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排序方式: 共有103条查询结果,搜索用时 31 毫秒
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A new technique is described for reversing the direction of the catheter tip during translumbar aortography, without the need for partial withdrawal of the catheter from the aortic lumen. The method ensures optimal delivery of contrast medium at the desired level, while avoiding the risk of retroperitoneal bleeding or dislodgement during catheter manipulation. 相似文献
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The use of the Bene-Anthony Family Relations Test is described and illustrated by three examples of child abuse. This test should be considered in the investigation of definite or suspected cases of abuse and as part of the preparation of court evidence. 相似文献
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Ibrahim Fathi Ghalayini Mohammed A. Al-Ghazo Ziad Ali Elnasser 《International urology and nephrology》2009,41(4):805-813
Objective
To assess the effects of two different doses of botulinum toxin A (Dysport®: 500 and 1,000 IU) injected repeatedly into the bladder for the treatment of neurogenic detrusor overactivity (NDO) in terms of safety, durability, and improvement of continence status and urodynamic parameters.Patients and methods
In this study we analyzed the effects of successive doses of 500 or 1,000 IU of Dysport®, endoscopically injected into the detrusor muscle. Clinical, urodynamic, and satisfaction assessments were performed at baseline and 6 weeks after each injection. The results of injections and corresponding follow-ups were analyzed and compared with baseline.Results
Twenty-two patients (13 men and 9 women) with repeated four injections were included, of whom 12 (55%) with mean age 35.7 years (range 16–52 years) received 500 IU of BTX-A and 10 (45%) with mean age 33.8 years (range 18–50 years) received 1,000 IU in each treatment. No statistically significant differences were found in efficacy duration with the two Dysport doses (500 IU: 7.7 months, 1,000 IU: 8.5 months; P > 0.05). Maximum cystometric capacity (MCC), reflex volume (RV), and bladder compliance (BC), and patient satisfaction improved significantly after each treatment compared with baseline values and there were no statistically significant differences after each retreatment for the two treatment groups (P > 0.05).Conclusions
After repeated injections the effect of BTX-A remained constant. The cause of repeat treatment is relapse of overactive bladder symptoms. Results with the 500 and 1,000 IU doses were interesting and approximately equivalent in terms of duration and efficacy, with better but not significant results when 1,000 IU was used. The optimum dose of Dysport for incontinence secondary to NDO is not yet defined; 1,000 IU probably has a nonsignificant longer effect than 500 IU but may expose the patient to major complications. Further studies evaluating the clinical efficacy of 750 IU of Dysport are necessary.8.
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Al-Ghazo MA Ghalayini IF Al-Azab RS Bani Hani O Bani-Hani I Abuharfil M Haddad Y 《Urological research》2011,39(6):497-501
This work was conducted to evaluate the safety and efficacy of emergency ureteroscopic lithotripsy in patients with ureteral
stones. From May 2003 to December 2010, 244 patients (184 men and 60 women, mean age 45.6 ± 12.7 years (range 22–73 years)
were treated with emergency ureteroscopic lithotripsy for ureteral calculi. All patients were divided into three groups according
to the stone location in the ureter. Intracorporeal lithotripsy when necessary was performed with the Swiss lithoclast. The
overall stone-free status was defined as the complete absence of stone fragments at 4 weeks, postoperatively. A double J stent
was inserted in selected patients if there was significant ureteral wall trauma, edema at the stone impaction site, suspected
or proved ureteral perforation, and if the stone migrated to the kidney. The overall success rate was 90.6%. The success rates
were different according to the stone site. The success rate of groups A, B and C was 69.4, 94.8 and 96.6%, respectively.
The overall rate of ureteral stent insertion at the end of the procedure was 177/244 (72.5%). The rate of stent insertion
was 41/49 (83.7%), 32/46 (69.6%) and 104/149 (69.8%) in groups A, B and C, respectively. The overall complication, failure,
and stricture rate was 32/244 (13.1%), 23/244 (9.4%) and 0.8%, respectively. With the recent advances in ureteroscopic technology,
intracorporeal probes and stone extraction devices, emergency ureteroscopy is found to be a safe and effective procedure with
immediate relief from ureteral colic and ureteral stone fragmentation. 相似文献
10.
Aissou M Ghalayini M Yazid L Abdelhalim Z Dufeu N Beaussier M 《Annales fran?aises d'anesthèsie et de rèanimation》2011,30(9):641-644