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排序方式: 共有98条查询结果,搜索用时 15 毫秒
1.
目的 分析创伤性肝破裂外科多种干预治疗的效果。方法 总结分析1982-2002年我院收治创伤性肝破裂76例的救治方法和病死率。其中Ⅲ级以上的严重肝破裂46例(60.53%)。手术治疗56例,手术方式包括单纯修补、清创性肝切除、规则性肝切除、肝周填塞止血;非手术治疗20例。结果 手术组:治愈44例,术后并发症17例均经保守治疗治愈,死亡12例,其中术中死亡2例;非手术组:治愈12例,好转6例,2例失访。全组治愈64例,死亡12例,病死率15.8%。结论 Ⅰ-Ⅱ级单纯性外伤性肝破裂可保守治疗;手术是治疗创伤性肝破裂的主要措施,正确的手术方式,积极处理合并伤,重视综合治疗可提高救治成功率。 相似文献
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《Acta orthopaedica》2013,84(1-6):695-701
Sixty-nine patients with stage II supination-eversion fractures of the ankle, 34 treated by operation and 35 treated conservatively, were seen at follow-up after 3–10 years. There was no statistically significant difference between the results of the two methods. However, larger series and perhaps a longer observation time are probably needed to decide whether the displacement of the lateral malleolus as a result of non-operative treatment affords the same possibility of unhindered ankle function as union of the lateral malleolus in the anatomical position obtained by operation. 相似文献
4.
F. Virdis I. Reccia S. Di Saverio G. Tugnoli S.H. Kwan J. Kumar J. Atzeni M. Podda 《Diagnostic and interventional imaging》2019,100(2):65-75
Purpose
This purpose of this systematic review was to determine the safety and efficacy of arterial embolization as the primary treatment for grade III-V liver trauma, excluding the postoperative use of arterial embolization.Material and methods
A total of 24 studies published between January 2000 and June 2018 qualified for inclusion in this study. Four of them were prospective studies and 20 were retrospective. A total of 3855 patients (mean age, 33.5 years; range: 22–52.5 years) were treated non-operatively and 659 patients (659/3855; 17.09%) with hepatic hemorrhage underwent primary arterial embolization from 2000 to 2017. Indication for arterial embolization was a contrast blush visible on computed tomography in hemodynamically stable patient in all studies.Results
The arterial embolization success rate ranged from 80% to 97%. The most commonly reported complication was bile leak, with an incidence of 5.7%. Nineteen bilomas (2.8%) were reported in five studies with a range between 4% and 45%. Hepatic ischemia was reported in eight studies, with a mean incidence of 8.6%.Conclusion
Primary arterial embolization has a high success rate in patients with hepatic trauma. Complications, including biloma and hepatic ischemia, have acceptable rates in the context of a minimally-invasive procedure that allows stabilization of life-threatening, complex liver injuries. 相似文献5.
The operating theatre is an unusual environment and understanding the systems in place there is an important part of surgical training. ‘Non-technical skills’ is a term used to describe everything a surgeon does in the operating theatre, other than the technical aspects of the procedure itself. This includes communication, decision making and leadership. Non-technical skills have become a vital aspect of the development of a surgeon and should form part of training programmes. A fundamental responsibility of the surgeon is the maintenance of sterility. The techniques of the surgical scrub and preparing and draping a patient only become second nature after good teaching and reflection by the surgeon. The purpose of this article is firstly to describe how a surgical trainee can get the most out of an operating session. We will describe what non-technical surgical skills are and why they are important. We will focus on safety in the operating theatre and discuss worldwide strategies such as the ‘Surgical Safety Checklist’ that aims to improve this. Finally we will present data on measures to reduce surgical site infection, such as which surgical scrub solution to use and whether drapes or wound protectors work. 相似文献
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Kathleen Kurman Andrew Romanelli 《The Journal of the Canadian Chiropractic Association》2021,65(3):350
ObjectiveThis study describes the radiographic diagnosis and nonoperative chiropractic management for a case of a chronic calcaneonavicular coalition in an adult patient.BackgroundCalcaneonavicular coalition is a congenital/acquired condition of the tarsal bones often diagnosed in individuals 8–12 years old. Considering its rare presentation (less than 1% of the population), there remains little literature on the conservative management of this condition.Case presentationChronic calcaneonavicular coalition in a 35-year-old recreational athlete is presented.Management/outcomeFollowing radiographic diagnosis, the patient was placed in a walking boot for four-weeks. After removal of the boot, the patient was managed nonoperatively. They reported a full resolution of symptoms with noted return to all pre-injury activities.SummaryPresentation of calcaneonavicular coalition may be dependent on many factors, including age, medical history, and chronicity of the condition. Previous medical background may include recurrent inversion ankle sprains, aggravated with activity, and alleviated with rest. Nonoperative management of calcaneonavicular coalition may be considered as a viable intervention. 相似文献
8.
A. I. D'YOUNG 《Haemophilia》2009,15(1):253-260
Summary. A conservative, non-operative physiotherapeutic regime for the management of chronic haematomata and pseudotumours in patients suffering from haemophilia is described in this article. Two cases are described where physiotherapy treatment is applied to large masses at the shoulder and femur respectively, where therapy commenced within the first 6 months following onset. These are presented relative to a case that was managed over a much longer period without early physiotherapy input, and the relative outcomes are examined. While both the early physiotherapy-managed cases showed a complete resolution at follow-up examination, the more established chronic pseudotumour required surgical excision, with significant residual muscle contractility, length and strength issues noted on clinical and magnetic resonance imaging reviews. No adverse symptoms or haemostatic issues were reported in response to this less invasive treatment regime by either patient in the two conservative physiotherapy cases. 相似文献
9.
目的:观察闭合性肝外伤的非手术治疗效果。方法:回顾性分析1999年1月至2002年12月本院收治的25例肝外伤病人的临床资料。其中闭合性伤21例。对Ⅰ-Ⅲ级肝损伤的13例先予非手术治疗。结果:入院时决定非手术治疗的13例中。2例观察48小时后因循环不稳定而中转手术,11例非手术治疗痊愈;Ⅰ-Ⅲ级闭合性肝损伤非手术治疗成功率为84.64%(11/13)。结论:闭合性肝外伤病人如入院时循环稳定,行B超及CT检查诊断为Ⅰ-Ⅲ级肝外伤。无合并需行手术处理的其它腹部损伤时,可首先考虑予非手术治疗。 相似文献
10.
腰椎间盘突出症规范化非手术治疗模式下的个性化方案 总被引:4,自引:0,他引:4
腰椎间盘突出症是坐骨神经痛的常见病因,病因与临床表现复杂多变,各种非手术治疗疗效满意且被多国推荐使用,其有效性与优势取决于如何被有效运用。在规范化的治疗方案指导下,根据具体患者的疾病特点,制定出既有原则性,又有针对性的个性化治疗方案,具有非常重要的临床意义。 相似文献