全文获取类型
收费全文 | 7688篇 |
免费 | 533篇 |
国内免费 | 343篇 |
专业分类
耳鼻咽喉 | 10篇 |
儿科学 | 175篇 |
妇产科学 | 31篇 |
基础医学 | 598篇 |
口腔科学 | 10篇 |
临床医学 | 928篇 |
内科学 | 1234篇 |
皮肤病学 | 12篇 |
神经病学 | 125篇 |
特种医学 | 579篇 |
外国民族医学 | 5篇 |
外科学 | 2163篇 |
综合类 | 1312篇 |
现状与发展 | 1篇 |
预防医学 | 162篇 |
眼科学 | 2篇 |
药学 | 702篇 |
13篇 | |
中国医学 | 193篇 |
肿瘤学 | 309篇 |
出版年
2024年 | 16篇 |
2023年 | 130篇 |
2022年 | 264篇 |
2021年 | 321篇 |
2020年 | 300篇 |
2019年 | 273篇 |
2018年 | 261篇 |
2017年 | 242篇 |
2016年 | 236篇 |
2015年 | 237篇 |
2014年 | 467篇 |
2013年 | 459篇 |
2012年 | 350篇 |
2011年 | 447篇 |
2010年 | 359篇 |
2009年 | 354篇 |
2008年 | 364篇 |
2007年 | 391篇 |
2006年 | 343篇 |
2005年 | 337篇 |
2004年 | 282篇 |
2003年 | 221篇 |
2002年 | 205篇 |
2001年 | 176篇 |
2000年 | 139篇 |
1999年 | 136篇 |
1998年 | 154篇 |
1997年 | 135篇 |
1996年 | 109篇 |
1995年 | 104篇 |
1994年 | 87篇 |
1993年 | 69篇 |
1992年 | 70篇 |
1991年 | 63篇 |
1990年 | 51篇 |
1989年 | 55篇 |
1988年 | 43篇 |
1987年 | 49篇 |
1986年 | 40篇 |
1985年 | 31篇 |
1984年 | 35篇 |
1983年 | 21篇 |
1982年 | 30篇 |
1981年 | 29篇 |
1980年 | 16篇 |
1979年 | 16篇 |
1978年 | 12篇 |
1977年 | 11篇 |
1976年 | 9篇 |
1973年 | 5篇 |
排序方式: 共有8564条查询结果,搜索用时 31 毫秒
21.
Takashi Iwazawa Mitsunobu Imazato Tadashi Ohnishi Yutaka Kimura Hiroshi Yano Takushi Monden 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2004,52(8):386-389
We report adult congenital bronchoesophageal fistula with both symptomatic fistula and asymptomatic one. A 56-year-old woman
with a history of cough after drinking fluids was diagnosed as bronchoesophageal fistula by upper gastrointestinal series
that showed a diverticulum in the middle portion of the esophagus with a fistula between the esophagus and right lower lung.
Esophagoscopy revealed an orifice of the fistula located 27 cm from the incisors. Computed tomography showed chronic inflammatory
change with bronchiectasis in the S6 segment of the right lung. The patient underwent video assisted thoracic surgery that
identified two fistulae without missing a symptomatic one, and both were successfully resected. The fistulae were lined by
squamous epithelium and smooth muscle without evidence of malignancy, infection or chronic inflammation that were histologically
compatible with congenital fistulae. 相似文献
22.
23.
目的研究两种不同脊柱后路减压方法治疗胸腰段骨折脱位合并脊髓损伤的手术治疗效果。方法回顾分析本院1996年3月~2002年6月收治的胸腰段骨折脱位并脊髓损伤患者76例,按不同减压方法将其分为两组:切除一侧或两侧椎板、椎弓根或部分关节突行侧前方环状减压AF内固定者40例,为直接减压组;体位复位结合AF器械矫正复位36例,为间接减压组。统计学分析,两组资料具有可比性。对术后神经功能恢复情况,按ASIA神经功能评定标准进行评定。中晚期并发症,根据是否有腰背痛,下肢根性痛、麻木无力,两便功能障碍进行评定。生活能力按FIM评定。结果两组病例获6个月~5年随访,结果表明,术前脊髓完全性损伤,术后均无恢复;术前脊髓不完全性损伤,术后两组间比较差异无显著性。中晚期并发症发生,直接减压组高于间接减压组;术后生活自理能力,间接减压组好于直接减压组。结论间接减压手术方法治疗胸腰段骨折脱位合并脊髓损伤不失为一种早期治疗的首选方法。 相似文献
24.
Pratipal Singh Vivek Vijjan Manu Gupta Deepak Dubey Aneesh Srivastava 《International journal of urology》2007,14(6):558-560
Congenital thoracic ectopic kidney is a very rare developmental anomaly and the rarest form of all ectopic kidneys. It is usually asymptomatic and discovered incidentally on routine chest radiography. Herein we reported the first case of staghorn stone in a thoracic kidney managed successfully by percutaneous nephrolithotomy. 相似文献
25.
26.
P. D. Tsitsopoulos C. A. Tsonidis K. A. Nanasis K. D. Tsoleka G. N. Tavridis 《Acta neurochirurgica》1995,135(3-4):198-200
Summary This report deals with a case of rhabdomyosarcoma in the upper thoracic spine. It is of particular interest, not only for the rarity of type and location of this tumour, but for its clinical course, which presented fluctuations of neurological status, included an acute demonstration of complete paraplegia followed by full recovery after conservative treatment, and gradual relapsing of neurological deficit, one year later. 相似文献
27.
为了提高闭胸心肺复苏时心肌冠状循环灌注压(CPP),我们分别观察了用主动脉内带水囊导管周期性阻塞胸主动脉或腹主动脉(OTA/OAA),以及不同剂量肾上腺素(0.02~0.14mg/kg)对CPP的影响。结果:OTA不能提高CPP。然而,在复苏30min内,每3minOAA之后,CPP都比各期阻塞前血压高0.67~1.2kPa(P<0.05或0.01);解除阻塞3 min后,CPP比各期解除前血压低0.8~1.6kPa(P<0.05或0.01)。另外,使用肾卜腺素只在复苏的前9min有效。结论:OAA可以显著提高闭胸心肺复苏时的CPP;在复苏后期,其作用优于大剂量肾上腺素。 相似文献
28.
Diagnosis and treatment of thoracic outlet syndrome 总被引:2,自引:0,他引:2
Masataka Abe Tadashi Shimamura Jun Nishida Katsuaki Ichinohe 《Journal of orthopaedic science》1997,2(2):119-127
Patients who develop symptoms of thoracic outlet syndrome (TOS) have a predisposing anatomic abnormality. In most patients
with TOS, the symptoms are caused by entrapment of the brachial plexus and they do not arise from compression of the subclavian
artery, as was previously thought. The tests advocated for diagnosing this common syndrome (i.e., evaluating the positional
compression of the artery when the arms are raised, the neck is turned, or the shoulders are braced) cannot accurately diagnose
this syndrome. There are two reasons for this. The symptoms of TOS are not related to the compression of the artery in the
outlet in 98% of patients, and 75% of normal individuals without symptoms show diminished radial pulse on various provocation
tests. We employed four timed provocation tests (minute tests) to diagnose TOS: the timed Morley test, timed Wright test,
timed Eden test, and elevated arm stress exercise, all of which are very sensitive. In normal individuals without symptoms,
20% experience transitional symptoms such as slight pain and tiredness, on these tests indicating a subclinical state. TOS
is treated by keeping the thoracic outlet wide, this being done either conservatively or surgically. In 1993 and 1994, we
conservatively treated 418 of 422 patients with TOS by means of active exercise, a brace, and by block therapy. These measures
did not reduce the symptoms in 23 of these patients, so surgical treatment was indicated. In the remaining 4 of the 422 patients,
conservative treatment was not indicated and surgery was performed directly. All the patients showed significant clinical
improvement of varying degree.
Presented at the 69th Annual Meeting of the Japanese Orthopaedic Association, Tokyo, April 12, 1996 相似文献
29.
应用同种动脉治疗主动脉根部病变 总被引:4,自引:0,他引:4
报告5例采用同种动脉(HAV)治疗5例主动脉根部病变(主动脉瓣狭窄1例,关闭不全4例)。男3例,女2例;年龄13~47岁。病因为细菌性心内膜炎2例(包括先天主动脉瓣二瓣化畸型1例),Marfan综合征2例,风湿性主动脉瓣关闭不全1例。术中采用同种主动脉全根置换3例(Bentall手术),其中1例用HAV上的二尖瓣前叶加宽主动脉瓣环(Manouguian手术),余2例用自体肺动脉移置主动脉根部,另取同种肺动脉做原位移置(Ross手术)。结果死亡1冽,4例存活,且无并发症发生。术后超声心动图提示主动脉根部良好,无主动脉瓣反流。随访2.5~3.5年疗效满意。 相似文献
30.
复合带瓣人工血管替换升主动脉和主动脉瓣(24例报告) 总被引:1,自引:0,他引:1
报告24例升主动脉瘤伴主动脉瓣关闭不全行升主动脉和主动脉瓣替换及冠状动脉开口移植术(Bental术22例,底盘法2例)。13例伴有升主动脉夹层分离,对其中8例DeBakeyI型者,以Teflon毡条内外加固主动脉切端后吻合。13例用人工血管周围间隙与右心耳吻合以控制升主动脉吻合之外的出血。3例以人工血管片环包主动脉吻合口控制局部广泛渗血及出血。2例术毕不能脱离体外循环死亡,手术死亡率83%。随访平均218个月,2例死于蛛网膜下腔出血,1例右股动脉栓塞经手术治愈;其余病人康复良好,心功能(NYHA)I~II级。 相似文献