全文获取类型
收费全文 | 9602篇 |
免费 | 719篇 |
国内免费 | 210篇 |
专业分类
耳鼻咽喉 | 9篇 |
儿科学 | 304篇 |
妇产科学 | 256篇 |
基础医学 | 368篇 |
口腔科学 | 8篇 |
临床医学 | 1753篇 |
内科学 | 792篇 |
皮肤病学 | 46篇 |
神经病学 | 176篇 |
特种医学 | 572篇 |
外国民族医学 | 1篇 |
外科学 | 1835篇 |
综合类 | 1737篇 |
现状与发展 | 1篇 |
预防医学 | 484篇 |
眼科学 | 44篇 |
药学 | 528篇 |
20篇 | |
中国医学 | 1349篇 |
肿瘤学 | 248篇 |
出版年
2024年 | 19篇 |
2023年 | 144篇 |
2022年 | 288篇 |
2021年 | 451篇 |
2020年 | 441篇 |
2019年 | 313篇 |
2018年 | 279篇 |
2017年 | 338篇 |
2016年 | 382篇 |
2015年 | 349篇 |
2014年 | 841篇 |
2013年 | 694篇 |
2012年 | 596篇 |
2011年 | 725篇 |
2010年 | 575篇 |
2009年 | 456篇 |
2008年 | 400篇 |
2007年 | 451篇 |
2006年 | 408篇 |
2005年 | 340篇 |
2004年 | 299篇 |
2003年 | 222篇 |
2002年 | 203篇 |
2001年 | 181篇 |
2000年 | 145篇 |
1999年 | 132篇 |
1998年 | 91篇 |
1997年 | 95篇 |
1996年 | 88篇 |
1995年 | 94篇 |
1994年 | 69篇 |
1993年 | 52篇 |
1992年 | 41篇 |
1991年 | 41篇 |
1990年 | 32篇 |
1989年 | 22篇 |
1988年 | 32篇 |
1987年 | 23篇 |
1986年 | 17篇 |
1985年 | 37篇 |
1984年 | 30篇 |
1983年 | 16篇 |
1982年 | 22篇 |
1981年 | 15篇 |
1980年 | 9篇 |
1979年 | 11篇 |
1978年 | 7篇 |
1977年 | 5篇 |
1976年 | 3篇 |
1973年 | 3篇 |
排序方式: 共有10000条查询结果,搜索用时 187 毫秒
51.
Shunya Shindo Kouji Ogata Seiichiro Katahira Keiji Iyori Tadao Ishimoto Masahiro Kobayashi Osamu Suzuki Kihachiro Kamiya Yusuke Tada 《Surgery today》1997,27(1):76-79
Delayed manifestation of aortic stenosis caused by abdominal blunt trauma is rare. We report herein the case of a 67-year-old man who was taken to a nearby hospital after being crushed between a heavy truck and a wall. An emergency laparotomy was performed, revealing only a mesenteric tear which was repaired. He was discharged after an uneventful postoperative course; however, 1 month later he began to experience intermittent claudication, and presented to our hospital in December 1994, 1 year after the first operation. Angiography and enhanced computed tomography (CT) demonstrated infrarenal abdominal aortic dilatation with distal stenosis. Both the dilated and stenotic lesions were resected and bypass surgery was performed. Pathologic examination demonstrated that the intima had been lacerated circumferentially and everted distally, causing the aortic stenosis. To our knowledge, this is the first case of the delayed manifestation of traumatic aortic stenosis to be documented in Japan. The etiology of this rare complication of blunt trauma is described in this report. 相似文献
52.
This pilot study compared abdominal massage with laxative treatment in the management of constipation in 32 profoundly disabled, institutionalised adults. A randomised cross-over design was used. After an initial 16-day baseline measurement phase without any treatment, there followed two seven-week treatment phases separated by a one-week washout period. Each subject received seven weeks of massage and seven weeks on his or her previous laxative regimen. Primary outcome measures were gastro-intestinal and segmental transit times, measured at the end of the baseline phase and of each treatment phase. Secondary measures included stool frequency, size and consistency, the requirement for enemas and an assessment of patient well-being.The median value of total colonic transit time was 183 hours for the baseline phase and 159 hours for all treatment phases. There was no evidence of any statistically significant treatment differences between laxative and massage therapy for right, left or rectosigmoid segments either separately or in total. Analysis of secondary outcome measures also failed to find any treatment preferences.These results reveal the grossly abnormal colonic transit times of the study population at all times. The effects of laxative and massage therapy within this environment were not demonstrably different. 相似文献
53.
目的 比较短期化疗前后兔腹主动脉顺应性的变化,了解化疗药物对血管力学特性的影响。方法将15只新西兰兔随机等分为5组,其中4组接受1周期化疗(卡铂100mg/m^2,第1、3、5天;异环磷酰胺1500mg/m^2,第1、3、5天;足叶乙贰100mg/m^2,第l~3天),另1组为对照组。分别测量各组兔腹主动脉比顺应性(化疗组分为化疗后第2、7、14、21天进行观察)。结果短期化疗前后兔腹主动脉顺应性显著变化,化疗后第14天下降最明显,而第21天则基本恢复。结论短期化疗能够降低兔腹主动脉比顺应性,降低的程度与化疗后时间相关,并具有可逆行性。 相似文献
54.
目的 明确妇科腹腔内出血的临床特征 ,以减少误诊。方法 对我院 1999年 1月至 2 0 0 1年 12月以妇科腹腔内出血收治的 186例患者的临床资料进行回顾性分析。结果 186例病人包括 5种疾病 ,其中异位妊娠、卵巢破裂、出血性输卵管炎及腹部卒中易相互误诊。本资料 15 0例经手术止血 ,36例经保守治疗成功 ,无 1例死亡。结论 详细询问病史 ,血HCG检测和阴道B超检查 ,后穹窿或腹腔穿刺是简便而重要的诊断手段。 相似文献
55.
Field Tiffany; Hernandez-Reif Maria; Seligmen Susan; Krasnegor Josh; Sunshine William; Rivas-Chacon Rafael; Schanberg Saul; Kuhn Cynthia 《Journal of pediatric psychology》1997,22(5):607-617
Studied children with mild to moderate juvenile rheumatoid arthritiswho were massaged by their parents 15 minutes a day for 30 days(and a control group engaged in relaxation therapy). The children'sanxiety and stress hormone (cortisol) levels were immediatelydecreased by the massage, and over the 30-day period their paindecreased on self-reports, parent reports, and their physician'sassessment of pain (both the incidence and severity) and pain-limitingactivities 相似文献
56.
57.
Haruhiro INOUE Yukihiko MURAOKA Kimiya TAKESHITA Narihide GOSEKI Mitsuo ENDO 《Digestive endoscopy》1993,5(3):289-292
Abstract: Since April 1991, we have studied 160 patients who had had a successful laparoscopic cholecystectomy. Nine patients who presented with chronic cholecystitis with severe local adhesion and who were also considered to require a longer operative time were selected as suitable candidates for this procedure. They were successfully treated under a zero- to four-mmHg low-pressured pneumoperitoneum procedure combined with total abdominal wall lifting using a disposable, flexible vinyl tube retractor. This method enabled exactly the same clear laparoscopic vision as is possible in the routinely-used high-pressure pneumoperitoneum even in the marginal portions of the abdominal cavity. Moreover, it facilitated early reinsufflation after the cauterization-produced smoke was exhausted, which minimized the operative time and reduced the surgeon's anxiety concerning the maintenance of a sufficiently airtight condition. We believe that this low-pressure pneumopeqitoneum procedure also benefits the poor-risk patient who has restricted cardiopulmonary function, especially during advanced laparoscopic surgery which requires a longer operative and anesthetic time. 相似文献
58.
Yu L. Liu Stephen J. Riederer Phillip J. Rossman Roger C. Grim Josef P. Debbins Richard L. Ehman 《Magnetic resonance in medicine》1993,30(4):507-511
A technique is described that provides improved reproducibility of breath-holding for MR image acquisition by monitoring the superior-inferior (S/I) position of the diaphragm. The method incorporates detection of the level of inspiration using an MR signal, rapid display to the patient of diaphragm position to enable breath-hold adjustment, and triggering of image data acquisition once appropriate position is attained. The response time of the system is short, approximately 10 ms. Studies in six volunteers using this method demonstrate a considerable decrease in the S/I range of diaphragm position over 10 consecutive periods of suspended respiration. The mean range is 1.3 mm with the system, while it is 8.3 mm without using it is expected that this method will be of assistance in many abdominal and cardiothoracic studies that use breath-hold techniques. 相似文献
59.
Effects of epidural bupivacaine and epidural morphine on bowel function and pain after hysterectomy 总被引:2,自引:0,他引:2
T. THORÉN A. SUNDBERG M. WATTWIL J.–E. GARVILL U. JÜRGENSEN 《Acta anaesthesiologica Scandinavica》1989,33(2):181-185
A comparison was made of the effects of continuous epidural analgesia with bupivacaine and intermittent epidural morphine on bowel function after abdominal hysterectomy. The duration of postoperative ileus was assessed as the time from the end of operation to the first postoperative passage of flatus and feces. Twenty-two patients were randomly allocated to two equal groups. An "epidural morphine" group received general anesthesia and epidural morphine for postoperative pain relief, and an "epidural bupivacaine" group was given combined general anesthesia and epidural anesthesia with 0.5% bupivacaine intraoperatively and epidural analgesia with 0.25% bupivacaine postoperatively. Epidural morphine or bupivacaine was given for 42 h postoperatively. Pain intensity (visual analog scale) was low in both groups, but lower (P less than 0.05) in the epidural bupivacaine group. The time to first passage of flatus was 22 +/- 16 h in the epidural bupivacaine group and 56 +/- 22 h in the epidural morphine group (P less than 0.001). The time to first postoperative passage of feces was shorter (P less than 0.05) in the former than in the latter 57 +/- 44 h vs 92 +/- 22 h). The patients of the epidural bupivacaine group started intake of oral fluids earlier (P less than 0.01) and to a greater extent (P less than 0.05) than those in the epidural morphine group. It is concluded that the duration of postoperative ileus after hysterectomy is shorter when epidural bupivacaine is given for postoperative pain relief than when this is achieved by epidural morphine. 相似文献
60.
BACKGROUND: Low-dose flutamide-metformin has been developed as a background therapy for non-obese adolescents and young women with hyperinsulinaemic hyperandrogenism, a variant of polycystic ovary syndrome (PCOS). We verified whether the lipolytic efficacy of flutamide-metformin in women with PCOS is enhanced by giving an oral contraceptive (OC) co-therapy that contains drospirenone, instead of gestodene, as progestin. METHODS: An open-labelled study was carried out in which non-obese women with PCOS (n = 29; age approximately 20 years), who had been on a combination of flutamide (62.5 mg/day), metformin (850 mg/day) and ethinylestradiol-gestodene for 8-15 months, were randomized for replacement of the gestodene OC by a drospirenone OC. Assessments of endocrine-metabolic state and body composition (by dual-energy X-ray absorptiometry) were performed at randomization and after 6 months. RESULTS: The switch to drospirenone OC was accompanied by a reduction of total and abdominal fat (mean -0.8 and -0.5 kg) and by an increment of lean body mass (+0.6 kg; all P < 0.01), so that body adiposity was strikingly reduced without changing body weight. CONCLUSION: In non-obese women with PCOS, low-dose flutamide-metformin reduces total and abdominal fat excess more effectively if contraceptive co-therapy contains drospirenone, instead of gestodene, as progestin. 相似文献