全文获取类型
收费全文 | 21116篇 |
免费 | 1422篇 |
国内免费 | 519篇 |
专业分类
耳鼻咽喉 | 531篇 |
儿科学 | 479篇 |
妇产科学 | 1221篇 |
基础医学 | 515篇 |
口腔科学 | 525篇 |
临床医学 | 2152篇 |
内科学 | 3639篇 |
皮肤病学 | 129篇 |
神经病学 | 559篇 |
特种医学 | 474篇 |
外国民族医学 | 2篇 |
外科学 | 7166篇 |
综合类 | 2167篇 |
现状与发展 | 2篇 |
预防医学 | 807篇 |
眼科学 | 739篇 |
药学 | 765篇 |
96篇 | |
中国医学 | 307篇 |
肿瘤学 | 782篇 |
出版年
2024年 | 66篇 |
2023年 | 476篇 |
2022年 | 750篇 |
2021年 | 1105篇 |
2020年 | 1072篇 |
2019年 | 892篇 |
2018年 | 855篇 |
2017年 | 773篇 |
2016年 | 718篇 |
2015年 | 738篇 |
2014年 | 1369篇 |
2013年 | 1401篇 |
2012年 | 994篇 |
2011年 | 1137篇 |
2010年 | 990篇 |
2009年 | 936篇 |
2008年 | 971篇 |
2007年 | 944篇 |
2006年 | 874篇 |
2005年 | 786篇 |
2004年 | 696篇 |
2003年 | 640篇 |
2002年 | 485篇 |
2001年 | 469篇 |
2000年 | 303篇 |
1999年 | 277篇 |
1998年 | 256篇 |
1997年 | 236篇 |
1996年 | 194篇 |
1995年 | 151篇 |
1994年 | 165篇 |
1993年 | 151篇 |
1992年 | 149篇 |
1991年 | 120篇 |
1990年 | 94篇 |
1989年 | 94篇 |
1988年 | 95篇 |
1987年 | 74篇 |
1986年 | 52篇 |
1985年 | 92篇 |
1984年 | 83篇 |
1983年 | 46篇 |
1982年 | 62篇 |
1981年 | 59篇 |
1980年 | 39篇 |
1979年 | 35篇 |
1978年 | 27篇 |
1977年 | 25篇 |
1976年 | 12篇 |
1975年 | 15篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
71.
Pediatric anesthesiologists practice within a culture, a system, and a society. In this article, we provide an overview of the influence these have on the well‐being or the unwellness of pediatric anesthesiologists. The scope of these issues is broad and far‐reaching; thus, our goal has been to highlight those areas which would be likely to have the largest impact on well‐being if addressed fully by society, institutions, and leaders in our field. We discuss the burnout‐promoting aspects of medical education and training. We survey occupational factors, such as the high‐stake pediatric anesthesia environment, occupational health hazards, time pressure, and the reduction in physician autonomy. We then describe societal barriers, such as the marginalization of certain populations, the US system of malpractice litigation, the stigma surrounding psychiatric care, and some of the issues related to physician reimbursement in the United States. We conclude that in order to move forward, improving physician wellness must be a focus of society, of the medical system as a whole, and of individual departments and leaders in pediatric anesthesia. 相似文献
72.
73.
M. Konermann J. Grötz B. Sorge-Hädicke B. Sanner 《Journal of molecular medicine (Berlin, Germany)》1990,68(21):1059-1065
Resümee Schwerwiegende gastroduodenale Erkrankungen sind bei fast der Hälfte aller Patienten, die sich einer Operation am offenen Herzen unterziehen müssen, auch bei Fehlen von Symptomen nachweisbar. Das erhebliche Überwiegen von Magenläsionen spricht dafür, daß die arteriosklerotisch bedingte Perfusionsminderung der Schleimhaut die entscheidende Ursache hierfür ist. Routinemäßige präoperative Ösophago-Gastro-Duodenoskopien können die nicht unerhebliche durch gastrointestinale Komplikationen bedingte postoperative Mortalität senken helfen.
Abkürzungen ASS Azetylsalizylsäure - J. Jahre - GI-Trakt Gastrointestinaltrakt 相似文献
Pathological changes in the upper gastrointestinal tract in patients awaiting open heart surgery
Summary While waiting for open heart surgery, in 153 patients (104 male, 49 female, 22–76 years of age) without gastrointestinal symptoms and/or history esophago-gastro-duodenoscopy was performed. 124 patients suffered from coronary heart disease, 29 from valvular defect, aneurysm of the sinus of Valsalva or tumor of the heart.In 47.1% endoscopy revealed serious abnormal findings: in 16.3% gastric ulcer, in 20.9% erosive gastritis, duodenal ulcer and erosive duodenitis in 5.2%, respectively, 1 case of gastric carcinoma, 2 of large polyps and 3 of reflux esophagitis of higher degree (totally 3.9%).In patients with coronary artery disease, the relation of erosive and ulcerous gastric lesions as compared with those of duodenal origin was 41, in patients with other cardiac diseases it was 21, respectively (p<0,001).Compared with a normal population, the incidence of pathological gastric findings was 54-fold higher in our patients, and 1.7-fold concerning duodenal lesions, respectively (p<0.001).51 patients on acethylsalicylic acid (160 mg/ die) showed pathologic findings in 41.2%, and 96 patients without ulcer-inducing therapy in 51%. Thus, low-dose Aspirin does not seem to have serious gastric side effects.The results of the study stress the necessity of routinely performed endoscopy of the upper gastrointestinal tract in patients awaiting open heart surgery. This will lead to a lower incidence of serious gastrointestinal complications postoperatively, which are known to have a high mortality.
Abkürzungen ASS Azetylsalizylsäure - J. Jahre - GI-Trakt Gastrointestinaltrakt 相似文献
74.
颅咽管瘤切除术后常见并发症的处理 总被引:2,自引:0,他引:2
目的:研究颅咽管瘤术后的常见并发症及其相应的防治措施。方法:分析110例颅咽管瘤手术后所出现的各种并发症,探讨其产生的原因并总结临床处理过程中的体会。结果:颅咽管瘤切除术后并发症的发生与肿瘤切除程度和术中垂体柄、下丘脑等的受损状况有关。尿崩、高热、水电解质平衡失调和癫痫是颅咽管瘤术后最常见的并发症,其发生率分别为79.1%、47.3%、88.2%和17.3%。结论;耐心细致的术中显微外科操作和严格规范化的术后管理对降低颅咽管瘤术后病残率,提高其术后生存率具有十分重要的临床意义。 相似文献
75.
An impacted ureteric T-tube was removed percutaneously, using an Amplatz goose-neck snare. This new snare has advantages over conventional snares, particularly in situation where atraumatic manipulation is essential.
Correspondence to: R. D. Edwards 相似文献
76.
Background: Gastric banding is one of the simplest surgical procedures for the treatment of morbid obesity. We performed more
than 150 ‘laparotomy’ (open) gastric bandings and more than 50 ‘laparoscopic’ bandings in the last 10 years. Methods: In most
procedures we used non-adjustable bands, but since the beginning of 1995 we have used adjustable silicone banding. Results:
The 5- and 10-year follow-up weight loss results are encouraging. The average long-term weight loss was 35.5 kg. Since 1993,
we performed all the procedures laparoscopically, and the postoperative complications decreased from 18.5% in the ‘laparotomy’
group to 9.5% in the ‘laparoscopic’ group, with the majority being esophagitis and outlet area irritation. Conclusion: Gastric
banding itself and especially the minimally invasive laparoscopic approach is an easy technical procedure. The long-term weight
loss results and the reoperation rate are acceptable for bariatric surgery criteria. 相似文献
77.
Pedraza Gutiérrez S Coll Masfarré S Castaño Duque CH Suescún M Rovira Cañellas A 《Neuroradiology》1999,41(12):910-914
We report two cases of hyperacute spinal subdural haematoma secondary to lumbar spinal anaesthesia, identified with MRI.
Prompt diagnosis of this infrequent, potentially serious complication of spinal anaesthesia is essential, as early surgical
evacuation may be needed. Suggestive MRI findings in this early phase include diffuse occupation filling of the spinal canal
with poor delineation of the spinal cord on T1-weighted images, and a poorly-defined high-signal lesion with a low-signal
rim on T2-weighted images.
Received: 10 November 1998 Accepted: 6 April 1999 相似文献
78.
Background: The Swedish adjustable gastric band (SAGB) has been in use since 1985. The aim of this study was to analyze short
and long-term complications linked to the SAGB. Materials and Methods: Between August 1990 and December 1996, we operated
on a series of 326 patients (78 men and 248 women) at the Huddinge University Hospital and the Norra ?lvsborg County Hospital.
The mean age of patients at surgery was 40 years (range 19-62). The mean preoperative weight was 125 kg (range 81-181). The
mean excess weight was 80%. Results: The mean time of follow-up was 28 months (range 6-76). Complications requiring reoperation
included two (0.6%) band dislocations, six (1.8%) band leakages, and 16 (4.6%) band migrations-erosions. The most common reason
for abdominal reoperation, band migration, was attributed to overfilling of the band system. In the patients in whom migration
occurred, the bands had been filled with a mean volume of 12.6 ml fluid. In the remaining patients, the mean volume was 8.7
ml. The most common complication not requiring reoperation was reflux disease (4.7%). In cases with a small pouch, this complication
did not seem to be a serious problem. The mean excess weight loss in the 296 patients without complications was 68%. Conclusion:
The overall long-term complication rate following SAGB is reasonable. With improved operating technique and closer follow-up,
it should be possible to reduce the complication rate further. Reoperation because of band migration appears to be related
to overfilling of the system and should therefore be avoidable in most cases. 相似文献
79.
IntroductionLipoprotein(a)[Lp(a)]consistsofanLDLparticle,inwhichapolipoprotein(a)isatachedtoapolipoproteinB-100throughadisulf... 相似文献
80.
Bilateral macular hemorrhage after laser in situ keratomileusis 总被引:2,自引:0,他引:2
José Domingo Luna Victor Eduardo Reviglio Claudio Patricio Juárez 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》1999,237(7):611-613
· Background: This is the first report of a bilateral submacular hemorrhage after LASIK surgery in an extreme myo pic patient.
A 31-year-old man underwent bilateral surgery for correction of –16.75+0.75×70° and –16.50+0.50×55°. · Methods: Case report. ·
Results: One day after surgery the patient’s uncorrected visual acuity was in the 20/50 range OU and by 17 days after surgery
his visual acuity had declined to 20/200 range. Fundus examination showed multifocal subretinal macular and posterior pole
hemorrhages. Fluorescein angiography showed some macular lesions compatible with lacquer cracks. · Conclusions: Preoperative
and postoperative fundus examination is important to detect this phenomenon. Patients should be informed of this rare complication.
Received: 2 June 1998 Revised version received: 16 November 1998 Accepted: 17 November 1998 相似文献