全文获取类型
收费全文 | 1257篇 |
免费 | 48篇 |
国内免费 | 81篇 |
专业分类
耳鼻咽喉 | 1篇 |
儿科学 | 67篇 |
妇产科学 | 9篇 |
基础医学 | 138篇 |
口腔科学 | 23篇 |
临床医学 | 226篇 |
内科学 | 299篇 |
皮肤病学 | 33篇 |
神经病学 | 28篇 |
特种医学 | 301篇 |
外科学 | 60篇 |
综合类 | 27篇 |
预防医学 | 36篇 |
眼科学 | 6篇 |
药学 | 72篇 |
肿瘤学 | 60篇 |
出版年
2022年 | 5篇 |
2021年 | 8篇 |
2020年 | 3篇 |
2019年 | 12篇 |
2018年 | 8篇 |
2017年 | 9篇 |
2016年 | 11篇 |
2015年 | 18篇 |
2014年 | 11篇 |
2013年 | 27篇 |
2012年 | 11篇 |
2011年 | 16篇 |
2010年 | 49篇 |
2009年 | 49篇 |
2008年 | 20篇 |
2007年 | 61篇 |
2006年 | 17篇 |
2005年 | 25篇 |
2004年 | 9篇 |
2003年 | 13篇 |
2002年 | 18篇 |
2001年 | 16篇 |
2000年 | 20篇 |
1999年 | 24篇 |
1998年 | 94篇 |
1997年 | 88篇 |
1996年 | 109篇 |
1995年 | 84篇 |
1994年 | 87篇 |
1993年 | 74篇 |
1992年 | 22篇 |
1991年 | 30篇 |
1990年 | 28篇 |
1989年 | 32篇 |
1988年 | 36篇 |
1987年 | 27篇 |
1986年 | 34篇 |
1985年 | 34篇 |
1984年 | 13篇 |
1983年 | 21篇 |
1982年 | 20篇 |
1981年 | 21篇 |
1980年 | 17篇 |
1979年 | 6篇 |
1978年 | 9篇 |
1977年 | 14篇 |
1976年 | 13篇 |
1975年 | 7篇 |
1969年 | 1篇 |
1966年 | 1篇 |
排序方式: 共有1386条查询结果,搜索用时 15 毫秒
1.
2.
3.
Association of Hypoalbuminemia on the First Postoperative Day and Complications Following Esophagectomy 总被引:1,自引:0,他引:1
Aoife M. Ryan Aine Hearty Ruth S. Prichard Aileen Cunningham Suzanne P. Rowley John V. Reynolds 《Journal of gastrointestinal surgery》2007,11(10):1355-1360
Objective Changes in serum albumin may reflect systemic immunoinflammation and hypermetabolism in response to insults such as trauma
and sepsis. Esophagectomy is associated with a major metabolic stress, and the aim of this study was to determine if the absolute
albumin level on the first postoperative day was of value in predicting in-hospital complications.
Methods A retrospective study of 200 patients undergoing esophagectomy for malignant disease at St. James Hospital between 1999 and
2005 was performed. Patients who had pre and postoperative (days 1, 3, and 7) serum albumin levels measured were included
in the study. Patients were subdivided into three postoperative albumin categories <20 g/l, 20–25 g/l, >25 g/l. Logistic regression
analysis was performed to calculate the odds of morbidity and mortality according to the day 1 albumin level.
Results Patients with an albumin of less than 20 g/l on the first postoperative day were twice as likely to develop postoperative
complications than those with an albumin of greater than 20 g/l (54 vs 28% respectively, p < 0.011). Correspondingly, these patients also had a significantly higher rate of Adult Respiratory Distress Syndrome (22
vs 5%, p < 0.001), respiratory failure (27 vs 8%, p < 0.01) and in-hospital mortality (27 vs 6% (p < 0.001). On multivariate logistic regression analysis, day 1 albumin level was independently related to postoperative complications
(odds ratios, 0.89: 95%; confidence intervals, 0.83–0.96; p < 0.005). In addition, albumin <20 g/l on the first postoperative day was associated with the need for further surgery and
a return to ICU.
Conclusion Serum albumin concentration on the first postoperative day is a better predictor of surgical outcome than many other preoperative
risk factors. It is a low cost test that may be used as a prognostic tool to detect the risk of adverse surgical outcomes. 相似文献
4.
5.
6.
7.
8.
Pernes JM; Vitoux JF; Brenoit P; Raynaud A; Parola JL; Roth JP; Angel CY; Fiessinger JN; Roncato M; Gaux JC 《Radiology》1986,158(2):481-485
Thirty-five patients hospitalized for recent angiographically documented arterial occlusion in the legs (27 femoropopliteal arteries and eight grafts) benefited from local fibrinolytic therapy delivered at the site of the occlusion with a 4- or 5-F catheter. This therapy combined a continuous urokinase (UK) infusion of 1,000 U/kg/hour and a lysyl plasminogen (LYS-PLG) infusion of 15 microkatals every 30 minutes. Angiographically confirmed lysis was obtained in 85% of the cases. Only 3% of the patients had major and 6% had minor groin hematomas. Only two patients had concentrations of fibrinogen as low as 100 mg/dl. Intravascular infusion of UK-LYS-PLG is as effective as streptokinase. Its excellent tolerance makes it a good alternative in the treatment of acute ischemia in the lower limbs. 相似文献
9.
10.