全文获取类型
收费全文 | 20529篇 |
免费 | 1199篇 |
国内免费 | 480篇 |
专业分类
耳鼻咽喉 | 162篇 |
儿科学 | 648篇 |
妇产科学 | 275篇 |
基础医学 | 1782篇 |
口腔科学 | 532篇 |
临床医学 | 1597篇 |
内科学 | 2090篇 |
皮肤病学 | 178篇 |
神经病学 | 572篇 |
特种医学 | 1039篇 |
外国民族医学 | 2篇 |
外科学 | 7897篇 |
综合类 | 2190篇 |
现状与发展 | 2篇 |
预防医学 | 590篇 |
眼科学 | 120篇 |
药学 | 914篇 |
26篇 | |
中国医学 | 231篇 |
肿瘤学 | 1361篇 |
出版年
2024年 | 67篇 |
2023年 | 525篇 |
2022年 | 825篇 |
2021年 | 1065篇 |
2020年 | 1088篇 |
2019年 | 909篇 |
2018年 | 781篇 |
2017年 | 606篇 |
2016年 | 603篇 |
2015年 | 723篇 |
2014年 | 1347篇 |
2013年 | 1413篇 |
2012年 | 1058篇 |
2011年 | 1224篇 |
2010年 | 990篇 |
2009年 | 1048篇 |
2008年 | 1067篇 |
2007年 | 1032篇 |
2006年 | 872篇 |
2005年 | 807篇 |
2004年 | 653篇 |
2003年 | 521篇 |
2002年 | 398篇 |
2001年 | 334篇 |
2000年 | 295篇 |
1999年 | 264篇 |
1998年 | 241篇 |
1997年 | 193篇 |
1996年 | 163篇 |
1995年 | 136篇 |
1994年 | 110篇 |
1993年 | 107篇 |
1992年 | 72篇 |
1991年 | 71篇 |
1990年 | 72篇 |
1989年 | 51篇 |
1988年 | 53篇 |
1987年 | 61篇 |
1986年 | 33篇 |
1985年 | 56篇 |
1984年 | 59篇 |
1983年 | 22篇 |
1982年 | 38篇 |
1981年 | 36篇 |
1980年 | 34篇 |
1979年 | 27篇 |
1978年 | 24篇 |
1977年 | 17篇 |
1976年 | 7篇 |
1973年 | 3篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
81.
82.
Background: There is a growing interest in the use of local anaesthesia for inguinal hernia repair. It certainly seems to
be an acceptable alternative for the elderly. Supporting intravenous sedation, however, still requires monitoring, anaesthetic
personnel and some preparations for the patient. Therefore we set up a feasibility study of hernia repair under local anaesthesia
without intravenous sedation or monitoring in elderly patients. Method: A total of 62 patients (aged 65 years or more) with
unilateral inguinal hernia received a Mesh Plug Repair. Prospectively collected data included procedure-related complications
and information on pain and quality of life as measured by Short Form 36. Results: No procedure-related complications were
noted. Comparing the preoperative scores, the SF-36 on day 14 (n=61) did not differ significantly. After a median follow-up of ten months (n=54), significantly higher scores were found for scales of physical and emotional role and pain (all p<0.05). Twenty-two patients reported some form of pain (40.7%). 94.4% of the patients would recommend the procedure when asked.
Conclusion: The results of this study indicated that Mesh Plug Repair performed under unmonitored local anaesthesia with no
intravenous sedation is a feasible alternative for elderly patients. It has advantages for the medical organization without
disadvantages for the patient. 相似文献
83.
目的分析肺癌骨转移引起腰腿痛症状导致误诊的原因及教训。方法对1例误诊为腰椎间盘突出症、腰臀部慢性软组织损害的肺癌骨转移致腰腿痛患者的诊疗过程结合文献进行综合分析。结果肺癌骨转移所致腰腿麻痛症状是因受累椎体发生溶骨性破坏或楔形变,对应椎管位置狭窄,肿瘤侵犯骨皮质或软组织肿块压迫刺激脊髓和神经根而引起,本病误诊的主要原因是病史询问不详,查体简单、粗疏,未做针对性强的影像学检查。结论仔细询问病史,认真查体,与早期行针对性强的影像学检查相结合,可有效降低误诊率。 相似文献
84.
85.
改良式腹腔镜腹膜外补片植入法疝修补术 总被引:4,自引:1,他引:3
目的探讨改进式腹腔镜腹膜外补片植入法腹股沟疝修补术的可行性及临床意义.方法回顾性分析我院2002年6月~2004年10月13例腹股沟疝进行的腹腔镜下经腹腔腹膜外补片植入法联合腹膜缝合覆盖修补术的临床资料.其中腹股沟斜疝9例,直疝4例;其中复发疝1例;右侧8例,左侧4例,双侧1例.结果手术均获成功,单侧手术时间35~85 min,平均50 min,无一例中转开腹,无术后并发症,术后平均住院时间2 d,13例随访1~28个月,平均12个月,无一例复发.结论腹腔镜下经腹腔途径腹膜外补片植入法联合腹膜缝合覆盖术是一种安全、可靠、疗效显著的腹股沟疝修补方法,具有手术操作简单、创伤小、术后疼痛轻、恢复快等优点,可以代替开放手术,值得推广应用. 相似文献
86.
微型腹腔镜治疗小儿腹股沟斜疝62例体会 总被引:1,自引:0,他引:1
目的:探讨微型腹腔镜治疗小儿腹股沟斜疝的可行性。方法:应用微型腹腔镜,采用自行设计的带线针和En-doc lose与操作钳配合,运用提插式缝合方法,高位荷包缝扎内环口周边腹膜,治疗小儿腹股沟斜疝62例。结果:62例手术均成功,手术时间10~15m in,住院2~3d。术后随诊1~28月无复发。结论:微型腹腔镜下高位荷包缝扎内环口治疗小儿腹股沟斜疝具有损伤小、恢复快、住院时间短、对侧再发率低的优点。 相似文献
87.
Hidehito Sakaguchi Tetsuji Kawata Shigeki Taniguchi 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2004,52(2):71-74
The surgical approach to ischemic mitral regurgitation with concomitant inferior left ventricular aneurysm remains uncertain
in terms of the indication for operation and the short-and long-term outcomes. We performed concomitant mitral valve repair,
left ventricular reconstruction, and aortic valve replacement on a 71-year-old male with severe ischemic mitral regurgitation,
inferior left ventricular aneurysm, and degenerative aortic regurgitation. Postoperative status was in New York Heart Association
functional class I without mitral regurgitation 8 months after operation. We discuss, and review the procedures reported in
the literature. 相似文献
88.
Repair of large midline incisional hernias with polypropylene mesh: Comparison of three operative techniques 总被引:9,自引:0,他引:9
de Vries Reilingh TS van Geldere D Langenhorst BLAM de Jong D van der Wilt GJ van Goor H Bleichrodt RP 《Hernia》2004,8(1):56-59
Polypropylene mesh is widely used for the reconstruction of incisional hernias that cannot be closed primarily. Several techniques have been advocated to implant the mesh. The objective of this study was to evaluate, retrospectively, early and late results of three different techniques, onlay, inlay, and underlay. The records of 53 consecutive patients with a large midline incisional hernia — 25 women and 28 men, mean age 60.4 (range 28–94) — were reviewed. Polypropylene mesh was implanted using the onlay technique in 13 patients, inlay in 23 patients, and underlay in 17 patients. Either the greater omentum or a polyglactin mesh was interponated between the mesh and the viscera. The records of these 53 patients were reviewed with respect to: size and cause of the hernia, pre- and postoperative mortality and morbidity, with special attention to wound complications. Patients were invited to attend the outpatient clinic at least 12 months after implantation of the mesh for physical examination of the abdominal wall. Postoperative complications occurred in 14 (26.4%) patients. The onlay technique had significantly more complications, as compared to both other techniques. Reherniation occurred in 15 (28.3%) patients. The reherniation rate of the inlay technique was significantly higher than after the underlay technique (44% vs 12%, P=0.03) and tended to be higher than the onlay technique (44% vs 23%, P=0.22). Repair of large midline incisional hernias with the use of a polypropylene mesh carries a high risk of complications and has a high reherniation rate. The underlay technique seems to be the better technique. 相似文献
89.
90.
处女膜修补手术及麻醉方法的改进 总被引:9,自引:7,他引:2
目的;增大处女膜粘膜瓣的接触面,减少因麻醉造成的处女膜粘膜水肿,提高修复手术的成功率。方法:手术全部采用1%的卡因行粘膜表面麻醉。53例采用瓦合粘膜瓣法,3例用瓦合粘膜瓣联合阴道粘膜瓣修复法。结果:56例术后一月随访,53例处女膜孔径为一指,成功率94.64%。结论:采用1%的卡因粘膜表面麻醉,瓦合粘膜瓣法及瓦合粘膜联合阴道粘膜瓣修复法对处女膜修复是行之有效的。 相似文献