全文获取类型
收费全文 | 42593篇 |
免费 | 2357篇 |
国内免费 | 1207篇 |
专业分类
耳鼻咽喉 | 842篇 |
儿科学 | 729篇 |
妇产科学 | 279篇 |
基础医学 | 2796篇 |
口腔科学 | 460篇 |
临床医学 | 5228篇 |
内科学 | 8694篇 |
皮肤病学 | 471篇 |
神经病学 | 1883篇 |
特种医学 | 767篇 |
外科学 | 3851篇 |
综合类 | 7829篇 |
一般理论 | 2篇 |
预防医学 | 3114篇 |
眼科学 | 160篇 |
药学 | 4493篇 |
38篇 | |
中国医学 | 3671篇 |
肿瘤学 | 850篇 |
出版年
2024年 | 85篇 |
2023年 | 655篇 |
2022年 | 1434篇 |
2021年 | 1936篇 |
2020年 | 1618篇 |
2019年 | 1420篇 |
2018年 | 1401篇 |
2017年 | 1434篇 |
2016年 | 1677篇 |
2015年 | 1647篇 |
2014年 | 3775篇 |
2013年 | 3444篇 |
2012年 | 3165篇 |
2011年 | 3413篇 |
2010年 | 2645篇 |
2009年 | 2233篇 |
2008年 | 1993篇 |
2007年 | 1953篇 |
2006年 | 1616篇 |
2005年 | 1307篇 |
2004年 | 997篇 |
2003年 | 828篇 |
2002年 | 613篇 |
2001年 | 563篇 |
2000年 | 485篇 |
1999年 | 460篇 |
1998年 | 335篇 |
1997年 | 276篇 |
1996年 | 282篇 |
1995年 | 247篇 |
1994年 | 238篇 |
1993年 | 188篇 |
1992年 | 180篇 |
1991年 | 153篇 |
1990年 | 174篇 |
1989年 | 149篇 |
1988年 | 132篇 |
1987年 | 101篇 |
1986年 | 92篇 |
1985年 | 113篇 |
1984年 | 115篇 |
1983年 | 71篇 |
1982年 | 84篇 |
1981年 | 58篇 |
1980年 | 82篇 |
1979年 | 59篇 |
1978年 | 45篇 |
1977年 | 46篇 |
1976年 | 39篇 |
1974年 | 26篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
81.
组织工程心肌补片对黑山羊陈旧性心肌梗死心功能和建立侧支循环的影响 总被引:4,自引:1,他引:3
目的探讨自体骨髓间充质干细胞(m arrow m esenchym a l stem ce lls,M SC s)-小肠黏膜下层(sm a llin testina l subm ucosa,S IS)构建的组织工程心肌补片,移植于陈旧性心肌梗死区后对心功能及缺血区建立侧支循环的影响。方法将已建立急性心肌梗死模型后6周的黑山羊16只,随机分为实验组和对照组,实验组抽取自体骨髓,经体外分离M SC s,进行培养、传代,以第3代细胞行5-B rdU标记并与S IS支架材料复合培养5 d,制备M SC s-S IS组织工程心肌补片。将其缝合至陈旧性心肌梗死区;对照组仅行假手术处理。于植入后6周,采用超声心动图观察两组动物心功能变化,数字减影血管造影选择性左冠状动脉造影观察缺血心肌侧支循环的建立。结果术后6周实验组及对照组:心博出量、左心室射血分数分别为42.81±4.91、37.06±4.75 m l和59.20%±5.41%和44.56%±4.23%,组间差异均有统计学意义(P<0.05);左心室舒张末期容积、左室收缩末期容积分别为72.55±8.13、83.31±8.61 m l和29.75±5.98、46.25±6.68 m l,组间差异均有统计学意义(P<0.05);左心室舒张功能各项指标分别为:E峰最大速度分别为54.85±6.35 cm/s和43.14±4.81cm/s(P<0.01);A峰最大速度分别为52.33±6.65 cm/s和56.91±6.34 cm/s(P>0.05)。超声心动图显示对照组左室腔扩张明显,室壁运动明显减弱,梗死区呈瘤样扩张,局部室壁反常运动;实验组左室腔明显小于对照组,室壁运动较对照组强,心尖梗死区扩张不明显。选择性左冠状动脉造影见实验组左冠状动脉前降支远端与回旋支间明显侧支循环建立。结论M SC s-S IS构建的组织工程心肌补片移植于黑山羊陈旧性心肌梗死区后侧支循环建立,心功能有明显改善作用。 相似文献
82.
Michael F. Maguire Janet A. Latter Ravi Mahajan F. David Beggs John P. Duffy 《European journal of cardio-thoracic surgery》2006,29(6):873-879
Objective: Our aim was to investigate the prevalence of intra-operative nerve damage and its association with chronic pain. Methods: Our prospective study of 33 patients used nerve conduction studies to assess intercostal nerve function during elective thoracic surgical procedures. We used two methods to study nerve conduction: pre-operative magnetic stimulation (in 10 patients) and intra-operative nerve conduction studies (in all patients) We correlated these findings with specific intra-operative parameters, pain and psychological questionnaires pre-op and 3 month post-op and altered cutaneous sensation. Results: Magstim (magnetic stimulation) assessments were not reliable and were therefore abandoned. Intraoperative intercostal nerve studies revealed two distinct patterns of nerve injury and also that nerve injury was less in those cases where a rib was not resected. However, intercostal nerve damage detected at the time of operation is not associated with chronic pain or altered cutaneous sensation at 3 months post-op. Conclusions: The study findings suggest that either the amount of intra-operative intercostal nerve damage is not indicative of long-term nerve damage or that there is a more significant cause for chronic pain other than intercostal nerve injury. 相似文献
83.
慢性多发性肌炎临床及病理分析 总被引:1,自引:0,他引:1
目的探讨慢性多发性肌炎的发病机制、临床和病理特征。方法回顾性分析95例慢性多发性肌炎患者临床表现、肌酶学和肌电图检查结果,总结肌肉病理学特征。结果慢性多发性肌炎以四肢近端肌无力、肌萎缩为主要表现,血清酶谱轻-中度增高,肌电图以肌源性损害为主,病理改变为灶性坏死、炎性细胞浸润与再生肌纤维共存。结论临床特点结合病理学检查有助于慢性多发性肌炎的诊断,多数患者激素治疗有效。 相似文献
84.
Summary Epileptic psychoses reflect a fundamental disruption in the fidelity of mind and occur during seizure freedom or during or after seizures. The psychotic symptoms in epilepsy share some qualities with schizophrenic psychosis, such as positive symptoms of paranoid delusions and hallucinations. Psychotic syndromes in epilepsy are most common but not exclusively associated with temporal lobe epilepsy. De Novo psychosis following epilepsy surgery is rare. Forced normalization—psychosis associated with dramatic reduction of epileptiform activity or seizures is described in small series only. Ictal and postictal psychosis can be prevented with seizure control, but postictal and chronic interictal psychoses require multidisciplinary and psychopharmacologic management. 相似文献
85.
慢性胰腺炎的临床表现包括疼痛、脂肪泻和糖尿病。在西方国家,慢性胰腺炎最常见的病因是酗酒。70%以上的病人在就诊时有疼痛的临床表现,而且,这些患者中又有75%以上会在几年之后出现疼痛减轻或完全消失。对于所有的慢性胰腺炎的病人来说,均应排除非胰源性疼痛和胆道梗阻、胰腺假性囊肿等胰腺局部并发症。应建议所有慢性胰腺炎病人戒烟、戒酒。阿片类镇痛剂仅应用于治疗疼痛严重的病人。尽管有报道认为胰酶替代治疗有助于止痛,但是,对于已经确诊的慢性胰腺炎病人来说,该疗法无效。激素类药物进行腹腔神经丛阻滞术可能有助于病人度过剧烈疼痛期。顽固性疼痛是进行胰液引流或胰腺切除的适应证。建议应用适量胰酶替代联合(或不联合)制酸剂治疗营养不良。慢性胰腺炎导致的糖尿病与原发性糖尿病的治疗原则相似。 相似文献
86.
用放射免疫分析法测定了28例偏头痛、10例慢性紧张型头痛患者和16例健康对照组血浆精氨酸加压素(AVP)、催产素(OT)、环磷酸腺苷(cAMP)及环磷酸鸟苷(cGMP)含量。结果表明,偏头痛发作期AVP含量下降、cAMP含量升高,偏头痛间歇期cGMP含量下降,血浆OT含量在发作期和间歇期均明显下降。慢性紧张型头痛患者血浆AVP、OT、cAMP和cGMP与对照组比较均无显著性差异。结果提示,血浆AVP和OT水平降低以及环核苷酸的代谢异常与偏头痛发病机制有关。 相似文献
87.
Analysis is presented of the relationship between decline in ventilatory function and possible symptoms of bronchial hypereactivity. Data comes from three consecutive surveys within a 13-year follow-up study of a population sample of 1747 persons (718 males and 1029 females) who completed spirometric testing and interviews. Chest symptoms recorded in the two initial surveys were used as baselines for the prognostic study on FEV1 change. To evaluate changes in lung function the FEV1 decline index, expressed as percentage of FEV1 loss during the study period, was calculated. Chronic wheezing and asthma-like attacks were very strongly related to FEV1 baseline level. Multiple linear regression analysis for each separate symptom including age and smoking habits as confounders and showed that the FEV1 decline index was higher and more significant when wheezing and asthma-like attacks or chronic cough were present. When the combination of symptoms were introduced into the regression model, the effect of wheezing became insignificant. Only attacks of shortness of breath in both sexes and chronic cough in women were significantly associated with more rapid FEV1 decline. However, the effect of persistent wheezing in men had a rather substantial impact on FEV1 change. Comparing the effect of the number of cigarettes smoked with the effect of symptoms, one can see that FEV1 decline due to attacks of shortness of breath is comparable to that seen with heavy smoking. There was no strong evidence that the symptoms under study precede the more rapid FEV1 decline. 相似文献
88.
K. Hoshi 《Advanced drug delivery reviews》1996,20(2-3):171-176
For its peripheral vascular dilating effect and platelet agglutination inhibitory activity, prostaglandin E1 is used in the treatment of diseases which are likely to cause peripheral circulatory failure or thrombus. In Japan, lipo-PGE1, which was developed to give it a target-directed nature by modifying the conventional PGE1, has been used and found to be useful in clinical practice. In this report, we attempt to describe the clinical benefits of lipo-PGE1 focusing on the diseases which have been approved for its indications. 相似文献
89.
Summary In an effort to achieve a simple and less invasive method for the treatment of chronic subdural haematoma, replacement of the haematoma with oxygen by percutaneous subdural tapping was employed in 36 patients. This study was conducted on 23 haematomas in 20 patients, whose computed tomography (CT) scans immediately following the treatment were available for evaluation, with particular regard to distinguishing between their findings and those seen with tension pneumocephalus. The CT features werde divided into two patterns according to the location of oxygen; a convexity type (19 haematomas) and an interhemispheric type (4 haematomas). Analysis of the CT appearances revealed the oxygen was exclusively confined to the haematoma cavity, distinguishing it from the findings in tension pneumocephalus. This observation indicates the safety of replacement of the haematoma with oxygen when combined with our percutaneuous subdural tapping technique which prevents lesions of the inner haematoma membrane. 相似文献
90.
经电镜观察,慢活肝中主要为淋巴细胞及单核巨噬细胞浸润。淋巴细胞分3型,通过4种方式与肝细胞接触,可能代表杀伤肝细胞的动态过程。与肝细胞接触的主要为起细胞毒作用的T_8~+Ⅱ型淋巴细胞及单核巨噬细胞。多数T_4~+淋巴细胞为Ⅰ型淋巴细胞,可能为T辅助细胞。在肝细胞损伤中,淋巴细胞及单核巨噬细胞均起重要作用。 相似文献