全文获取类型
收费全文 | 30517篇 |
免费 | 1846篇 |
国内免费 | 868篇 |
专业分类
耳鼻咽喉 | 989篇 |
儿科学 | 1313篇 |
妇产科学 | 258篇 |
基础医学 | 1397篇 |
口腔科学 | 240篇 |
临床医学 | 3298篇 |
内科学 | 6890篇 |
皮肤病学 | 110篇 |
神经病学 | 1346篇 |
特种医学 | 2013篇 |
外国民族医学 | 3篇 |
外科学 | 6680篇 |
综合类 | 4017篇 |
现状与发展 | 2篇 |
预防医学 | 897篇 |
眼科学 | 563篇 |
药学 | 1544篇 |
11篇 | |
中国医学 | 866篇 |
肿瘤学 | 794篇 |
出版年
2024年 | 76篇 |
2023年 | 491篇 |
2022年 | 900篇 |
2021年 | 1209篇 |
2020年 | 1176篇 |
2019年 | 1180篇 |
2018年 | 1244篇 |
2017年 | 911篇 |
2016年 | 1003篇 |
2015年 | 1030篇 |
2014年 | 2028篇 |
2013年 | 1918篇 |
2012年 | 1549篇 |
2011年 | 1876篇 |
2010年 | 1551篇 |
2009年 | 1487篇 |
2008年 | 1435篇 |
2007年 | 1519篇 |
2006年 | 1337篇 |
2005年 | 1140篇 |
2004年 | 988篇 |
2003年 | 821篇 |
2002年 | 736篇 |
2001年 | 616篇 |
2000年 | 564篇 |
1999年 | 466篇 |
1998年 | 419篇 |
1997年 | 395篇 |
1996年 | 324篇 |
1995年 | 320篇 |
1994年 | 259篇 |
1993年 | 234篇 |
1992年 | 211篇 |
1991年 | 184篇 |
1990年 | 179篇 |
1989年 | 159篇 |
1988年 | 154篇 |
1987年 | 107篇 |
1986年 | 103篇 |
1985年 | 137篇 |
1984年 | 145篇 |
1983年 | 91篇 |
1982年 | 123篇 |
1981年 | 99篇 |
1980年 | 87篇 |
1979年 | 75篇 |
1978年 | 37篇 |
1977年 | 29篇 |
1976年 | 38篇 |
1975年 | 24篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
41.
42.
The aim of our study was to determine the incidence, timing, and severity of vaginal stenosis in patients with carcinoma of the cervix who had received pelvic and/or vaginal radiotherapy as part of their treatment. We also sought to determine if there were any predisposing factors for the development of stenosis. A retrospective chart review was undertaken for all the patients diagnosed with carcinoma of the cervix between January 1, 1990, and December 31, 2000 and treated with pelvic and/or vaginal radiation at Westmead Hospital. Since January 1, 1990, data regarding vaginal stenosis has been prospectively recorded on all the patients. Data collected included patient demographics, stage of disease, treatments administered, and incidence, timing, and severity of vaginal stenosis. One hundred and eighty-eight patients were treated. Mean age was 58.6 years. Thirteen percent of patients had stage IB disease, 45% had stage II disease, 39.5% had stage III disease, and 1.5% had stage IV disease. One hundred and seventy-nine patients returned for follow-up, and data regarding vaginal toxicity were available in 98%. Twenty-seven percent had grade 1 toxicity (partial stenosis or shortening but not complete occlusion), and 11% had grade 2 (complete occlusion). Stenosis of any grade was noted at a mean of 9.6 months and median of 7.5 months (range, 26 days-5.6 years) from completion of treatment. The only prognostic factor associated with increased risk of stenosis was age greater than 50 years (odds ratio 2.26). Vaginal stenosis is a common complication of pelvic and vaginal radiotherapy, occurring in 38% of patients. Stenosis occurs most often in the first year after treatment. Patients over the age of 50 are most at risk. 相似文献
43.
目的:探讨妇产科手术后粘连性肠梗阻的治疗 .方法:分析30例妇产科手术后粘连性肠梗阻的临床特点和治疗.结果:保守治疗成功16例(53.3%),保守无效而中转手术14例(46.7%),9例行肠切除术.结论:妇产科手术后粘连性肠梗阻易发生肠绞窄,临床表现不典型,应采取积极的手术疗法. 相似文献
44.
Precise and limited decompression for lumbar spinal stenosis 总被引:3,自引:0,他引:3
Summary Fifty-eight consecutive patients with lumbosacral nerve root entrapment due to spinal stenosis were treated with modified microsurgical decompression. Only the clinically relevant sides and levels were decompressed while the spinous processes, the interspinous ligaments, the medial portion of ligamentum flavum and the functionally important parts of the facet joints were preserved. The reviewers rated recovery as good or excellent in 71% of patients while patient self-assessment indicated 76% good or excellent outcome. These data suggest that microsurgical decompression of spondyloarthritic changes can effectively relieve the signs and symptoms of nerve root compression and that with careful evaluation of all available data the number of nerve roots requiring decomperession is often fewer than what is suggested by diagnositic images alone. 相似文献
45.
目的:探讨良恶性肝外胆管梗阻病变的CT表现及其诊断意义。方法:回顾经手术病理证实的肝外胆管梗阻病变76例(良性34例,恶性42例)。结果:肝内胆管呈枯枝状轻中度扩张,肝内外胆管不一致扩张(内轻外重),肝外胆管远段梗阻,梗阻部胆管呈削尖状狭窄,肝外胆管壁呈弥漫环形增厚,对良性梗阻的诊断有重要意义。肝内胆管呈软藤状重度扩张,肝外胆管中段梗阻,梗阻部胆管呈伴或不伴肿块的截断型或突然狭窄型,肝外胆管壁局限不规则增厚,高度揭示恶性梗阻。结论:良恶性肝外胆管梗阻病变均有特征性CT表现,通过分析胆管形态和临床资料基本能判断梗阻的性质。 相似文献
46.
Jen auo Hirschberg 《Early child development and care》1990,65(1):57-69
During a period of twenty years [1969-1988] the author has observed 614 cases of congenital malformations and noninflammatory diseases of the larynx in infants and young children, Budapest. He summarizes the most characteristic symptoms of laryngeal pathology in infants, and discusses the diagnostic possibilities. Among the latter, spectrographic analyses complemented by auditory evaluation of pathological cry and different breathing noises play an important role. Based on his investigation author differentiates 20 kinds of pathological crying sounds and 4 basic forms of stridor. He describes the acoustic attributes of different pathological sound phenomena and summarizes characteristic voice changes. 相似文献
47.
48.
Kevin L. Greason M.D. Jose A. Acosta M.D. Thomas J. Magrino M.D. Moogil Choe M.D. 《Diseases of the colon and rectum》1996,39(6):702-704
PURPOSE: This study was undertaken to clarify the importance of bleeding vascular ectasia of the colon as the etiology of massive lower gastrointestinal hemorrhage in patients 40 years of age or younger. METHODS: An otherwise healthy 21-year-old male was admitted to a tertiary medical center with massive lower gastrointestinal hemorrhage. Technetium-labeled red blood cell scan, selective visceral angiography, and colonoscopy identified the source of bleeding as vascular abnormality of the descending colon. Segmental colonic resection was performed. RESULTS: Histologic review of the specimen demonstrated a vascular ectasia. The patient recovered uneventfully and has had no further stigmata of hemorrhage. A review of the literature was undertaken to make clear the significance of vascular ectasia as the source for massive colonic hemorrhage in the young adult. CONCLUSION: This is the first report that documents histologically a vascular ectasia as the source of massive lower gastrointestinal hemorrhage in an otherwise healthy patient less than 40 years of age. Vascular ectasia is an uncommon cause of lower gastrointestinal hemorrhage in the young adult.The Chief, Bureau of Medicine and Surgery, Navy Department, Washington, DC, Clinical Investigation Program sponsored this report #84-16-1968-532, as required by HSETCINST 6000.41A. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. 相似文献
49.
50.
A. Jaén J. Sunyer X. Basagaña S. Chinn† J. P. Zock J. M. Antó‡ P. Burney† 《Clinical and experimental allergy》2002,32(12):1713-1719
BACKGROUND: The role of atopy in the evolution to chronic obstructive disease remains controversial. AIM: We aimed to assess the association between individual sensitization to common allergens and lung function. METHOD: We analysed data from 12,687 subjects aged 20 to 44 years, from 34 centres in 15 countries participating in the European Community Respiratory Health Survey (ECRHS). Participants performed a blood test, lung function test, methacholine challenge, and answered an administered questionnaire. The relationships between specific IgE, FEV1 and FEV1/FVC ratio were assessed for each study centre stratified by sex, followed by random effects meta-analysis. RESULTS: Asthmatics sensitized to house dust mite had a lower FEV1 (-119 mL in women and -112 mL in men) and FEV1/FVC ratio (-1.95%, and -2.48%) than asthmatics without sensitization. Asthmatics sensitized to cat had a lower FEV1 (statistically significant for women only) and a lower FEV1/FVC ratio. Asthmatic women sensitized to grass had a lower FEV1 and a lower ratio, and those sensitized to Cladosporium had a lower FEV1. A weak association was found with sensitization to cat and to Cladosporium among non-asthmatic women, which disappeared after adjusting for BHR. CONCLUSION: We conclude that atopy was related to a lower lung function, which was only apparent among asthmatics. This relationship was explained by specific sensitization to cat and to house dust mite, the latter being homogeneous across areas. 相似文献