全文获取类型
收费全文 | 3968篇 |
免费 | 153篇 |
国内免费 | 77篇 |
专业分类
耳鼻咽喉 | 40篇 |
儿科学 | 59篇 |
妇产科学 | 42篇 |
基础医学 | 89篇 |
口腔科学 | 6篇 |
临床医学 | 524篇 |
内科学 | 296篇 |
皮肤病学 | 14篇 |
神经病学 | 846篇 |
特种医学 | 287篇 |
外科学 | 627篇 |
综合类 | 871篇 |
预防医学 | 108篇 |
眼科学 | 22篇 |
药学 | 260篇 |
1篇 | |
中国医学 | 90篇 |
肿瘤学 | 16篇 |
出版年
2024年 | 10篇 |
2023年 | 33篇 |
2022年 | 136篇 |
2021年 | 152篇 |
2020年 | 109篇 |
2019年 | 85篇 |
2018年 | 102篇 |
2017年 | 113篇 |
2016年 | 147篇 |
2015年 | 132篇 |
2014年 | 256篇 |
2013年 | 299篇 |
2012年 | 240篇 |
2011年 | 254篇 |
2010年 | 216篇 |
2009年 | 206篇 |
2008年 | 186篇 |
2007年 | 176篇 |
2006年 | 169篇 |
2005年 | 133篇 |
2004年 | 125篇 |
2003年 | 132篇 |
2002年 | 88篇 |
2001年 | 83篇 |
2000年 | 69篇 |
1999年 | 59篇 |
1998年 | 44篇 |
1997年 | 40篇 |
1996年 | 37篇 |
1995年 | 46篇 |
1994年 | 36篇 |
1993年 | 18篇 |
1992年 | 26篇 |
1991年 | 28篇 |
1990年 | 22篇 |
1989年 | 22篇 |
1988年 | 10篇 |
1987年 | 25篇 |
1986年 | 12篇 |
1985年 | 18篇 |
1984年 | 22篇 |
1983年 | 13篇 |
1982年 | 20篇 |
1981年 | 21篇 |
1980年 | 6篇 |
1979年 | 8篇 |
1978年 | 4篇 |
1977年 | 5篇 |
1976年 | 3篇 |
1972年 | 1篇 |
排序方式: 共有4198条查询结果,搜索用时 15 毫秒
11.
头部外伤诱发颅内肿瘤卒中 总被引:2,自引:0,他引:2
目的 通过复习文献,对颅内肿瘤引起的颅内出血发生机制和临床特点进行探讨,旨在引起临床医师们的重视,以减少误诊误治。方法 本文报告9例误诊为外伤性颅内血肿的瘤卒中患者,其中5例术中发现颅内肿瘤同时切除,3例术后复查CT发现颅内肿瘤,二次手术切除。结果 全部病例随访6月,4例死亡,5例存活。结论 对疑为瘤卒中的颅内血肿患者,除仔细询问病史,全面体查外,术中应仔细寻找出血源,观察周围脑组织的改变,对可疑病变组织、血块及其腔壁一并切除,分送病检,从而作出正确的治疗方案。 相似文献
12.
13.
Martin E. Weinand Bruce Hermann Allen R. Wyler L. Philip Carter K. J. Oommen David Labiner Geoff Ahern Anne Herring 《Epilepsia》1994,35(5):1054-1059
Summary: We report a series of 8 patients with ictal déjà vu. Subdural strip electrocorticographic (ECoG) monitoring localized the ictal epileptogenic focus as follows: right (n = 6) and left (n = 2) mesiotemporal lobe. In all 8 patients, the left hemisphere was dominant for language function based on intracarotid amytal testing. In 6 right-handed patients, ictal déjà vu was associated with a right temporal lobe focus. However, in the 2 left-handed patients, the ictal focus was left temporal lobe. Although ictal déjà vu localizes the epileptic focus to temporal lobe, this experiential phenomenon appears to lateralize to the hemisphere nondominant for handedness. 相似文献
14.
影响急性外份性硬脑膜外血肿疗效的相关因素分析(附484例报告) 总被引:2,自引:1,他引:1
目的探讨影响急性外伤性硬脑膜外血肿疗效的相关因素。方法对1994年5月至2004年5月收治的484例外伤性硬脑膜外血肿患者的临床资料进行回顾性分析。结果无脑疝症状者手术死亡率7.7%,有脑疝症状者死亡率21.3%。手术距脑疝发生时间<1h死亡率8.2%,1~2h死亡率40.0%,>2h死亡率72.2%。结论影响外伤性硬脑膜外血肿疗效的相关因素较多,除脑疝形成及手术距脑疝发生的时间外,创伤性低血压、合并脑损伤的程度、呼吸功能不全、大面积脑梗塞、血糖与血浆渗透压升高及肝功能异常等均对患者预后有重要影响。 相似文献
15.
本文介绍一种高血压脑出血外科治疗的新方法,即简易定向锥颅脑内血肿碎吸术。截至1988年10月临床应用19例,年龄41~79岁,出血量平均为48.1ml,一次吸除量为总量的79%(38ml),术后立即清醒者8/19例,偏瘫好转者4/19例,死亡4例。实践证明本法简单,安全有效,病人负担轻。 相似文献
16.
Acute subdural hematoma: Outcome and outcome prediction 总被引:3,自引:0,他引:3
R. Kemal Koç M.D. Hidayet Akdemir I. Suat Öktem Mehmet Meral Ahmet Menkü 《Neurosurgical review》1997,20(4):239-244
Patients with traumatic acute subdural hematoma were studied to determine the factors influencing outcome.Between January 1986 and August 1995, we collected 113 patients who underwent craniotomy for traumatic acute subdural hematoma. The relationship between initial clinical signs and the outcome 3 months after admission was studied retrospectively.Functional recovery was achieved in 38% of patients and the mortality was 60%. 91% of patients with a high Glasgow Coma Scale (GCS) score (9–15) and 23% of patients with a low GCS score (3–8) achieved functional recovery. All of 14 patients with a GCS score of 3 died. The mortality of patients with GCS scores of 4 and 5 was 95% to 75%, respectively. Patients over 61 years old had a mortality of 73% compared to 64% mortality for those aged 21–40 years. 97% of patients with bilateral unreactive pupil and 81% of patients with unilateral unreactive pupil died. The mortality rates of associated intracranial lesions were 91% in intracerebral hematoma, 87% in subarachnoid hemorrhage, 75% in contusion.Time from injury to surgical evacuation and type of surgical intervention did not affect mortality. Age and associated intracranial lesions were related to outcome. Severity of injury and pupillary response were the most important factors for predicting outcome. 相似文献
17.
G. Bassotti F. Sietchiping Nzepa G. de Roberto M. J. Fischer A. Morelli 《Digestive and liver disease》2004,36(1):78-81
Selective serotonin reuptake inhibitors are frequently employed to treat depression. However, although rarely, coagulation abnormalities have been described following the use of these compounds, and these effects appear to be enhanced by simultaneous use of nonsteroidal anti-inflammatory drugs. We describe a case of reversible symptomatic duodenal compression caused by a retroperitoneal hematoma after ingestion of sertraline and nimesulide. 相似文献
18.
19.
Despite a number of studies on infiltration of eosinophilic granulocytes into the outer membrane of chronic subdural hematomas, the significance of this phenomenon is not clear. We investigated histologically the membranes of 40 patients with chronic subdural encapsulated hematoma. Infiltrations with eosinophilic leucocytes were found in the granulation tissue of the inner layer of the outer membrane, either diffuse and sporadic (12 cases) or as massive agglomerations (28 cases). Fifty percent of the patients with marked infiltrations were between 61 and 80 years old. In 5 cases Charcot-Leyden crystals were identified. The numerous functions of the eosinophils play a more important role in repair than in maintenance of fluidity of hematomas. 相似文献
20.
目的 探讨脑动脉瘤(AN)破裂所致的急性硬膜下血肿(ASDH)的临床、影像学特点和诊治方案。方法 回顾288例破裂AN,发现10例伴有ASDH。Huni Hess分级,Ⅱ级3人,Ⅲ级1人,Ⅳ级3人,Ⅴ级3人,均经CTA诊断为AN破裂,除2例外均被脑血管造影或手术所证实。保守治疗2例,血肿清除加AN夹闭术4例,电解脱弹簧圈(GDC)栓塞后加血肿清除2例,栓塞加脑室外引流1例,单纯栓塞l例。结果 疗效优者2例,中残者l例,7例死亡。结论 AN性ASDH的预后极差,同术前分级相关;CTA检查后立即行血肿清除加动脉瘤夹闭有助于提高预后,合适患者可联合栓塞和血肿清除术。 相似文献