全文获取类型
收费全文 | 39922篇 |
免费 | 2671篇 |
国内免费 | 798篇 |
专业分类
耳鼻咽喉 | 149篇 |
儿科学 | 633篇 |
妇产科学 | 407篇 |
基础医学 | 2935篇 |
口腔科学 | 2899篇 |
临床医学 | 5096篇 |
内科学 | 4792篇 |
皮肤病学 | 469篇 |
神经病学 | 1085篇 |
特种医学 | 2133篇 |
外科学 | 8006篇 |
综合类 | 4394篇 |
现状与发展 | 7篇 |
预防医学 | 5610篇 |
眼科学 | 318篇 |
药学 | 2099篇 |
41篇 | |
中国医学 | 1284篇 |
肿瘤学 | 1034篇 |
出版年
2024年 | 163篇 |
2023年 | 820篇 |
2022年 | 1503篇 |
2021年 | 2000篇 |
2020年 | 2200篇 |
2019年 | 1663篇 |
2018年 | 1663篇 |
2017年 | 1596篇 |
2016年 | 1465篇 |
2015年 | 1311篇 |
2014年 | 2703篇 |
2013年 | 3677篇 |
2012年 | 2047篇 |
2011年 | 2256篇 |
2010年 | 1956篇 |
2009年 | 1794篇 |
2008年 | 1760篇 |
2007年 | 1747篇 |
2006年 | 1705篇 |
2005年 | 1361篇 |
2004年 | 1247篇 |
2003年 | 1015篇 |
2002年 | 885篇 |
2001年 | 730篇 |
2000年 | 544篇 |
1999年 | 545篇 |
1998年 | 444篇 |
1997年 | 376篇 |
1996年 | 336篇 |
1995年 | 271篇 |
1994年 | 193篇 |
1993年 | 211篇 |
1992年 | 164篇 |
1991年 | 114篇 |
1990年 | 100篇 |
1989年 | 104篇 |
1988年 | 114篇 |
1987年 | 89篇 |
1986年 | 72篇 |
1985年 | 61篇 |
1984年 | 67篇 |
1983年 | 59篇 |
1982年 | 53篇 |
1981年 | 51篇 |
1980年 | 31篇 |
1979年 | 28篇 |
1978年 | 23篇 |
1977年 | 21篇 |
1976年 | 23篇 |
1975年 | 12篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
61.
Although psychological debriefing (PD) represents the most common form of early intervention for recently traumatized people, there is little evidence supporting its continued use with individuals who experience severe trauma. This review identifies the core issues in early intervention that need to be addressed in resolving the debate over PD. It critiques the available evidence for PD and the early provision of cognitive-behavioral therapy (CBT). Based on available evidence, we propose that psychological first aid is an appropriate initial intervention, but that it does not serve a therapeutic or preventive function. When feasible, initial screening is required so that preventive interventions can be used for those individuals who may have difficulty recovering on their own. Evidence-based CBT approaches are indicated for people who are at risk of developing posttraumatic psychopathology. Guidelines for managing acutely traumatized people are suggested and standards are proposed to direct future research that may advance our understanding of the role of early intervention in facilitating adaptation to trauma. 相似文献
62.
A Comparative Study on the Close Reduction of Arytenoid Dislocation under Indirect and Direct Laryngoscope 总被引:3,自引:0,他引:3
To assess the curative effects of different reduction techniques on the dislocation of cricoarytenoid joint caused by intubation,indirect laryngoscope (IL) and direct laryngoscope (DL) were utilized for the closed reduction of the displaced arytenoid under local anesthesia.23 patients who underwent the reduction for dislocated arytenoid under IL or DL from January 1991 to June 2001 were reviewed.The data were collected on the duration of the laryngeal injury,times of receiving reduction,side-effects after the treatment and the period for voice to returen to normal.The relationship between the duration of the laryngeal lesion and the period of the voice rehabilitation was examined.13 patients received the reduction under IL and 10 patients under DL,Except the times of the reduction,which showed significant difference,no differences were found between IL group and DL group in the course and the period of voice rehabilitation,as well as sore throat after the manipulation.The patients‘ voice recovery was positively related to their course of disease in both IL and DL group.It is coucluded that the recovery of normal voice is obviously affected by the duration of arytenoid dislocation.The reduction under Il is as effective as under DL in the treatment of arytenoid dislocation.Reduction by DL is better suit the patients with long time course of disease. 相似文献
63.
C.M. Reading 《Medical hypotheses》1981,7(8):1105-1108
The aetiology of Klinefelter's Syndrome is not known. The causative factor(s) must explain the hypogonadism, low androgen levels, the disordered carbohydrate metabolism and the commonly associated psychiatric conditions. A biotin deficient/dependent state can account for the above. A biotin deficient Klinefelter's Syndrome patients with the above is described. The possible role of biotin in the primary, secondary and tertiary prevention of Klinefelter's Syndrome needs further research. 相似文献
64.
带血管蒂岛状筋膜瓣移植治疗晚期类风湿性髋关节炎 总被引:1,自引:0,他引:1
目的:阐明带血管蒂岛状筋膜瓣移植治疗晚期类风湿性髋关节炎的疗效。材料和方法:对42例48髋晚期类风湿性髋关节炎病人采用以旋股外侧血管降支为蒂的股前外侧筋膜瓣移植行患髋成形术。结果:术后随访4~10.5年,平均4.5年,髋关节活动范围术前平均16.5°,术后228.6°,按照Charnley和吴之康人工髋关节置换术后的疗效评定标准,优良29髋、很好13髋、好6髋,尚可、差、很差无。结论:患者年龄在15~40岁之间为合适的治疗年龄。与人工髋关节置换术相比,本方法对髋关节正常结构破坏小;一旦手术失败仍可选用其它治疗方法弥补;且并发症少、费用低、远期效果好。 相似文献
65.
M. SILBERSTEIN O. HENNESSY L. LAU 《Journal of Medical Imaging and Radiation Oncology》1992,36(4):334-338
The radiological findings in five patients with pelvic sort tissue neo plasms directly involving the sacroiliac joint, are described. All patients had Computed Tomography (CT) examinations, two of the patients also having Magnetic Resonance Imaging (MRI). The role of imaging in this uncommon entity is discussed as well as the importance of making this diagnosis, thereby excluding unilateral sacroiliitis. The therapeutic implications of this diagnosis relate to local neural involvement, especially the sciatic nerve, and the fact that involvement of the sacroiliac joint by tumors significantly compromises chances of a successful surgical outcome. The role of MR in this condition is not yet certain, but it may prove to be the method of choice in view of its excellent depiction of skeletal neo plasms. 相似文献
66.
膝关节 Q 角变化规律的实验研究 总被引:4,自引:0,他引:4
本研究利用精密三维位移测读仪,研究分析了Q角的变化趋势,以及对髌股关节运动的影响。研究结果表明,Q角是一空间夹角,随屈膝角的增大而增大。力线在平面上的投影所呈的平面夹角Qp也就是通常所指的Q角,在屈膝15°左右达最大,而在90°左右达最小。整个屈膝过程中,QP在5°-15°之间变化,变化幅度达10°左右。 相似文献
67.
Dawn Stacey RN MScN CON Annette M. O'Connor RN PhD † Cathy DeGrasse RN MScN ‡ Shailendra Verma MD FRCP § 《Health expectations》2003,6(1):3-18
Objective To develop and evaluate the effectiveness of a breast cancer prevention decision aid for women aged 50 and older at higher risk of breast cancer. Design Pre‐test–post‐test study using decision aid alone and in combination with counselling. Setting Breast Cancer Risk Assessment Clinic. Participants Twenty‐seven women aged 50–69 with 1.66% or higher 5‐year risk of breast cancer. Intervention Self‐administered breast cancer prevention decision aid. Main outcome measures Acceptability; decisional conflict; knowledge; realistic expectations; choice predisposition; intention to improve life‐style practices; psychological distress; and satisfaction with preparation for consultation. Results The decision aid alone, or in combination with counselling, decreased some dimensions of decisional conflict, increased knowledge (P < 0.01), and created more realistic expectations (P < 0.01). The aid in combination with counselling, significantly reduced decisional conflict (P < 0.01) and psychological distress (P < 0.02), helped the uncertain become certain (P < 0.02), and increased intentions to adopt healthier life‐style practices (P < 0.03). Women rated the aid as acceptable, and both women and practitioners were satisfied with the effect it had on the counselling session. Conclusion The decision aid shows promise as a useful decision support tool. Further research should compare the effect of the decision aid in combination with counselling to counselling alone. 相似文献
68.
69.
David H. Miller M.D. Theodore T. Miller M.D. Elizabeth Schultz M.D. Baruch Toledano M.D. 《Emergency radiology》1997,4(3):172-176
We report a case of dislocation of the second through fifth carpometacarpal joints and review the mechanism of injury and radiographic findings in such injuries. 相似文献
70.
板股韧带的MRI研究及临床意义 总被引:1,自引:0,他引:1
目的 明确板股韧带正常MRI表现 ,建立由它所致假撕裂与外侧半月板后角真撕裂的鉴别方法。资料与方法 采用 6 0侧正常膝进行矢状和冠状位MR扫描 ,观察板股韧带的MRI表现。结果 板股韧带显示率为88.3% (5 3侧 ) ,其中板股前韧带为 2 6 .7% (16侧 )、板股后韧带为 86 .7% (5 2侧 )和两条韧带同时存在为 2 3.3% (14侧 )。板股韧带在矢状像上表现为位于后交叉韧带前或后方的类圆形或短棒状低信号结构 ,而在冠状像上表现为自外侧半月板后角至股骨内侧髁外侧面的条带样低信号结构。在矢状像上 ,5 2 .8% (2 8/5 3)板股韧带与外侧半月板后角之间显示出一线样高信号 ,被称为假撕裂 ,易与外侧半月板后角撕裂混淆。但假撕裂仅有两种走行方向即后下斜行 (2 1/2 8)或垂直方向 (7/2 8)。结论 根据假撕裂位置、方向以及冠状像和连续矢状面的观察 ,可正确区分外侧半月板后角真假撕裂 相似文献