以内镜下鼻胆管引流术、经鼻胆管冲洗及灌注抗生素为主的非手术综合治疗,观察患者治疗前后的血清总胆红素水平、B超下胆总管内径变化,并对患者临床资料进行回顾性分析。结果本组25例患者除2例需转外科急诊手术治疗外,其余23例内镜下胰胆管造影、内镜下鼻胆管引流术成功,胆汁引流通畅,多器官衰竭得以纠正,急性梗阻性化脓性胆管炎伴多器官衰竭治愈率为92.0%。结论对急性梗阻性化脓性胆管炎伴多器官衰竭患者采取内镜下鼻胆管引流术、静脉应用和经鼻胆管冲洗及灌注抗生素为主的综合治疗是有效、安全的。 相似文献
32.
Bernard Farrell 《Journal of diabetes science and technology》2007,1(2):245-250
The continuous glucose monitor market is just starting to develop. Current trends in the availability of diabetes information tools highlight the need for standard data presentation for continuous glucose monitors. These trends and their implications are discussed. This article proposes a set of standards for blood glucose data presentation. If device manufacturers adopt these standards, they will ensure that their continuous glucose monitors meet both the short-term and the long-term needs of users. This should increase the demand for these monitors and enable future device developments that appeal to a wider range of users. 相似文献
33.
双J管临床应用及美蓝在置管术中的作用 总被引:1,自引:0,他引:1
目的探讨双J管(双J输尿管支架管)在泌尿系疾病治疗中的应用效果以及美蓝在置放术中的作用。方法对215例患者采用放置双J管作内支架和内引流治疗,近期48例术中以美蓝协助定位。结果术后留置尿管5~7d,无切口感染、尿瘘等并发症。术后1~3个月拔除双J管,随访3~6个月,肾功能、肾积水明显好转,吻合口通畅。以美蓝协助定位者无双J管上移致拔管困难。结论双J管具有内支架和内引流作用,操作简单,引流效果好,并发症少,缩短住院时间。以美蓝协助定位,值得推广应用。 相似文献
34.
泵式自体输血过滤引流系统在急症救护中的应用 总被引:5,自引:1,他引:4
自体输血、胸腔闭式引流,是缓解血源矛盾、赢得抢救时机、防治心肺衰竭及ARDS/MOF的重要措施。笔者研制成功的手控泵式储血过滤引流系列在战地、灾害现场,以及平时的心肺手术中,共应用3000余例,现重点对其功能设计和用于自体输血、紧急救护做讨论和评估。 相似文献
35.
The goal of the present study is to develop a technique for laparoscopic aortobifemoral bypass.Piglets weighing between 60 and 78 kg were anesthetized with halothane. The lateral retroperitoneal approach was preferred to the more familiar anterior transperitoneal approach and was successfully completed in 19 piglets. The piglets were placed in the right lateral decubitus position. The first port (2 cm) was inserted halfway between the tip of the 12th rib and the iliac crest. Four other trocars were placed in the retroperitoneum after balloon inflation had allowed creation of a space which permitted visualization of the aorta from the left renal artery down to the aorto-iliac junction. After evacuation of the retropneumoperitoneum, the cavity was maintained using an abdominal lift device and a retractor.Using this approach, we performed four aortobifemoral bypasses (end-to-end aortic anastomosis) after conventional intravenous heparinization (100 IU/kg) in less than 4 h. Blood loss did not exceed 250 ml and the hematocrit remained stable. Postmortem evaluation of the grafts revealed they were positioned as in a conventional bypass, their limbs having followed in the created retroperitoneal tunnels along the path of the native arteries. No mortality occurred before sacrifice of the animals. We believe that this first performed series of totally retroperitoneal laparoscopic aortobifemoral bypasses in the porcine model is useful in preparation for human application due to the anatomical similarities in the periaortic region. 相似文献
36.
37.
完全性肺静脉异位引流的手术治疗经验 总被引:15,自引:1,他引:14
为评估影响完全性肺静脉异位引流(TAPVD)手术纠治的因素,本组纳入了28例在中度低温体外循环和15例在深低温停循环下手术纠治者。结果手术死亡4例,死亡率9.3%。随访32例,2例肺静脉回流梗阻分别于术后5个月和2年3个月死亡。结论认为,TAPVD必须早期手术防止肺血管阻塞性病变;术后定期随访;改进手术方法,防止心房内补片粘连所致肺静脉回流梗阻。 相似文献
38.
39.
Efficacy of an air-cleaning device equipped with a high efficiency particulate air filter in house dust mite respiratory allergy 总被引:3,自引:2,他引:1
The efficacy of an air-cleaning device equipped with a high efficiency particulate air (HEPA) filter (without further avoidance measures) was studied in patients allergic to house dust mite. The effects of the air-cleaner on indoor Dermatophagoides sp. levels, symptom score and bronchial hyperresponsiveness in nine mite-allergic patients were assessed using a cross-over controlled study. No significant effect was demonstrated on indoor Dermatophagoides sp. levels when comparing the period of air-cleaner activity (2 months) with the control period (2 months). The Dermatophagoides sp. levels in the houses studied were lower than the risk level for asthmatic attacks, making it difficult to assess any effect on asthma; however, neither bronchial hyperresponsiveness nor rhinitis symptom score were changed by air-cleaner activity. During the trial period, however the mean level of Dermatophagoides sp. allergen in the houses changed spontaneously from 4.4 micrograms/g (mean level in the first 2 trial months) to 1.75 micrograms/g of dust (second 2 months) (P less than 0.05). Owing to this change, the mean rhinitis symptom score also decreased (P less than 0.05), even if no significant correlation was demonstrated (r = 0.4 P = 0.089). HEPA filter air-cleaners appear insufficient as substitutes for standard avoidance measures in mite allergic patients. 相似文献
40.
C. Feretis D. Tabakopoulos P. Benakis M. Xenofontos B. Golematis 《Surgical endoscopy》1990,4(2):88-90
Summary This report describes the technique and results of endoscopic fistulotomy as a drainage procedure in cases of malignant obstruction of the biliary system from bulky and friable growths in the papilla of Vater. Fistulotomy, coupled with insertion of stents, was successful in seven of eight patients and was associated with relief of jaundice. It is suggested that the method be applied when conventional transpapillary insertion of stents is impossible either due to distortion of the papilla or bleeding of the growth on touch. 相似文献