全文获取类型
收费全文 | 5616篇 |
免费 | 274篇 |
国内免费 | 57篇 |
专业分类
耳鼻咽喉 | 16篇 |
儿科学 | 58篇 |
妇产科学 | 19篇 |
基础医学 | 327篇 |
口腔科学 | 20篇 |
临床医学 | 2157篇 |
内科学 | 2116篇 |
皮肤病学 | 15篇 |
神经病学 | 75篇 |
特种医学 | 81篇 |
外科学 | 172篇 |
综合类 | 506篇 |
一般理论 | 1篇 |
预防医学 | 114篇 |
眼科学 | 7篇 |
药学 | 195篇 |
中国医学 | 57篇 |
肿瘤学 | 11篇 |
出版年
2024年 | 6篇 |
2023年 | 74篇 |
2022年 | 84篇 |
2021年 | 139篇 |
2020年 | 163篇 |
2019年 | 142篇 |
2018年 | 112篇 |
2017年 | 112篇 |
2016年 | 84篇 |
2015年 | 101篇 |
2014年 | 242篇 |
2013年 | 226篇 |
2012年 | 198篇 |
2011年 | 223篇 |
2010年 | 185篇 |
2009年 | 215篇 |
2008年 | 237篇 |
2007年 | 256篇 |
2006年 | 241篇 |
2005年 | 261篇 |
2004年 | 199篇 |
2003年 | 234篇 |
2002年 | 157篇 |
2001年 | 160篇 |
2000年 | 143篇 |
1999年 | 153篇 |
1998年 | 135篇 |
1997年 | 115篇 |
1996年 | 110篇 |
1995年 | 72篇 |
1994年 | 98篇 |
1993年 | 69篇 |
1992年 | 117篇 |
1991年 | 78篇 |
1990年 | 120篇 |
1989年 | 82篇 |
1988年 | 86篇 |
1987年 | 50篇 |
1986年 | 70篇 |
1985年 | 71篇 |
1984年 | 71篇 |
1983年 | 73篇 |
1982年 | 35篇 |
1981年 | 38篇 |
1980年 | 24篇 |
1979年 | 28篇 |
1978年 | 20篇 |
1977年 | 7篇 |
1976年 | 7篇 |
1975年 | 10篇 |
排序方式: 共有5947条查询结果,搜索用时 0 毫秒
41.
42.
43.
T. Cochrane A. W. Nathan R. S. Bexton C. Callicott R. A. J. Spurrell A. J. Camm 《Medical & biological engineering & computing》1984,22(1):19-23
A microcomputer-based pacemaker system for the evaluation of pacemaker treatment of tachycardia is described. The system may
be used to study tachycardia initiation, tachycardia termination or a combination of the two. The software incorporates a
visual display unit screen handling package which provides the user-system interface. System-patient interfacing is performed
by a separate pacing and sensing unit which communicates with the computer via standard digital input/output lines. Several
pacing options are available, selectable from a screen-displayed menu. Each selection also has an associated set of programmable
parameters which may be adjusted, within allowed limits, to suit particular studies. Examples of the use of the system for
tachycardia termination are given. The main programming language for the controlling software was Fortran IV. Some routines
were necessarily written in assembly language. The system is useful for evaluation purposes and forms the basis of a cardiac
pacemaker development tool. 相似文献
44.
The electrical properties of pacemaker electrodes were studiedin vitro under conditions prevailing in practical pacemaker operation. Emphasis was laid on a clear distinction between the changing
modes of the pacemaker action. During sensing, the electrode can be represented by an a.c. series polarisation resistance
and capacitance, generally accepted for biological electrodes obeying linearity rules. During stimulation, the electrode operates
in the non-linear region. A nearly constant-voltage, short, rectangular pulse applied directly to the electrode-heart system,
causes the electrode voltage and current to respond as a transient exponential, characterised approximately by a single time
constant. This response allows modelling of the d.c. equivalent circuit of the electrode, in the form of a polarisation capacitance
with a small resistance in series, shunted by a parallel resistance. Formulae were derived for calculation of these elements.
The response of the electrode-heart system to a single stimulus was tested as a function of the amplitude and duration of
the applied pulse. Also, the effect of repetitive stimulations was checked at a normal pacing rate. A nearly constant-voltage
pacing source, as compared with a constant-current one, appears to be advantageous for preservation of the longevity of the
electrode. 相似文献
45.
46.
This article deals with some of the recent evidence bearing on the issues of the liability of benzodiazepines to lead to abuse, dependence, and adverse behavioral effects. Reviews of epidemiological, clinical and experimental literature indicated that the previous conclusion about abuse of these drugs still holds: the vast majority of the use of benzodiazepines is appropriate. Problems of nonmedical use arise nearly exclusively among people who abuse other drugs. Nevertheless, there are reasons for concern about patients who take benzodiazepines regularly for long periods of time. These drugs can produce physiological dependence when taken chronicaly, and although this does not appear to result in dose escalation or other evidence of psychological dependence, physiological dependence can result in patient discomfort if drug use is abruptly discontiniued. Also, physicians are currently prescribing shorter-acting benzodiazepines in preference to longer-acting benzodiazepines. The shorter-acting drugs can produce a more intense withdrawal syndrome following chronic administration. Furthermore, rates of use of benzodiazepines increase with age, and elderly patients are more likely than younger ones to take the drug chronically. The clearest adverse effect of benzodiazepines is impairment of memory. This, too, may be particular concern in older patients whose recall in the absence of drug is typically impaired relative to younger individuals, and who are more compromised following drug administration.This article was supported by USPHS Grant DA-00254 and by funding from Hoffmann-La Roche, Inc. 相似文献
47.
心脏介入治疗院内感染的调查分析 总被引:3,自引:0,他引:3
目的:对我科心脏介入治疗后的院内感染发生率及易感因素进行回顾性调查分析,并探讨其防治措施。 方法: 我科自1973~1999年6 月共收治行心脏介入治疗患者1 100 例,按照年龄、性别、手术种类、院内感染发生率及感染部位等资料进行比较分析。 结果:1 100 例患者中,术后感染27例,感染率为2.45% 。包括经皮二尖瓣球囊成形术(PBMV)380 例,感染21 例,感染率为5.53% ;永久性心脏起搏器安置术520 例,感染6 例,感染率为1.15% ;射频消融术200 例,无感染发生。最常见的感染为血管相关性感染和切口感染。感染发生与性别无显著相关性。 结论: 心脏介入治疗后院内感染发生率较低,通过严格的无菌操作和抗生素的合理应用,可防止院内感染的发生。 相似文献
48.
目的: 观察心房按需起搏(AAI)时心内电图的形态与起搏阈值等参数的关系。 方法:对36 例AAI起搏时记录的心内电图的A 波形态、振幅、A-V段上抬幅度进行详细测定,并与起搏阈值、心肌阻抗等参数进行相关分析。 结果:A波形态、振幅与起搏阈值、心肌阻抗均无显著相关(P> 0.05),而A-V 段上抬的幅度与起搏阈值呈明显负相关(r= - 0.548 6, P< 0.05)。A-V段高抬组的起搏阈值(0.68±0.17)V,显著低于A-V段低抬组的(1.1±0.24)V (P< 0.01)。 结论:心内电图A-V段上抬的足够幅度(> 0.3 m V)可作为AAI起搏时的一个重要技术指标,对避免电极脱位、保证较低的起搏阈值水平均具重要的临床意义。 相似文献
49.
目的:用VDD心脏起搏治疗1 例肥厚性梗阻型心肌病(HOCM),并观察其临床及血流动力学效果。 方法:常规方法植入VDD型心脏起搏系统,设置房室起搏间期120 m s,心房感知0.15 m V,起搏前后进行左室流出道压力阶差等血液动力学对比观察。 结果:术后房室同步起搏率为100% ,左室流出道压力阶差从6.8 kPa(51.4m m Hg)降至2.813 kPa(21.1 m m Hg),二尖瓣前移现象消失,临床症状明显改善,随访期间未再出现晕厥。 结论:VDD起搏植入简便、房室同步功能稳定,对HOCM 患者不失为一种新的有效的治疗方法。 相似文献
50.
目的探讨食道心房调搏心负荷试验(TEAP)诊断冠心病的价值,并与活动平板运动试验(TMET)进行对比,同时对冠状动脉病变程度进行评估。方法自1993年5月~1997年10月,80例拟诊冠心病的住院病人同期行TEAP、TMET及CAG检查;以CAG为诊断标准,确诊为CHD者60例,另20例为CAG正常者。CAG均为右股动脉Seldinger法穿刺,JudkinS法进行。TEAP、TMET以心率达到次极限水平,二阶梯运动试验方法记录ECG。结果TEAP诊断CHD的敏感性、特异性为81.67%、90%,并且与CHD患者冠状动脉病变支数呈正相关。其与TMET的敏感性、特异性相比更可靠(P<0.01)。结论食道心房调搏心负荷试验可以作为一种无创伤性、有效、简便的诊断CHD的方法。并可对冠状动脉病变程度进行初略评估。 相似文献