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991.
992.
《中国现代医生》2021,59(19):75-77+81
目的 探讨基层医院实施围产期B族链球菌感染筛查及防治的价值。方法 回顾性分析我院2019年7月至2020年7月纳入的4220例围产期孕妇作为研究对象,收集并整理其齐全资料,并在我院接受阴道与直肠的B族链球菌感染筛查,经B族链球菌感染筛查结果,将其中507例阳性者作为阳性组,另3713例阴性者作为阴性组,分析围产期B族链球菌感染筛查及防治运用于基层医院中的价值。结果 本院所有研究对象均接受B族链球菌感染筛查,结果发现阳性者507例,阳性率为12.01%;阴性者3713例,阴性率为87.99%。两组在剖宫产、产后出血、产褥感染、新生儿窒息、胎儿窘迫上比较,差异无统计学意义(P0.05);但阳性组的绒毛膜羊膜炎、羊水污染、胎膜早破、新生儿感染发生率均高于阴性组(P0.05)。结论 基层医院中实施围产期B族链球菌感染筛查具有重要意义,应受到医疗界重点关注,经过筛查后尽早给予有效干预,从而避免不良妊娠结局产生,保障母婴安全。 相似文献
993.
吴迪 《肾脏病与透析肾移植杂志》2011,20(4):378-383
经典的主要组织相容性复合体(MHC)在排斥反应的发生、发展方面具有重要作用,但越来越多的研究表明某些非经典MHC基因在此过程中,乃至在其他疾病的免疫机制方面同样意义显著。主要组织相容性复合体Ⅰ类分子链相关基因A(major histocompatibility complex class I related chain A,MICA)即属于非经典MHC-I类基因。大量研究表明,作为最具多态性的非经典MHC-I类基因,其表达产物可借助NKG2D与自然杀伤细胞、某些特定T细胞亚群等多种免疫细胞相互作用,从而在病毒感染的免疫监视、自身免疫性疾病与器官移植排斥反应的发生发展方面均具有重要意义。 相似文献
994.
Saipin Chotivichien Lenore Arab Wisit Prasithsirikul Weerawat Manosuthi Sangsom Sinawat 《AIDS care》2016,28(2):257-265
HIV-infected patients receiving antiretroviral therapy have increased risk of metabolic syndrome, including dyslipidemia. In this study, we determined whether individual nutritional counseling reduced dyslipidemia, particularly low-density lipoprotein (LDL) cholesterol, among HIV-infected patients with dyslipidemia not currently taking lipid-lowering medication. We conducted a randomized 24-week trial among HIV-infected patients with dyslipidemia who were on antiretroviral therapy and were eligible to initiate therapeutic lifestyle changes according to the Thai National Cholesterol Education Program. Participants were randomly assigned to an intervention group that received individual counseling with a nutritionist for seven sessions (baseline, weeks 2, 4, 8, 12, 18, and 24) and a control group that received standard verbal diet information at baseline and nutritional counseling only at week 24. A 24-h recall technique was used to assess dietary intake for both groups at baseline and week 24. Lipid profile (total cholesterol, LDL, high-density lipoprotein (HDL), and triglyceride) was measured at baseline and after 12 and 24 weeks of therapy. An intention-to-treat and linear mixed model were used. Seventy-two patients were randomly assigned, and 62 (86%) participants completed their lipid profile test. After 12 weeks of follow-up, there were significant reductions in the intervention group for total cholesterol (?14.4?±?4.6?mg/dL, P?=?.002), LDL cholesterol (?13.7?±?4.1?mg/dL, P?=?.001), and triglyceride (?30.4?±?13.8?mg/dL, P?=?.03). A significant reduction in LDL cholesterol was also observed in the control group (?7.7?±?3.8?mg/dL, P?=?.04), but there were no significant differences in change of mean lipid levels between the groups at 12 weeks of follow-up. After 24 weeks, participants assigned to the intervention group demonstrated significantly greater decreases in serum total cholesterol (?19.0?±?4.6?vs. 0.2?±?4.3?mg/dL, P?=?.003) and LDL cholesterol (?21.5?±?4.1?vs. ?6.8?±?3.8?mg/dL, P?=?.009). There were no significant changes in HDL cholesterol or triglyceride levels in either group. 相似文献
995.
目的 了解肾移植术后院内感染的现状.方法 将106例肾移植患者按照入住病房的实际情况分成层流病房组54例和ICU组52例,比较2组院内感染的发生情况.结果 层流病房组患者院内感染的发生率比ICU组低.层流病房内的细菌菌落数明显少于ICU.结论 肾移植术后层流病房的院内感染发生率明显低于ICU,因此肾移植术后患者应选择层流病房以降低术后感染. 相似文献
996.
997.
《Cor et vasa》2017,59(5):e507-e511
We present the case of the 56-year-old Caucasian man, with the 30 months history of previous Yacoub operation, reported to the complex cardiovascular center as the acute coronary syndrome with new LBBB ECG changes. Coronary angiogram proved the atypical affection of the left main coronary artery, transesophageal echocardiography clarified a large aortic pseudoaneurysm repressed both of coronary arteries, as the cause of symptoms. The surgical correction (Bentall procedure) was successfully performed and the patient was discharged 23 days after redo surgery with no complications. 相似文献
998.
Substitutions in position 222 of haemagglutinin of pandemic influenza A (H1N1) 2009 viruses in Spain
Juan Ledesma Francisco Pozo Mercedes Prez Ruiz Jose María Navarro Luis Pieiro Milagros Montes Sonia Prez Castro Jonathan Surez Fernndez Juan García Costa Mirian Fernndez Juan Carlos Galn María Teresa Cuevas Inmaculada Casas Pilar Prez Brea Spanish Influenza Surveillance System 《Journal of clinical virology》2011,51(1):75-78
999.
María Lilia Díaz Betancourt Julio César Klínger Hernández Victoria Eugenia Ni?o Casta?o 《Colombia Médica》2012,43(4):305-311
Lymphocytopenia and CD4+ T lymphocytopenia can be associated with many bacterial, fungal, parasite and viral infections. They can also be found in autoimmune and neoplastic diseases, common variable immunodeficiency syndrome, physical, psychological and traumatic stress, malnutrition and immunosuppressive therapy. Besides, they can also be brought into relation, without a known cause, with idiopathic CD4+ T lymphocytopenia. Among viral infections, the Retrovirus, specially the human immunodeficiency virus, is the most frequently cause. However, many acute viral infections, including cytomegalovirus and Epstein Barr virus can be associated with transient lymphocytopenia and CD4+ T lymphocytopenia. As is well known, transient lymphocytopenia and CD4+ T lymphocytopenia are temporary and overcome when the disease improves. Nonetheless, severe CD4+ T Lymphocytopenia associated with chronic infections by human herpes virus has not been reported. We describe 6 cases of human immunodeficiency virus negative patients, with chronic cytomegalovirus and Epstein Barr virus infections and profound lymphocytopenia with clinical symptoms of cellular immunodeficiency. These patients improved rapidly with ganciclovir or valganciclovir treatment. We claim here that it is important to consider the chronic human herpes virus infection in the differential diagnosis of profoundly CD4+ T lymphocytopenia etiology, when human immunodeficiency virus is absent, in order to start effective treatment and to determine, in future studies, the impact of chronic human herpes virus infection in human beings'' health. 相似文献
1000.