全文获取类型
收费全文 | 7912篇 |
免费 | 433篇 |
国内免费 | 73篇 |
专业分类
耳鼻咽喉 | 53篇 |
儿科学 | 173篇 |
妇产科学 | 643篇 |
基础医学 | 892篇 |
口腔科学 | 120篇 |
临床医学 | 894篇 |
内科学 | 1631篇 |
皮肤病学 | 78篇 |
神经病学 | 522篇 |
特种医学 | 240篇 |
外科学 | 1058篇 |
综合类 | 176篇 |
预防医学 | 401篇 |
眼科学 | 74篇 |
药学 | 584篇 |
中国医学 | 114篇 |
肿瘤学 | 765篇 |
出版年
2023年 | 38篇 |
2022年 | 95篇 |
2021年 | 174篇 |
2020年 | 92篇 |
2019年 | 146篇 |
2018年 | 244篇 |
2017年 | 166篇 |
2016年 | 155篇 |
2015年 | 206篇 |
2014年 | 241篇 |
2013年 | 378篇 |
2012年 | 568篇 |
2011年 | 578篇 |
2010年 | 370篇 |
2009年 | 309篇 |
2008年 | 492篇 |
2007年 | 538篇 |
2006年 | 536篇 |
2005年 | 435篇 |
2004年 | 378篇 |
2003年 | 317篇 |
2002年 | 310篇 |
2001年 | 262篇 |
2000年 | 271篇 |
1999年 | 201篇 |
1998年 | 53篇 |
1997年 | 55篇 |
1996年 | 57篇 |
1995年 | 31篇 |
1994年 | 44篇 |
1993年 | 25篇 |
1992年 | 128篇 |
1991年 | 91篇 |
1990年 | 67篇 |
1989年 | 42篇 |
1988年 | 46篇 |
1987年 | 44篇 |
1986年 | 44篇 |
1985年 | 27篇 |
1984年 | 34篇 |
1983年 | 11篇 |
1982年 | 7篇 |
1981年 | 13篇 |
1980年 | 6篇 |
1979年 | 15篇 |
1977年 | 6篇 |
1976年 | 5篇 |
1973年 | 7篇 |
1972年 | 7篇 |
1971年 | 10篇 |
排序方式: 共有8418条查询结果,搜索用时 15 毫秒
1.
2.
Acid-suppressive drugs, including histamine-2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs), are common medications used for treating upper gastrointestinal tract disorders. However, acid-suppressive drugs have been reported to increase the risk of pneumonia in numerous disease populations. However, the relationship between acid-suppressive drugs and stroke-associated pneumonia (SAP) remains controversial.The purpose of this study was to investigate the association between acid-suppressive drug usage and pneumonia among patients with stroke by using a nationwide data set.A population-based cohort study was conducted using a data set from the Taiwanese National Health Insurance Research Database. Data on patients with new-onset stroke from 2010 to 2011 were collected. Patients with and without acid-suppressive drug usage were followed up to identify the occurrence of any type of pneumonia. We estimated the adjusted hazard ratios (HRs) by using the Cox proportional hazards model.The study cohort comprised 7965 patients with new-onset stroke. The incidence of pneumonia was 6.9% (552/7965) and more than 40% (225/552) of patients developed pneumonia within 3 months after an acute stroke. Acid-suppressive drug usage was an independent risk factor of pneumonia. The adjusted HR for the risk of pneumonia in patients with new-onset stroke using acid-suppressive drugs was 1.44 (95% confidence interval [CI] = 1.18–1.75, P < 0.01). Only PPI usage increased risk of chronic SAP (adjusted HR = 1.46, 95% CI = 1.04–2.05).Acid-suppressive drug usage was associated with a slightly increased risk of SAP. Physicians should exercise caution when prescribing acid-suppressive drugs to patients with stroke, particularly at the chronic stage. 相似文献
3.
Fur-Hsing Wen Jen-Shi Chen Wen-Chi Chou Wen-Cheng Chang Wen Chi Shen Chia-Hsun Hsieh Siew Tzuh Tang 《Journal of pain and symptom management》2019,57(1):64-72
Context
Family caregivers constitute a critical component of the end-of-life care system with considerable cost to themselves. However, the joint association of terminally ill cancer patients' symptom distress and functional impairment with caregivers' subjective caregiving burden, quality of life (QOL), and depressive symptoms remains unknown.Objectives/Methods
We used multivariate hierarchical linear modeling to simultaneously evaluate associations between five distinct patterns of conjoint symptom distress and functional impairment (symptom-functional states) and subjective caregiving burden, QOL, and depressive symptoms in a convenience sample of 215 family caregiver–patient dyads. Data were collected every 2 to 4 weeks over patients' last 6 months.Results
Caregivers of patients in the worst symptom-functional states (States 3–5) reported worse subjective caregiving burden and depressive symptoms than those in the best two states, but the three outcomes did not differ between caregivers of patients in State 3 and States 4–5. Caregivers of patients in State 5 endured worse subjective caregiving burden and QOL than those in State 4. Caregivers of patients in State 4 suffered worse subjective caregiving burden and depressive symptoms but comparable QOL to those in State 2.Conclusion
Patients' five distinct, conjoint symptom-functional states were significantly and differentially associated with their caregivers' worse subjective caregiving burden, QOL, and depressive symptoms while caring for patients over their last 6 months. 相似文献4.
Sung-Ching Pan Szu-Min Hsieh Chien-Ching Hung Pei-Fong Huang Mao-Yuan Chen Shan-Chwen Chang 《Journal of microbiology, immunology, and infection》2005,38(1):31-34
This study evaluated the feasibility of reducing the indinavir (IDV) dosage in Taiwanese patients receiving the standard IDV/ritonavir (RTV) dosage of 800/100 mg twice a day who had undetectable plasma human immunodeficiency virus type 1 (HIV-1) RNA but had developed IDV-related toxicities. After dosage reduction to IDV/RTV 600/100 mg twice a day, the dose-related toxicity decreased and plasma HIV RNA remained undetectable at 24 weeks post-switch in all patients. The maximal plasma concentration (Cmax) and area under the plasma concentration-time curve of IDV decreased significantly (median, 6.3 vs 4.3 microg/mL and 1892 vs 1292 microg.min/mL, p=0.01 and 0.001, respectively) but the minimal plasma concentration remained at a similar level (median, 1.0 vs 0.8 microg/mL, p=0.12). This study found that the reduction in the dosage of IDV in HIV-1 infected patients receiving the standard IDV/RTV regimen guided by therapeutic drug monitoring decreased the Cmax, dose-related toxicity and medical cost without compromising viral control. 相似文献
5.
BACKGROUND AND PURPOSE: Taiwan's National Health Insurance (NHI) program has considered the use of capitation payments to health care providers as a method for control of the rising costs of the system. The establishment of capitation payments usually requires the performance of risk adjustment. The purposes of this study were to develop a diagnosis-based risk adjustment model for the NHI and to evaluate its predictability. METHODS: Using a 2% random sample of 371,620 NHI enrollees, the authors developed a Taiwan version of the Principal Inpatient Diagnosis Cost Groups (TPIPDCGs) from 1996 claim records to predict an individual's expenditure in 1997. Weighted least squares regression models were built in an estimation sample (two-thirds of the study sample), and were cross-validated in a validation sample (the remaining one-third of the study sample). Predictive R2 and predictive ratios were used to evaluate the model's predictability. RESULTS: Only 7.88% of the study sample could be classified into 1 of the 16 TPIPDCGs. Combined with demographic variables, which alone could explain 3.7% of the variation in an individual's future expenditure, the risk adjustment model based on TPIPDCGs could explain 12.2% of expenditure variation. In addition, the finding that the predictive ratios of the TPIPDCG model approximated unity better than those of the demographic model in all subgroups indicates that the capitation payment as predicted by the TPIPDCG model for each subgroup would better correlate to the actual spending. CONCLUSION: Taiwan's risk-adjusted capitation model based on principal inpatient diagnoses has higher predictability on individual's future expenditure than its counterpart in the USA. This finding provides insight into not only the development of Taiwan's diagnosis-based risk adjustment models but also the necessity of modification when applying foreign-developed risk adjustment models to the NHI. 相似文献
6.
Klippel-Feil syndrome (KFS) is a heterogeneous entity, characterized by specific congenital anomalies of segmentation of the cervical spine. We report a case of KFS plus atretic meningocele in one identical twin and anencephaly in the other. These identical twins were both male with no chromosome defect. One of them had anencephaly diagnosed at the gestational age of 17 weeks and died soon after birth, whereas the co-twin had KFS with multiple congenital anomalies including short neck with low hairline, occipital atretic meningocele, butterfly vertebrae, hemivertebrae, cervico-thoracic scoliosis, left thumb preaxial polydactyly, and right undescended testis. He received rehabilitation during infancy and could walk at the age of 15 months. Both of these infants had preaxial polydactyly, which is an uncommon anomaly associated with KFS. In conclusion, iniencephaly and anencephaly are probably the extreme manifestations of KFS rather than different dysraphisms. Prompt clinical suspicion with early diagnostic imaging for spine lesions and occult opening of neural tube is mandatory for further intervention and rehabilitation. 相似文献
7.
Twenty-two infants of isolated ventricular septal defect with congestive heart failure were fed with lower-sodium content formula-Lonalac (Mead-Johnson) to study the clinical response of treatment for congestive heart failure. There were no significant changes of intake, urinary output, serum sodium, potassium and osmolality before, 2 days and 6 days after Lonalac feeding. The low sodium content formula may feed the infants with congestive heart failure in addition to the traditional anticongestive therapy. 相似文献
8.
9.
J C Shih T L Ko M C Lin M K Shyu C N Lee F J Hsieh 《Ultrasound in obstetrics & gynecology》2004,24(2):202-206
The relationship of large and vascularized chorioangiomas to adverse pregnancy outcome is well recognized. We present a patient with a large placental tumor and signs of impending fetal cardiac failure. The angioarchitecture of the tumor depicted by three-dimensional (3D) power Doppler ultrasound enabled us to accurately diagnose a placental chorioangioma. During the follow-up period, quantitative flow data obtained using 3D power Doppler indicated altered hemodynamics in the tumor and concomitant improvement in the condition of the fetus, enabling us to manage the mother conservatively. Spontaneous delivery occurred at 38 weeks without any complications. This report demonstrates the potential value of 3D power Doppler in prenatal diagnosis and monitoring of pregnancies complicated by large, vascularized chorioangioma. 相似文献
10.
A nonlinear forecast system for the sea surface temperature (SST) anomalies over the whole tropical Pacific has been developed using a multi-layer perceptron neural network approach, where sea level pressure and SST anomalies were used as predictors to predict the five leading SST principal components at lead times from 3 to 15 months. Relative to the linear regression (LR) models, the nonlinear (NL) models showed higher correlation skills and lower root mean square errors over most areas of the domain, especially over the far western Pacific (west of 155 degrees E) and the eastern equatorial Pacific off Peru at lead times longer than 3 months, with correlation skills enhanced by 0.10-0.14. Seasonal and decadal changes in the prediction skills in the NL and LR models were also studied. 相似文献