全文获取类型
收费全文 | 11994篇 |
免费 | 1039篇 |
国内免费 | 292篇 |
专业分类
耳鼻咽喉 | 56篇 |
儿科学 | 1566篇 |
妇产科学 | 878篇 |
基础医学 | 1450篇 |
口腔科学 | 32篇 |
临床医学 | 1118篇 |
内科学 | 2100篇 |
皮肤病学 | 126篇 |
神经病学 | 430篇 |
特种医学 | 236篇 |
外国民族医学 | 1篇 |
外科学 | 1860篇 |
综合类 | 1215篇 |
现状与发展 | 1篇 |
一般理论 | 1篇 |
预防医学 | 868篇 |
眼科学 | 113篇 |
药学 | 722篇 |
21篇 | |
中国医学 | 109篇 |
肿瘤学 | 422篇 |
出版年
2024年 | 36篇 |
2023年 | 168篇 |
2022年 | 345篇 |
2021年 | 441篇 |
2020年 | 472篇 |
2019年 | 535篇 |
2018年 | 471篇 |
2017年 | 464篇 |
2016年 | 493篇 |
2015年 | 488篇 |
2014年 | 662篇 |
2013年 | 890篇 |
2012年 | 485篇 |
2011年 | 568篇 |
2010年 | 514篇 |
2009年 | 474篇 |
2008年 | 481篇 |
2007年 | 541篇 |
2006年 | 450篇 |
2005年 | 431篇 |
2004年 | 362篇 |
2003年 | 325篇 |
2002年 | 292篇 |
2001年 | 230篇 |
2000年 | 225篇 |
1999年 | 196篇 |
1998年 | 190篇 |
1997年 | 190篇 |
1996年 | 168篇 |
1995年 | 142篇 |
1994年 | 127篇 |
1993年 | 133篇 |
1992年 | 110篇 |
1991年 | 108篇 |
1990年 | 94篇 |
1989年 | 114篇 |
1988年 | 80篇 |
1987年 | 69篇 |
1986年 | 75篇 |
1985年 | 78篇 |
1984年 | 89篇 |
1983年 | 46篇 |
1982年 | 72篇 |
1981年 | 67篇 |
1980年 | 66篇 |
1979年 | 52篇 |
1978年 | 47篇 |
1977年 | 33篇 |
1976年 | 32篇 |
1973年 | 22篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
11.
M. S. Reddy S. A. White B. C. Jaques N. Torpey D. M. Manas 《American journal of transplantation》2007,7(10):2422-2424
As demand for donor pancreases increases, attempts are being made to utilize even marginal grafts for transplantation. Injury during pancreas recovery can predispose to posttransplant complications and graft loss. Early recognition and correction can salvage these grafts. The authors report an instance of poor segmental perfusion of the pancreas graft that was salvaged by pancreas head resection and enteric drainage through a Roux-en-Y pancreatico-jejunostomy. 相似文献
12.
大鼠移植胰腺冷缺血再灌注后细胞凋亡的变化 总被引:2,自引:0,他引:2
目的 探讨移植胰腺冷缺血再灌注后胰腺细胞凋亡的变化过程。方法 6 5只SD大鼠随机分成 7组 :假手术组 ,冷缺血 2h组 ,冷缺血 2h再灌注 1、3、6、9、12h组。通过HE染色后光镜及电镜观察各组的胰腺组织的病理变化 ;采用脱氧核糖核苷酸末端转移酶介导的缺口末端标记法(TUNEL)检测凋亡细胞的分布及计数。结果 胰腺移植后早期即可观察到细胞凋亡的典型改变 ,胰腺冷缺血再灌注后发生凋亡的高峰期为再灌注后 3h[AI为 (9.4 6± 2 .91) % ,P <0 .0 1) ,再灌注 6h较 3小时细胞凋亡有所减少 [AI为 (5 .74± 1.6 6 ) % ,P <0 .0 1],再灌注 9h及 12h细胞凋亡进一步减少 [AI分别为 (3.6 0± 1.6 4 ) %及 (3.2 6± 1.35 ) % ,P <0 .0 5 ]。结论 细胞凋亡是胰腺移植后的早期事件 ,移植胰腺冷缺血再灌注后早期主要的死亡方式是凋亡 ;移植胰腺冷缺血再灌注后的凋亡高峰发生在再灌注后 3h。 相似文献
13.
14.
Benign schwannoma of the pancreas 总被引:2,自引:0,他引:2
Labile Togba Soumaoro Kenichi Teramoto Tohru Kawamura Noriaki Nakamura Takahiro Sanada Kenichi Sugihara Shigeki Arii 《Journal of gastrointestinal surgery》2005,9(2):288-290
Reported cases of intrapancreatic schwannomas have recently increased in the literature. However, none of these cases were
diagnosed clearly as schwannoma preoperatively. We herein describe the clinicopathologic findings of a solitary benign schwannoma
occurring in the head of the pancreas. Additionally, the differential diagnosis versus other cystic- and solid-appearing pancreatic
masses is briefly discussed. 相似文献
15.
Kenji Shimada Fumi Matsumoto Mari Kawagoe Futoshi Matsui 《International journal of urology》2007,14(5):388-392
OBJECTIVE: It is well described that unilateral pelviureteric junction obstruction (PUJO) is a benign condition, because the dilatation resolves spontaneously and the function does not decrease in most of the kidneys. However, there is exceptional PUJO that requires emergent treatment in neonatal periods. The aim of this article is to report the urological emergency and management in neonates with PUJO. MATERIALS AND METHODS: Nine children (seven boys and two girls) with PUJO who underwent neonatal emergent treatment during the last 13 years were reviewed. Renal function was evaluated according to decay curve of serum creatinine (SCr) levels corresponding to gestational age (GA) at delivery. Physical examination, ultrasonographic monitoring, and chest and abdominal plain radiographs were repeated in each neonate. RESULTS: Eight patients were detected prenatally. In five patients, multicystic dysplastic kidney (MCDK) was demonstrated on the contralateral side. Three patients underwent percutaneous puncture of fetal hydronephrosis. Decrease of amniotic fluid was evident in three fetuses. Indications for emergent treatment included mass effect from hydronephrosis in three patients, renal dysfunction in five, and severe urinary tract infection in one. During neonatal periods, a percutaneous nephrostomy tube was placed in seven, and open nephrostomy in one with anorectal malformation. Repeated punctures of the dilated renal pelvis were done in one patient. Renal function after pyeloplasty was stable in eight patients, while it was moderately decreased in one who was associated with oligohydramnios in utero. CONCLUSION: Indications for emergent treatment in neonates with PUJO included mass effect from giant hydronephrosis, renal dysfunction and severe urinary tract infection. At birth, respiratory and circulatory conditions must first be stabilized. In neonates with hydronephrosis of the solitary kidney or severe bilateral PUJO, serial SCr should be monitored to evaluate renal function. Decrease of amniotic fluid suggested renal functional compromise that would not recover after urological management. 相似文献
16.
A 50 year old man with a two month history of upper abdominal pain and a one month history of anorexia and weight loss, presented
with icterus and evidence of peritonitis. Laparotomy revealed biliary peritonitis which had been caused by a rupture of the
fundus of the gallbladder. The common bile duct was dilated and there was a large growth in the head of the pancreas with
multiple hepatic metastases. A cholecysto-jejunostomy and gastrojejunostomy were done and the patient had an uneventful recovery. 相似文献
17.
Influence of age on faecal carriage of P-fimbriated Escherichia coli and other gram-negative bacteria in hospitalized neonates 总被引:3,自引:0,他引:3
K. Tullus B. Fryklund B. Berglund G. Kllenius L. G. Burman 《The Journal of hospital infection》1988,11(4):349-356
The aerobic faecal flora of 953 infants aged over 5 days was studied on discharge from 22 neonatal wards in Swedish hospitals. Klebsiella/enterobacter was isolated from 74% of infants and dominated the aerobic gram-negative flora in 19 wards. Escherichia coli was carried by 42% and showed a slight dominance in two wards. Initially klebsiella/enterobacter dominated the flora but became increasingly mixed with and taken over by E. coli, carriage increasing from 21% in infants discharged after 5-7 days to 57% after 3 weeks or later. Among infants with E. coli, P-fimbriated strains were demonstrated in 23% (range 0-67) and were independent of age. Occasional clustering of such strains was observed in 3/22 wards during the study period. It is postulated that the general and local colonization patterns observed reflect differences between individual strains of E. coli and klebsiella in both their capacity for transmission and their persistence in the newborn gut. The role of P-fimbriae in intestinal colonization of neonates by E. coli was, however, not supported. 相似文献
18.
J. G. Boonstra Johan W. van der Pijl Yves F. C. Smets Herman H. P. J. Lemkes Jan Ringers Leendert A. van Es F. J. van der Woude Jan A. Bruijn 《Transplant international》1997,10(6):451-456
To examine the incidence of interstitial and vascular
rejection in pancreas allografts and its impact on graft survival, we studied 36 percutaneous pancreas biopsies and 10 pancreas
transplantectomy specimens from 32 patients who had undergone simultaneous pancreas-kidney transplantation. Interstitial rejection
(IR) was predominantly found in the biopsies, while vascular rejection (VR) was most prominent in the transplantectomies.
Pancreas graft survival was significantly decreased for pancreas grafts that had suffered from vascular rejection when compared
to those with only interstitial rejection. Potential rejection markers, i. e., serum amylase, glucose, creatinine, and urinary
amylase, did not correlate with histological signs of rejection, although increased levels of serum amylase were, in all but
one case, associated with rejection.We conclude that a percutaneous pancreas biopsy remains the most reliable method to determine
pancreas rejection, and that by distinguishing between IR andVR, a pancreas biopsy may provide important diagnostic as well
as prognostic information.
Received: 6 March 1997 Received after revision: 5 June 1997 Accepted: 30 June 1997 相似文献
19.
Xenofon Giannakopoulos Panagiotis Chambilomatis loannis Filiadis Agathi Ntourntoufi Styliani Andronikou Alciviadis Kammenos 《International journal of urology》1997,4(3):324-326
Torsions of the spermatic cord occurring from the intrauterine period to the end of the first year of life are termed perinatal. These are divided into prenatal and postnatal torsions, depending on their occurrence in the intrauterine or postuterine period. From January 1984 to January 1996, 6 cases were identified at our institution, involving 4 prenatal and 2 postnatal extravaginal torsions of the spermatic cord. These cases are reviewed with regard to optimal therapeutic approaches for the treatment of both the affected gonad as well as the contralateral one, and whether the event occurred prenatally or postnatally. The authors also propose several clinical indications useful for obstetricians, pediatricians, urologists and nurses. 相似文献
20.
J. Lepeintre H. Briandet F. Moussy D. Chicheportiche S. Darquy J. Rouchette P. Imbaud J. J. Duron G. Reach 《Artificial organs》1990,14(1):20-27
In bioartificial pancreatic systems, isolated islets of Langerhans are protected against immune rejection by an artificial membrane, permeable to glucose and insulin, but not to immunoglobulins and lymphocytes. Some of these devices, referred to as vascular systems, are set up to be connected to a vascular site in the recipient, with blood circulating in contact with one side of the membrane, and the islets on the other side. Such a bioartificial pancreas, containing isolated rat islets of Langerhans, was connected to an arteriovenous shunt of a normal anesthetized dog. The aim of this experiment was to investigate the kinetics of the insulin secretory response of the system to a glucose load. Glucose was infused upstream of the system, increasing the glucose concentration inside the bioartificial pancreas from 7 to 14 mmol/l, without altering the blood glucose concentration of the dog. Insulin concentration was determined simultaneously upstream and downstream of the bioartificial pancreas. Insulin production was calculated by multiplying the difference between these values by the blood flow rate. Blood flow rate (Q) was estimated from the change in the glucose concentration produced by the glucose infusion using a mass transfer analysis derived from Fick's principle. Insulin production increased from 20 +/- 8 to 59 +/- 15 microU/100 islets/min within 15 min following the beginning of the stimulation (n = 6, p less than 0.05). Five min after the end of the stimulation, insulin production decreased from 75 +/- 13 to 50 +/- 9 microU/100 islets/min (p less than 0.05) to reach the basal level (21 +/- 3 microU/100 islets/min) 30 min after the end of the glucose stimulation.(ABSTRACT TRUNCATED AT 250 WORDS) 相似文献