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61.
Zheng-Hua ZHU Bai-Ren WANG Qing-Rong TAN Xiao-Li DUAN Fang KUANG Zhen XU Gong JU Institute of Neurosciences Department of Psychiatrics the Fourth Military Medical University X i’an China 《中国神经科学杂志》2006,(3)
1 Introduction Exposure to hostile stressors causes a series of coor- dinated responses in the body, such as alterations of neu- roendocrine secretion, immune reaction and behavioral manifestation to maintain homeostasis stability and sur-vival of the organisms. Stressors are divided into two main categories: physical, or systemic, and psychological, or emotional / processive. Each stressor might activate a spe- cific central pathway to induce a special neuroendocrine response, even cause stre… 相似文献
62.
目的:评价口服水剂、水灌肠及两者联合应用充盈肠道后,使用MSCT显示成人正常肠道的能力。材料和方法:将43名非肠道病变志愿者分别采用口服水剂法(21例)、水灌肠法(12例)、双重法(口服水剂和水灌肠联合应用,10例)充盈肠道,然后行MSCT平扫和增强扫描并进行图像重建,对小肠和大肠各肠段充盈状态进行评价。结果:口服水剂法回肠充盈良好,水灌肠法大肠充盈良好,双重法回肠及大肠均充盈良好。口服水剂法小肠充盈优于水灌肠法,与双重法无显著差异,大肠充盈状态水灌肠法明显优于口服水剂法,与双重法无显著差异。结论:口服水剂和水灌肠联合应用可以在MSCT同时较好地充盈显示小肠和大肠,而两种方法单独使用则仅能分别充盈显示小肠和大肠,需要根据显示目的选择相应的充盈方法。 相似文献
63.
Macrophage-like cells from explant cultures of rat sciatic nerve produce apolipoprotein E 总被引:3,自引:0,他引:3
Apolipoprotein E is synthesized and secreted by degenerating peripheral nerve, but the role of resident endoneurial cells in this process is not clear. To exclude the involvement of nonresident cells, we examined the cellular source of endoneurial apolipoprotein E in explant cultures of rat sciatic nerve. The cellular outgrowth from these explant cultures released apolipoprotein E into the culture medium. The cellular outgrowth contained fibroblasts, Schwann cells, and a population of cells with many phenotypic characteristics of macrophages, including the production of apolipoprotein E. No other cell type in the cultures appeared to contribute to this production. These data suggest that apolipoprotein E is produced by resident endoneurial cells in explant cultures and that these cells are macrophages. 相似文献
64.
原发性小肠肿瘤诊断治疗的临床分析(附58例报告) 总被引:1,自引:0,他引:1
目的探讨原发性小肠肿瘤临床特型、病理分型及诊治经验。方法回顾性分析1993年10月。2003年10月收治的有完整资料的58例原发性小肠肿瘤病例。结果本组包括13例(22.4%)良性肿瘤,45例(77.6%)。小肠良性肿瘤均行局部肠段切除,除2例死于其它疾患外,余11例健在;小肠恶性肿瘤患者中,院内死亡6例,仅11例能行根治性肠切除,37例行化疗(总有效率83.4%),随访33例(随访率89.5%),存活5年以上者14例(5年生存率42.4%),多为T细胞性非何杰金淋巴瘤。结论原发性小肠肿瘤恶性所占比例较高,缺乏特征性的临床表现及有效的诊断手段,易致长期延误诊治,预后甚差;对原因不明的腹痛、消化道出血及定位不明的腹部包块患者及早行剖腹探查是避免小肠肿瘤长期误诊、改善患者预后的可靠手段。 相似文献
65.
易丹丹 《杭州医学高等专科学校学报》2005,25(4):344-346
从非演绎方法入手,从分析与综合、归纳与概括、类比与联想三个方面联系歌唱的思维过程,论述非演绎思维方法在歌唱过程中的运用。思维的非演绎方法贯穿于歌唱的全过程,它们之间存在着紧密的联系。掌握思维的非演绎方法对于歌唱水平的提高有积极的促进作用。 相似文献
66.
Zhiqiang Li Arthur F Gmitro Ali Bilgin Maria I Altbach 《Magnetic resonance in medicine》2007,57(6):1047-1057
Three-point Dixon techniques achieve good lipid-water separation by estimating the phase due to field inhomogeneities. Recently it was demonstrated that the combination of an iterative algorithm (iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL)) with a fast spin-echo (FSE) three-point Dixon method yielded robust lipid-water decomposition. As an alternative to FSE, the gradient- and spin-echo (GRASE) technique has been developed for efficient data collection. In this work we present a method for lipid-water separation by combining IDEAL with the GRASE technique. An approach to correct for errors in the lipid-water decomposition caused by phase distortions due to the switching of the readout gradient polarities inherent to GRASE is presented. The IDEAL-GRASE technique is demonstrated in phantoms and in vivo for various applications, including pelvic, musculoskeletal, and (breath-hold) cardiac imaging. 相似文献
67.
T. Clerici R. Warschkow F. Triponez M. Brändle 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》2007,392(5):611-615
Background From the endocrine surgeon’s perspective, it is important to know how endocrinologists manage patients with primary hyperparathyroidism
(pHPT). The aim of this survey was to evaluate the preoperative diagnostic workup and referral pattern for parathyroidectomy
by Swiss endocrinologists.
Materials and methods The survey was conducted by mailing a questionnaire to all members of the Swiss Society for Endocrinology and Diabetes in
spring 2005.
Results The questionnaire was sent back by 68 of 124 endocrinologists (55%). The median annual case volume of patients with pHPT was
6 (range 1–50). The mean fraction of these patients referred for surgery was 59 ± 24%. This fraction was significantly higher
in the German-speaking part of Switzerland than in the French-speaking part (67 ± 21% vs 51 ± 27%). When considering surgery
for asymptomatic pHPT, 62% of the endocrinologists rely routinely on the recommendations of the NIH consensus conference and
86% on the subsequent guidelines of the workshop in 2002. Sixty-seven percent of the endocrinologists routinely perform localization
studies before possible referral for surgical exploration. Typically, they consisted of an ultrasonography of the neck (93%)
and a 99mTc-MIBI scintigraphy (80%). The impact of the availability of a minimally invasive surgical procedure on the number of patients
referred for surgery seems to be considerable. Sixty-one percent of the participants would expand the indication for surgery
if the operation could be done by a limited surgical approach.
Conclusions In a relevant fraction of patients with pHPT, endocrinologists still do not regard curative therapy as mandatory. Surprisingly,
there are significant cultural differences concerning referral patterns to surgery between the German-speaking and the French-speaking
parts of Switzerland. Minimally invasive procedures seem to lower the threshold for referral for surgical therapy.
This work was presented at the 2nd Biennial Congress of the ESES, May 2006, Krakow, Poland. 相似文献
68.
69.
Background: There are many surgical procedures for the correction of hallux valgus and crossover 2nd toe deformity. Amputation of a crossover 2nd toe is often performed as a salvage procedure if the primary 2nd toe corrective procedure fails.Aims: To assess the outcomes of amputating a crossover 2nd toe in the presence of hallux valgus in elderly patients above 70 years old; as a primary procedure.Materials and methods: Seven patients (8 ft) underwent amputation of their crossover 2nd toe. A disease specific questionnaire using a Visual Analogue Scale (VAS) was implemented measuring pain, deformity, discomfort, and walking distance.Results: The mean age of the patients was 82 years old, range 74–89 years old. Amputation of the 2nd toe significantly reduces pain, discomfort and the appearance of deformity, there was no difference in the patient’s walking distance after surgery.Conclusion: We recommend this type of surgery as a primary procedure in elderly patients above 70 years old, if the first ray is not causing symptoms. 相似文献
70.
Hongbo Zhai Emi Dika Marina Goldovsky Howard I. Maibach 《Skin research and technology》2007,13(2):207-210
BACKGROUND/PURPOSE: If the occlusion time of a closed chamber evaporimeter on the skin is too long, saturation might occur. We previously compared an open chamber and a closed chamber device on healthy volunteers. Comparable data on stripped skin with higher evaporation rates are not available. This study compares the sensitivity and correlation of open and closed chamber devices in a tape-stripping human model. The amount of tape removed SC was also quantified with a protein assay method. METHODS: Ten healthy volunteers (six male and four female; seven Caucasians and three Asian; mean age 38+/-16) were enrolled. In a randomized manner, one forearm was measured by an open chamber device and the opposite by a closed chamber device. After recording baseline measurements, 20 strippings were taken on each test site with tape disks. Transepidermal water loss (TEWL) was measured at the end of 10 and 20 tape strippings at each test site. Stratum corneum (SC) aggregates in the strips was assayed. RESULTS: The mean values obtained from two devices were similar after 10 trips and 20 strips. There was no statistically significant difference. The closed chamber device showed a slightly higher (but not significant) inter-individual coefficient of variation. SC aggregates in the strips were similar and without a statistically significant difference. CONCLUSION: The study suggests that both devices might yield similar TEWL values on stripped human skin in vivo. 相似文献