首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   20696篇
  免费   568篇
  国内免费   41篇
耳鼻咽喉   443篇
儿科学   739篇
妇产科学   806篇
基础医学   1218篇
口腔科学   282篇
临床医学   837篇
内科学   6710篇
皮肤病学   374篇
神经病学   2110篇
特种医学   450篇
外科学   3409篇
综合类   387篇
一般理论   1篇
预防医学   1380篇
眼科学   499篇
药学   786篇
  1篇
中国医学   113篇
肿瘤学   760篇
  2023年   387篇
  2022年   1110篇
  2021年   1111篇
  2020年   927篇
  2019年   2510篇
  2018年   2696篇
  2017年   929篇
  2016年   339篇
  2015年   361篇
  2014年   1464篇
  2013年   1160篇
  2012年   831篇
  2011年   1088篇
  2010年   887篇
  2009年   636篇
  2008年   624篇
  2007年   683篇
  2006年   474篇
  2005年   362篇
  2004年   257篇
  2003年   178篇
  2002年   183篇
  2001年   94篇
  2000年   73篇
  1999年   67篇
  1998年   66篇
  1997年   58篇
  1996年   49篇
  1995年   39篇
  1994年   29篇
  1993年   52篇
  1992年   14篇
  1991年   29篇
  1990年   20篇
  1989年   7篇
  1988年   18篇
  1987年   9篇
  1985年   142篇
  1984年   200篇
  1983年   170篇
  1982年   166篇
  1981年   152篇
  1980年   121篇
  1979年   98篇
  1978年   89篇
  1977年   72篇
  1976年   78篇
  1975年   71篇
  1974年   62篇
  1973年   45篇
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
991.
目的 :观察电针对大鼠脑出血模型的疗效。方法 :选择胶原酶加肝素联合注射法诱导脑出血大鼠模型 ,观察电针不同穴位对其脑组织病理形态学、脑含水量和神经损伤积分值的影响。结果 :电针水沟组 (取水沟、上星穴 )、电针风府组 (取风府、哑门穴 )均可明显改善胶原酶加肝素联合注射法诱导大鼠脑出血模型的脑组织形态学损害和神经行为功能的缺损 ,降低因出血导致的血肿周围组织的水肿 ;且电针水沟组在改善大鼠脑出血模型的脑组织形态学损害和神经行为功能的缺损方面 (72h姿势反射和平衡反射积分值 )优于电针风府组。结论 :电针水沟、上星和电针风府、哑门对大鼠脑出血损伤均有一定程度的保护作用 ,且前者的保护作用优于后者  相似文献   
992.
Cerebral venous sinus thrombosis is uncommon. Pregnancy is a major risk factor for the development of this entity. We report the case of a patient with Job’s syndrome and protein C and S deficiency who developed cerebral venous sinus thrombosis and dural fistula at 36 weeks’ gestation. After heparinization, the treatment of choice, pregnancy termination to eliminate the prothrombotic status and embolization of the dural fistula were required to obtain complete remission of the neurological symptoms.  相似文献   
993.
994.
995.
Frozen sections of 35 astrocytic tumors of various histologic malignancies were analyzed by comparative genomic hybridization in an attempt to characterize the profile of genetic aberrations. Over 94% of the samples revealed DNA copy number aberrations, which increased with higher histological malignancy grades, and also involvement of more than one chromosome was seen in 85% of instances. The aberrations observed were mainly deletions and most frequently incorporated chromosomes 1p, 10, 19q, and 22q. On the other hand, gains or amplifications were detected only in glioblastomas. Additionally, such gains or amplifications were present in all tumor samples where the initial histopathological diagnosis was glioblastoma and immunohistochemical study disclosed p53 tumor suppressor protein negative and epidermal growth factor receptor positive immunoreactivity; such glioblastomas possessing p53 tumor suppressor protein positive and epidermal growth factor receptor negative immunoreactivity seldom displayed any gain. Thus, glioblastomas exhibiting two different profiles of genetic aberrations were recognized—one with and the other without any gains/amplifications. We speculate that the former variety is de novo glioblastoma.  相似文献   
996.

Purpose

To evaluate the prevalence of excessive screen-based behaviors among Brazilian adolescents through a systematic review with meta-analysis.

Data source

Systematic review and meta-analysis were recorded in the International Prospective Register of Ongoing Systematic Reviews (PROSPERO-CRD 2017 CRD42017074432). This review included observational studies (cohort or cross-sectional) that evaluated the prevalence of excessive screen time (i.e. combinations involving different screen-based behaviors) or TV viewing (≥2 h/day or >2 h/day in front of screen) through indirect or direct methods in adolescents aged between 10 and 19 years. The research strategy included the following databases: MEDLINE, LILACS, SciELO and ADOLEC. The search strategy included terms for “screen time”, “Brazil”, and “prevalence”. Random effect models were used to estimate the prevalence of excessive screen time in different categories.

Data summary

Twenty-eight out of 775 studies identified in the search met the inclusion criteria. The prevalence of excessive screen time and TV viewing was 70.9% (95% CI: 65.5–76.1) and 58.8% (95% CI: 49.4–68.0), respectively. There was no difference between sexes in both analyses. The majority of studies included showed a low risk of bias.

Conclusions

The prevalence of excessive screen time and TV viewing was high among Brazilian adolescents. Intervention are needed to reduce the excessive screen time among adolescents.  相似文献   
997.

Objective

To know the distribution of births of very low birth weight infants by day of the week, and whether this distribution affects the morbidity and mortality in this group of patients.

Methods

This was a retrospective analysis of data collected prospectively in the Spanish SEN1500 network (2002–2011). Outborn infants, patients with major congenital anomalies, and those who died in the delivery room were excluded. Births were grouped into “weekdays” and “weekends.” A multivariate logistic regression analysis was conducted to evaluate the independent effect of the birth moment on outcomes, and Cox regression for survival.

Results

Out of a total of 27,205 very low birth weight infants born at and/or admitted to the participating centers, 22,961 (84.4%) met inclusion criteria. A reduction of 24% in the number of births was observed during the “weekends” compared with “weekdays”. In the raw analysis, patients born on weekends exhibited higher morbidity and mortality (mortality rate: 14.2% vs. 16.5%, p < 0.001), but differences were no longer significant after adjusting for confounding factors.

Conclusions

The present results suggest that current care practices reduce the proportion of births during the weekends and tend to cluster some high-risk births during this period, increasing crude morbidity and mortality. However, after adjusting for confounding factors, the differences disappear, suggesting that overall care coverage in these centers is appropriate.  相似文献   
998.
999.

Objective

To estimate the effectiveness of selective versus universal screening for thyroid dysfunction (TD) during pregnancy.

Material and methods

Cross-sectional study applying a selective screening protocol, based on the presence of TD risk factors (RF), in a cohort of pregnant women with a positive universal screening result in the Oviedo Healthcare District. Two hundred and twenty pregnant women with TD were studied between April 2010 and March 2011.

Results

Selective screening identified 83.6% of pregnant women with TD. The most prevalent RF were maternal age ≥ 30 years (70.5%), history of miscarriage (21.8%) and family history of thyroid disease (20.9%). Excluding the age factor, only 51.8% of the pregnant women included in the group had risk factors.

Conclusions

Selective screening identifies a high proportion of pregnant women with TD but at the expense of screening a large number of women, so it does not appear to be an effective strategy.  相似文献   
1000.

Introduction and objectives

The utility of fine-needle aspiration cytology (FNAC) in parotid tumours remains widely debated. This study aims to evaluate the accuracy of FNAC in diagnosing parotid tumours.

Materials and methods

We performed a retrospective analysis of patients with tumour disease of the parotid gland treated at a Portuguese Oncology Institute, over a period of 25 years. The preoperative FNAC results were compared with the final histopathological diagnosis. We calculated the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of FNAC for malignancy. Association between malignancy on histopathology and FNAC results were evaluated with the Chi-square test.

Results

The study sample consisted of 155 patients (77 males and 78 females) with a mean age of 56.6 ± 17.0 years. In 27 cases (17.4%), the FNAC result was indeterminate. In this group of patients there was a higher proportion of malignancy on histology (48.1%) (X2; p < 0.001). In the group with a conclusive result on FNAC, the sensitivity and specificity of FNAC for malignancy was 66.7% and 99.0%, respectively. PPV was 94.1% and NPV was 92.8%.

Conclusions

A benign result on FNAC should be used with caution, due to its low sensitivity for malignancy. An indeterminate result on FNAC should raise suspicion for a malignant tumour.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号