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排序方式: 共有1307条查询结果,搜索用时 15 毫秒
61.
目的探讨胎盘早剥的病因,相关因素,总结早期诊断,处理的方法,降低围生儿死亡,改善母婴结局。方法对我院近5年来发生的胎盘早剥病例68例进行回顾性分析。结果胎盘早剥的发生率为0.42%,胎盘早剥多发生于外来人口,且一般无产前检查,孕期往往合并妊娠期高血压疾病且未经正规治疗,以腹痛、阴道流血为主要临床表现,并发DIC及凝血功能障碍7例,子宫切除5例,围生儿死亡18例。结论加强孕期保健,规范外来孕妇产前检查,及早发现和治疗妊娠期高血压疾病,可降低胎盘早剥的发生。重视胎盘早剥的诱因、临床症状及体征,可早期诊断胎盘早剥。一旦发现胎盘早剥,尽快终止妊娠,可改善母婴结局。 相似文献
62.
目的探讨妊娠晚期胎膜早破并发胎盘早剥的发生率及早期诊治要点。方法回顾分析2002年1月-2005年12月该院产科分娩的胎膜早破病例,其中并发胎盘早剥者9例,与非胎膜早破发生胎盘早剥者进行比较,分析早期诊治与母婴结局的关系。结果4年内分娩总数3998例,胎膜早破并发胎盘早剥者占全部胎盘早剥的45%,胎膜早破为胎盘早剥的第1住诱因。胎膜早破并发胎盘早剥的发生率为2.97%,而非胎膜旱破组为0.30%,两组比较,差异有非常显著性(P〈0.001),胎心异常,少量血性羊水为常见临床表现。结论胎膜早破是胎盘早剥的重要诱因,重视胎膜早破后每1个异常临床表现,有助于早期诊治,以降低母婴并发症发生。 相似文献
63.
A. Tiitinen G. N. Than K. Iino H. Halila M. Seppälä 《Archives of gynecology and obstetrics》1987,241(1):43-46
Summary Serum levels of placental protein 10 (PP10) were measured by radioimmunoassay in patients with trophoblastic (n=23) and non-trophoblastic (n=122) gynaecological tumours before, during and after treatment. Elevated levels (>2.0 g/l) were found in 96% of patients with an untreated trophoblastic tumour, and in 22%, 20% and 12% of patients with endornetrial, cervical and ovarian carcinoma, respectively. After treatment the levels fell in patients with trophoblastic disease. Although PP10 may be tumour-associated in such cases, it is premature to assume any significance for PP10 as a tumour marker in clinical practice, because changes in serum hCG levels are much more informative. 相似文献
64.
The evidence reviewed here shows that the endocrinology of fetal growth is very different from that operating postnatally.
Pituitary hormones play little part in stimulating growth of the lean body mass or skeleton although growth hormone (GH) may
be involved, in some as yet ill defined way in the ontogeny of the fetal pancreatic islet and insulin secretion. Insulin is
important because it stimulates fetal cellular anabolism but acts in a permissive manner: with too little insulin growth is
inhibited, with too much growth proceeds at a genetically predetermined rate. Placental lactogen (PL), or other peptides within
the GH/PL family, may act as a true growth-promoting hormone in the fetus; it stimulates both cellular metabolism and mitosis.
The part played by endocrine control mechanisms in the fetus is set in context by an appreciation of the importance of locally
acting tissue growth factors, and in particular the somatomedins. Their part in fetal growth control is intimately bound up
with the plane of nutrition experienced by the fetus. It is concluded that the simplest analysis that makes biological sense
involves a consideration of hormones, tissue growth factors and nutrition, not hierarchically but as mutually interacting
variables. 相似文献
65.
S Fujimoto M Akahane K Uzuki A Inagawa K Sakai A Sakai 《International journal of gynaecology and obstetrics》1984,22(4):269-274
The purpose of this study was to examine the placental passage of ritodrine hydrochloride in relation to the drug's effects on the fetal circulation. Studies were carried out on nine nulliparous pregnant (120-140 days) ewes with chronically implanted cannulae for measurements of maternal and fetal arterial pressures and for blood sampling. One group of animals received sequential infusions of doses ranging from 0.1 to 30 micrograms/kg per min for 30 min (group 1). A second group was given a constant infusion of the drug at a dose of 3.0 micrograms/kg per min for 4 h (group 2). The peak concentrations of ritodrine in maternal and fetal blood were determined by radioimmunoassay. In group 1 they were 313.4 +/- 24.1 ng/ml (mean +/- S.E.) and 12.6 +/- 3.7 ng/ml at the finish of 30.0 micrograms/kg per min infusion for maternal and fetal blood, respectively. In group 2, maternal drug levels were 81.3 +/- 20.4 ng/ml after 30 min and 95.9 +/- 17.1 ng/ml after 4 h of the infusion. Fetal plasma concentrations increased slowly from trace levels at 30 min to 3.3 +/- 0.7 ng/ml at 4 h. Fetal blood pressure and heart rate did not show any significant changes during and after the infusion of ritodrine in both treatment groups. Our findings demonstrate the maternal administration of ritodrine produces no significant effects on the circulatory system of the fetal lamb because of the low transplacental passage of this drug. 相似文献
66.
胎盘生长因子(PLGF)是血管内皮生长因子(VEGF)家族成员之一。它通过与其受体VEGFR-1(Flt-1)结合发挥生物学作用,促进新生血管形成,参与了肿瘤,炎症等病理生理过程。研究表明PLGF及其受体在妊娠并发症、子宫内膜异位症和肿瘤中起着重要作用。 相似文献
67.
目的:探讨影响胎盘早剥诊断的因素和对不典型胎盘早剥的早期诊断和处理方法。方法:回顾性分析新疆医科大学第一附属医院爱婴病房2000年1月~2004年12月胎盘早剥139例临床资料。结果:胎盘早剥发生率为0.58%;病因依次为妊娠期高血压疾病、胎膜早破、外伤、头位难产合并子宫收缩过强、羊水过多、脐带过短、胆汁淤积、人工破膜、双胎等。重型胎盘早剥者其围产儿死亡、新生儿窒息和产后贫血的发生率明显高于轻型胎盘早剥者,差异有统计学意义(P〈0.05~0.01)。妊娠〈35周者发生胎盘早剥的围产儿死亡率明显高于妊娠≥35周者,差异有统计学意义(P〈0.01)。结论:胎膜早破是胎盘早剥的第二位病因,怀疑有胎盘早剥时需严密监测胎儿宫内情况并积极处理。 相似文献
68.
69.
Cécile Choux Perrine Ginod Julie Barberet Thierry Rousseau Céline Bruno Paul Sagot Karine Astruc Patricia Fauque 《Reproductive biomedicine online》2019,38(4):538-548
Research question
Does mode of conception influence placental volume and other first-trimester outcomes?Design
This retrospective single-centre case-control study led in Dijon University Hospital included 252 singleton pregnancies (84 IVF with either fresh embryo transfer or frozen-thawed embryo transfer [FET] and 168 natural conceptions). First-trimester placental volume, uterine artery pulsatility index and maternal serum PAPP-A and beta-HCG were measured. Statistical analyses were adjusted for gestational age, the newborn’s gender, maternal age, parity, body mass index and smoking status.Results
Placental volume was significantly greater in the FET group than in the control group (P?=?0.043) and fresh embryo transfer (P?=?0.023) groups. At birth, fresh embryo transfer newborns were significantly smaller than controls (P?=?0.01) and FET newborns (P?=?0.008). Postpartum haemorrhage was far more frequent in FET than in controls and fresh embryo transfer group (38.1%, 2.6% and 1.9%, respectively; P < 0.0001). Placental volume positively correlated with PAPP-A, beta-HCG and the newborn’s birth weight, and negatively correlated with uterine artery pulsatility index.Conclusions
Placental volume and other first-trimester parameters are modified by IVF with fresh embryo transfer and FET compared with natural conception, but with opposite trends. Given the different protocols used for these techniques, hormonal treatment per se may have a major effect on pregnancy outcomes through the modification of placental invasiveness. 相似文献70.
胎盘免疫调节肽的抗肿瘤作用 总被引:7,自引:3,他引:4
用S180、结肠癌26及FC瘤细胞分别接种于小鼠,建立肿瘤动物模型,然后用胎盘免疫调节肽进行治疗,观察其抑瘤效应。体内实验结果表明:胎盘免疫调节肽可明显抑制S180和结肠癌26瘤细胞的生长,其抑瘤率分别为48%和57%;明显抑制FC瘤细胞的转移。 相似文献