全文获取类型
收费全文 | 93182篇 |
免费 | 6936篇 |
国内免费 | 2132篇 |
专业分类
耳鼻咽喉 | 500篇 |
儿科学 | 1855篇 |
妇产科学 | 1123篇 |
基础医学 | 10238篇 |
口腔科学 | 1505篇 |
临床医学 | 11681篇 |
内科学 | 9623篇 |
皮肤病学 | 450篇 |
神经病学 | 12285篇 |
特种医学 | 2371篇 |
外国民族医学 | 2篇 |
外科学 | 6516篇 |
综合类 | 12504篇 |
现状与发展 | 6篇 |
一般理论 | 24篇 |
预防医学 | 16545篇 |
眼科学 | 748篇 |
药学 | 8709篇 |
118篇 | |
中国医学 | 2476篇 |
肿瘤学 | 2971篇 |
出版年
2024年 | 336篇 |
2023年 | 1757篇 |
2022年 | 2784篇 |
2021年 | 4035篇 |
2020年 | 3888篇 |
2019年 | 3369篇 |
2018年 | 3191篇 |
2017年 | 3278篇 |
2016年 | 3373篇 |
2015年 | 3306篇 |
2014年 | 5993篇 |
2013年 | 7450篇 |
2012年 | 5536篇 |
2011年 | 5854篇 |
2010年 | 4630篇 |
2009年 | 4450篇 |
2008年 | 4612篇 |
2007年 | 4347篇 |
2006年 | 3899篇 |
2005年 | 3248篇 |
2004年 | 2701篇 |
2003年 | 2365篇 |
2002年 | 1905篇 |
2001年 | 1615篇 |
2000年 | 1368篇 |
1999年 | 1158篇 |
1998年 | 1134篇 |
1997年 | 1089篇 |
1996年 | 883篇 |
1995年 | 837篇 |
1994年 | 804篇 |
1993年 | 716篇 |
1992年 | 651篇 |
1991年 | 619篇 |
1990年 | 505篇 |
1989年 | 471篇 |
1988年 | 461篇 |
1987年 | 437篇 |
1986年 | 408篇 |
1985年 | 521篇 |
1984年 | 432篇 |
1983年 | 272篇 |
1982年 | 295篇 |
1981年 | 258篇 |
1980年 | 251篇 |
1979年 | 168篇 |
1978年 | 143篇 |
1977年 | 130篇 |
1976年 | 98篇 |
1974年 | 53篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
101.
我国高等医学院校教学医院评审的回顾 总被引:1,自引:1,他引:0
本文回顾了国内教学医院评审的文献,总结了在教育评价理论的指导下,我国大部分省市卫生教育行政部门及医学院校近10年来开展大规模的教学医院评审的实践,包括评审的实施、取得的成效以及存在的问题。 相似文献
102.
同伴支持、父母支持和青少年自我价值感初探 总被引:2,自引:1,他引:1
目的:探讨实际的同伴支持、感知到的同伴支持、感知到的父母支持、对同伴支持的重要性评价、对父母支持的重要性评价和自我价值感之间的关系。同时也考察了青少年的同伴接受性。方法:用社会测量法和自我报告法对285名青少年进行集体测试。结果:①社会测量法表明青少年也可以被分为受欢迎的、被拒绝的、被忽略的、和有争议的;②感知到的同伴/父母支持和自我价值感之间存在显著正相关;高低实际同伴支持两组被试在感知到的同伴支持上存在显著差异。但在自我价值感上不存在显著差异;(固在所有被试中,只有对初三学生来说,对同伴/父母支持的重要性评价在感知到的同伴/父母支持和自我价值感之间起到调节作用。结论:感知到的同伴/父母支持可以用来预测青少年的自我价值感:对初三学生来说,对同伴/父母支持的重要性评价可以在感知到的同伴/父母支持和自我价值感之间起到调节作用。 相似文献
103.
Shah-Hwa Chou Eing-Long Kao Chien-Chih Lin Meei-Feng Huang 《Clinical autonomic research》2006,16(3):240-242
A total of 114 patients with various sympathetic disorders underwent endoscopic sympathetic block over different thoracic
ganglions by the clipping method. The advantages of this method include the recognition of the clipped level, changeability,
and reversibility. However, 4.4% of patients were unilaterally clipped at the wrong level. 相似文献
104.
Kun-xi Qian 《Cardiovascular Engineering》2006,6(1):40-42
To investigate the possibility of a long-term applicable left ventricular assist device, a 23 mm outer diameter and 31 g weight implantable aortic valvo-pump was developed. It consists of a rotor and a stator; the rotor has a driven magnets assemble and an impeller, the stator has a motor coil with iron core and a outflow guide vane. The device locates the position of aortic valve, delivers the blood directly from left ventricle to aorta. Neither connecting conduits nor “bypass” circuits are necessary. Therefore, the device has promisingly better antithrombogenicity than other heart pumps. In hemodynamic testing, the pump can produce a blood flow of 7 l/min volume with 50 mmHg pressure increase at 15,000 rpm rotating speed, and at zero flow rate the pump can maintain a diastolic pressure over 80 mmHg at same rotating speed. For further studies the blood compatibility and the durability of the device are of most importance. 相似文献
105.
P. E. Langdon A. Swift & R. Budd 《Journal of intellectual disability research : JIDR》2006,50(11):828-836
Background The social climate of inpatient facilities is thought to be an important contributor to treatment outcome. However, little research has focused on this construct within secure forensic services for people with intellectual disabilities (ID). Therefore, the objective of this study was to investigate the social climate of two different types of secure units (‘low’ secure vs. ‘medium’ secure) contained within the same facility for offenders with ID. Two hypotheses were generated: (1) residents would rate the social climate of the whole facility in a more negative direction than staff, and (2) residents and staff would rate the social climate of the ‘low’ secure unit in a more positive direction than that of the ‘medium’ secure unit. Method Using a 2 (factor ‘Participant’ = Staff or Resident) × 2 (factor ‘Unit’ = ‘Low’ or ‘Medium’ Secure Unit) between‐subjects design, 18 residents and 37 staff members were recruited and completed the Correctional Institutions Environment Scale (CIES), a measure of social climate. Results Residents tended to rate the units in a more positive direction than staff on some sub‐scales. Participants rated the ‘low’ secure unit in a more positive direction than the ‘medium’ secure unit on two sub‐scales of the CIES. However, on selected sub‐scales there were differences. The findings of this study suggest that the CIES may be a valid instrument for use within forensic services for people with ID, and further suggests that residents and staff have different perceptions of the shared social climate, which may have implications for service development. 相似文献
106.
县级医院医疗仪器管理对策 总被引:4,自引:1,他引:3
医疗仪器在疾病诊断和医疗中的作用越来越大,完善的管理不仅可提高仪器的使用寿命和安全性,关系到医院的经济效益和社会效益,更关系到患者的利益.文章结合实际,提出县级医院医疗仪器管理对策. 相似文献
107.
D2-43病毒E蛋白在酵母细胞表面的展示 总被引:2,自引:0,他引:2
目的:在酵母细胞表面展示登革2型病毒43株(D2—43)的E基因,探索利用酵母表面展示系统建立DNA改组筛选平台的可行性。方法:通过RT-PCR扩增获得D2-43的E基因,将该基因亚克隆至T载体后,再克隆至酵母表面展示载体pYDI,于酿酒酵母EBY100中利用半乳糖进行诱导表达。表达产物采用间接免疫荧光法和FACS进行检测。结果:酵母表面展示产物可与D2-43的腹水抗体特异性地结合;在半乳糖诱导后24h,展示E蛋白的酵母细胞百分数达22.07%。结论:本研究为建立基于酵母表面展示系统的DNA改组筛选平台奠定了基础。 相似文献
108.
Previously reported attenuation of skin postural vasoconstriction in women during the luteal menstrual cycle phase may be
due to a progesterone-mediated decrease in myogenic or veno-arteriolar (VAR) mechanisms. Skin perfusion was measured in the
shin and foot dorsum by Laser Doppler Fluxometry during leg dependency that increased vascular transmural pressure below (myogenic
constriction only) and above (myogenic and VAR) the 25 mmHg threshold for activation of the VAR, and during venous distension
to activate the VAR alone (cuff inflation to 50 mmHg). In six young women with normal menstrual cycles, vasoconstrictor responses
to all interventions did not differ between days 7–13 (follicular) and 18–23 (luteal) of the normal menstrual cycle when progesterone
levels were low and at their peak respectively. In eight women taking combined oral contraceptives (OC) and tested during
pill consumption days, reductions in foot skin perfusion were smaller (P = 0.05) than in the luteal phase of the normal cycle for leg dependency below (−36.9 ± 5.2% OC vs. −52.5 ± 7.8% luteal, mean ± S.E.M.)
and above (−43.7 ± 3.4% OC vs. −55.1 ± 4.8% luteal) the VAR threshold, and for venous distension (−53.1 ± 2.6% OC vs. 66.4 ± 5.5%
luteal). In women with normal menstrual cycles, impaired postural vasoconstriction may be confined to those who experience
pre-menstrual symptoms rather than a direct effect of endogenous hormones. Reduced vasoconstriction in the dependent foot
during OC use is consistent with the known vasodilator action of exogenous hormones and its long-term effects 相似文献
109.
多系统萎缩的临床分型和影像学改变特点分析 总被引:2,自引:0,他引:2
目的探讨多系统萎缩(multiple system atrophy,MSA)的临床表现类型与神经影像学改变新特征(脑桥“十字征”和“壳核裂隙征”)的关系,为临床尽早做出诊断提供依据。方法按照Gilman诊断标准回顾性分析11例MSA患者的临床表现、分型和头颅MRI资料。结果本组诊断为很可能MSA11例,其中橄榄体脑桥小脑萎缩(MSA-C型)8例。2例在发病后3年头颅MRI脑桥“十字征”达Ⅰ期;1例在病后2年达Ⅱ期;3例分别在病后1年、3年、5年达Ⅲ期;另外2例分别在病后2年和7年达Ⅳ期。8例“壳核裂隙征”均为0期。黑质纹状体变性(MSA-P型)2例:1例病后6年脑桥“十字征”0期,“壳核裂隙征”Ⅰ期,另1例发病后9年“壳核裂隙征”Ⅱ期,脑桥“十字征”Ⅳ期。Shy-Drager综合征(MSA-A型)1例:病程5年,MRI检查脑桥“十字征”和“壳核裂隙征”分期均为0期。结论临床表现与头颅MRI检查发现的脑桥“十字征”和“壳核裂隙征”可作为及早识别MSA-C型的神经影像学改变特征,“壳核裂隙征”可作为识别MSA-P型的神经影像学改变特征。 相似文献
110.
Nelson Wolosker Guilherme Yazbek José Ribas Milanez de Campos Paulo Kauffman Augusto Ishy Pedro Puech-Leão 《Clinical autonomic research》2007,17(3):172-176
Background Sympathectomy is the treatment of choice for primary hyperhidrosis. One curious occurrence that is difficult to explain from
an anatomophysiological point of view in cases of video-assisted thoracoscopic sympathectomy (VATS) for the treatment of palmar
hyperhidrosis (PH) is the observed improvement in plantar hyperhidrosis (PLH). Nevertheless, current reports on VATS rarely
describe the effect on PLH or just give superficial data. The aim of this study was to prospectively investigate, how surgery
affects PLH in patients with PH and PLH over one-year period.
Methods From May 2003 to January 2004, 70 consecutive patients with combined PH and PLH underwent VATS at the T2, T3, or T4 ganglion
level (47 women and 23 men, with mean age of 23 years).
Results Immediately after the operation, all the patients said they were free from PH episodes, except for two patients (2.8%) who
suffered from continued PH. Compensatory hyperhidrosis (CH) of various degrees was observed in 58 (90.6%) patients after one
year. Only 13 (20.3%) suffered from severe CH. There was a great initial improvement in PLH in 50% of the cases, followed
by progressive regression, such that only 23.4% still presented that improvement after one year. The number of cases without
overall improvement increased progressively (from 17.1% to 37.5%) and the numbers with slight improvement remained stable
(32.9–39.1%). Of the 24 patients with no improvement after one year, 6 patients graded plantar sweating worse.
Conclusion Patients with PH and PLH who undergo VATS to treat their PH present a good initial improvement in PLH that reduces to a lower
level of improvement after the one-year period. 相似文献