全文获取类型
收费全文 | 2303篇 |
免费 | 196篇 |
国内免费 | 3篇 |
专业分类
耳鼻咽喉 | 13篇 |
儿科学 | 87篇 |
妇产科学 | 40篇 |
基础医学 | 247篇 |
口腔科学 | 43篇 |
临床医学 | 217篇 |
内科学 | 514篇 |
皮肤病学 | 26篇 |
神经病学 | 160篇 |
特种医学 | 226篇 |
外科学 | 392篇 |
综合类 | 86篇 |
一般理论 | 2篇 |
预防医学 | 169篇 |
眼科学 | 85篇 |
药学 | 121篇 |
肿瘤学 | 74篇 |
出版年
2021年 | 22篇 |
2018年 | 28篇 |
2016年 | 22篇 |
2015年 | 35篇 |
2014年 | 37篇 |
2013年 | 72篇 |
2012年 | 66篇 |
2011年 | 77篇 |
2010年 | 53篇 |
2009年 | 71篇 |
2008年 | 97篇 |
2007年 | 86篇 |
2006年 | 84篇 |
2005年 | 69篇 |
2004年 | 67篇 |
2003年 | 74篇 |
2002年 | 68篇 |
2001年 | 56篇 |
2000年 | 64篇 |
1999年 | 51篇 |
1998年 | 56篇 |
1997年 | 62篇 |
1996年 | 60篇 |
1995年 | 50篇 |
1994年 | 32篇 |
1993年 | 32篇 |
1992年 | 53篇 |
1991年 | 53篇 |
1990年 | 37篇 |
1989年 | 61篇 |
1988年 | 56篇 |
1987年 | 55篇 |
1986年 | 59篇 |
1985年 | 45篇 |
1984年 | 35篇 |
1983年 | 38篇 |
1982年 | 20篇 |
1981年 | 30篇 |
1980年 | 23篇 |
1979年 | 29篇 |
1978年 | 32篇 |
1977年 | 26篇 |
1975年 | 22篇 |
1974年 | 36篇 |
1973年 | 31篇 |
1972年 | 27篇 |
1971年 | 18篇 |
1970年 | 21篇 |
1969年 | 22篇 |
1968年 | 22篇 |
排序方式: 共有2502条查询结果,搜索用时 15 毫秒
1.
2.
Anton A. Semenistyy Elena A. Litvina EA Anna G. Fedotova Chukwuweike Gwam Andrey N. Mironov 《Injury》2019,50(2):515-520
Background
Intramedullary nailing is considered a “gold standard” for treatment of tibial shaft fractures. However, some types of fractures are typically considered as “difficult for nailing”. This group includes the periarticular fractures, fractures of both bones at the same level, comminuted and segmental fractures of the tibia. Fixator-assisted nailing (FAN) is an effective method treatment of these types of fractures. The main requirements for the ideal reduction device are an ease of its installation and an ability of multiplanar fracture reduction. Fixator-assisted nailing (FAN) with the use of two perpendicular to each other monolateral tubular frames perfectly meets these requirements. In this study we present this new surgical technique and the analysis of first 30 cases.Methods
A prospective analysis was conducted for 30 patients with “difficult for nailing” tibial fractures treated with fixator-assisted nailing in our institution between September 1st, 2017, and March 1st, 2018. The duration of surgery and its different stages, the time of fluoroscopy, difficulties encountered during surgery, were analyzed. Clinical and radiological methods were used to evaluated reduction quality.Results
In all 30 cases the acceptable reduction was achieved. The mean duration of the surgical procedure was 73.7?±?3?min. The mean duration of fluoroscopy 85.9?±?4.8?s. In 7 cases we faced with technical difficulties, which were successfully addressed.Conclusion
The described technique of FAN is an effective method for the treatment of “difficult for nailing” tibial fractures. Future multi-centered studies with a larger number of patients are needed to validate our results. 相似文献3.
We report a case of left iliofemoral vein thrombosis with extension to the inferior vena cava associated with giant right hydronephrosis secondary to ureteropelvic junction obstruction. Surgery revealed marked infrarenal vena caval compression and deviation to the left side caused by the dilated right renal pelvis, with resultant kinking of the origin of the left iliac vein. It is postulated that the reduction in blood flow caused by this compression and distortion predisposed this patient to venous thrombosis. 相似文献
4.
Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California 总被引:15,自引:1,他引:14
P D Cleary S Greenfield A G Mulley S G Pauker S A Schroeder L Wexler B J McNeil 《JAMA》1991,266(1):73-79
OBJECTIVES.--To determine the extent to which interinstitutional variations in length of stay are explained by differences in patient characteristics and to determine whether patients in hospitals with shorter lengths of stay had worse outcomes. DESIGN.--We reviewed patients' medical records and surveyed patients between 3 and 12 months after hospital discharge using a questionnaire. SETTING.--Six teaching hospitals in California and Massachusetts. PATIENTS.--A cohort of 2484 selected patients who had been hospitalized for acute myocardial infarction or to rule out acute myocardial infarction, coronary artery bypass graft surgery, total hip replacement, cholecystectomy, or transurethral prostatectomy. Between 73% and 84% of the patients with each condition completed a follow-up questionnaire. OUTCOME MEASURES.--In-hospital complications, deaths, length of stay, functional status after hospital discharge, readmission, and patient satisfaction with hospital care were analyzed. RESULTS.--Significant interinstitutional differences in length of stay were noted for all conditions except rule-out acute myocardial infarction. Statistical adjustment for case-mix differences accounted for most of the interinstitutional differences in length of stay for total hip replacement but explained little of the differences in the other conditions. When we controlled statistically for other predictors, length of stay did not have a significant impact on deaths, functional status after hospital discharge, the probability of readmission, or patient satisfaction with hospital care. CONCLUSION.--More research is needed to determine the medical practices that are related to variations in lengths of stay. Routinely available outcome data may help preserve quality in the face of efforts to decrease costs by effecting more standardized practices of care. 相似文献
5.
6.
N. C. Harris S. A. Greenfield 《Journal of neural transmission (Vienna, Austria : 1996)》1991,3(2):89-98
Summary Intracellular recordings were made from substantia nigra pars compacta neurones in vitro from animals with partial unilateral 6-hydroxydopamine lesions of the nigrostriatal tract. Lesions were assessed and grouped according to the severity of the strital dopamine depletion. No differences were seen between neurones from control and lesioned side nigrae as regards their membrane properties, firing rates, burst activity or percentage of quiescent neurones in any of the lesioned categories. It is concluded that following partial lesioning, the remaining substantia nigra zona compacta neurones in vitro, are functioning normally. 相似文献
7.
S P Greenfield 《The Journal of urology》1986,136(6):1311-1313
The ninth pediatric case of type B Hemophilus influenzae epididymo-orchitis is reported and the literature is reviewed. This is a manifestation of systemic infection and these children often are toxic at presentation. Scrotal fluid cultures may be sterile if inappropriate culture media are used. The urinary tract is not the primary source of infection and radiographic correlation has not proved to be valuable. Antibiotic therapy may need to be prolonged in selected cases. Testicular atrophy has not been noted in these children at followup. 相似文献
8.
9.