全文获取类型
收费全文 | 14031篇 |
免费 | 703篇 |
国内免费 | 117篇 |
专业分类
耳鼻咽喉 | 95篇 |
儿科学 | 276篇 |
妇产科学 | 408篇 |
基础医学 | 1784篇 |
口腔科学 | 361篇 |
临床医学 | 969篇 |
内科学 | 3967篇 |
皮肤病学 | 218篇 |
神经病学 | 1313篇 |
特种医学 | 588篇 |
外科学 | 2117篇 |
综合类 | 34篇 |
一般理论 | 1篇 |
预防医学 | 503篇 |
眼科学 | 156篇 |
药学 | 697篇 |
中国医学 | 23篇 |
肿瘤学 | 1341篇 |
出版年
2024年 | 12篇 |
2023年 | 90篇 |
2022年 | 202篇 |
2021年 | 413篇 |
2020年 | 210篇 |
2019年 | 301篇 |
2018年 | 393篇 |
2017年 | 291篇 |
2016年 | 325篇 |
2015年 | 361篇 |
2014年 | 556篇 |
2013年 | 703篇 |
2012年 | 980篇 |
2011年 | 994篇 |
2010年 | 643篇 |
2009年 | 583篇 |
2008年 | 1002篇 |
2007年 | 1008篇 |
2006年 | 912篇 |
2005年 | 958篇 |
2004年 | 861篇 |
2003年 | 785篇 |
2002年 | 700篇 |
2001年 | 86篇 |
2000年 | 70篇 |
1999年 | 103篇 |
1998年 | 147篇 |
1997年 | 109篇 |
1996年 | 130篇 |
1995年 | 87篇 |
1994年 | 100篇 |
1993年 | 81篇 |
1992年 | 65篇 |
1991年 | 58篇 |
1990年 | 49篇 |
1989年 | 44篇 |
1988年 | 34篇 |
1987年 | 23篇 |
1986年 | 36篇 |
1985年 | 33篇 |
1984年 | 31篇 |
1983年 | 25篇 |
1982年 | 33篇 |
1981年 | 33篇 |
1980年 | 31篇 |
1979年 | 21篇 |
1976年 | 10篇 |
1975年 | 8篇 |
1974年 | 8篇 |
1964年 | 8篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
1.
Angela Mauro Salvatore Mauro Roberto Rega Luigi Martemucci Rita Sottile 《Pediatric dermatology》2019,36(1):e34-e36
Henoch‐Schonlein purpura (HSP) is the most common systemic vasculitis in childhood. There is no consensus about the management for isolated cutaneous manifestations in HSP. We describe a case of HSP presenting with severe skin lesions that did not respond to standard therapy with corticosteroids. The 11‐year‐old child was treated with intravenous immunoglobulins, which induced rapid and persistent resolution of symptomatology. 相似文献
2.
3.
Michael M Gezalian Luigi Mangiacotti Padmesh Rajput Nicklaus Sparrow Konrad Schlick Shouri Lahiri 《Journal of cerebral blood flow and metabolism》2021,41(4):693
Adrenoceptor and calcium channel modulating medications are widely used in clinical practice for acute neurological and systemic conditions. It is generally assumed that the cerebrovascular effects of these drugs mirror that of their systemic effects – and this is reflected in how these medications are currently used in clinical practice. However, recent research suggests that there are distinct cerebrovascular-specific effects of these medications that are related to the unique characteristics of the cerebrovascular anatomy including the regional heterogeneity in density and distribution of adrenoceptor subtypes and calcium channels along the cerebrovasculature. In this review, we critically evaluate existing basic science and clinical research to discuss known and putative interactions between adrenoceptor and calcium channel modulating pharmacotherapies, the neurovascular unit, and cerebrovascular anatomy. In doing so, we provide a rationale for selecting vasoactive medications based on lesion location and lay a foundation for future investigations that will define neuroprotective paradigms of adrenoceptor and calcium channel modulating therapies to improve neurological outcomes in acute neurological and systemic disorders. 相似文献
4.
Viviana Maestrini Lucia I. Birtolo Sara Cimino Paolo Severino Massimo Mancone Marco Francone Sanjay M. Banypersad Flavia Ventriglia Luigi Tritapepe Fabio Miraldi Francesco Fedele 《Echocardiography (Mount Kisco, N.Y.)》2019,36(5):992-995
A 20‐year‐old Congolese woman presented with presyncope, dyspnea, and anasarca. Past medical history was unremarkable. Echocardiography revealed a rare combination of giant right atrium (RA), a dilated and hypertrophied right ventricle, subvalvular pulmonary stenosis (subPS), severe tricuspid regurgitation (TR), pericardial effusion and what appeared to be a spontaneously closed ventricular septal defect (VSD). Cardiac Magnetic Resonance and Cardiac Computed Tomography confirmed the findings excluding the presence of intra‐cardiac and extra‐cardiac shunt and other associated congenital anomalies. The patient underwent subPS resection, right atrioplasty, and tricuspid annuloplasty. Multimodality approach facilitated the detection of the abnormalities and provided clarity when determining the optimal surgical strategy. 相似文献
5.
Federico Giuseppe Usuelli Cristian Indino Camilla Maccario Luigi Manzi Federico Maria Liuni Ettore Vulcano 《Foot and Ankle Surgery》2019,25(1):19-23
Background
Total ankle replacement (TAR) represents an alternative to fusion for the treatment of end-stage ankle osteoarthritis. The aim of the present study was to retrospectively assess the frequency of infections between TARs with anterior and lateral transfibular approach at 12-months follow-up.Methods
81 TARs through an anterior approach and 69 TARs through a lateral approach were performed between May 2011 and July 2015. We compared surgical time and tourniquet time, as well as superficial and deep infections frequency during the first 12 postoperative months.Results
In the anterior approach group, there were 3 (3.7%) deep infections and 4 (4.9%) superficial wound infections. In the lateral approach group, there were 1 (1.4%) deep infection and 2 superficial wound infections (2.9%). There were not statistically significant differences between the groups. There was a significant difference between anterior approach (115 minutes) and lateral approach group (179 minutes) in terms of surgical time (P < 0.001).Conclusions
The frequency of superficial and deep periprosthetic infections during the first postoperative year was not significantly different in the lateral approach group compared to the anterior approach group, despite the significantly longer surgical time in the lateral transfibular approach group. 相似文献6.
Anna Maria Lavezzi Giulia Ottaviani Lorella Terni Luigi Matturri 《International journal of developmental neuroscience》2006,24(6):365-371
The aim of this study was to investigate the histological and biological features of the human cerebellar cortex development and differentiation. We analyzed 52 brains of fetal and infant death victims, aged from 17 gestational weeks to 12th postnatal month. In particular, in the cerebellar cortex at different ages we evaluated, besides the structural aspects, the expression of several biomarkers implicated in proliferative processes (c-fos, PCNA and apoptosis). We observed morphological patterns progressively evolving every month, from the indefinite structure of the second gestational trimester to the four-layered structure (external granular layer, molecular layer, Purkinje cell layer, internal granular layer) of the late fetal cortex and subsequently to the three-layered postnatal definitive morphology, due to involution of the external granular layer. The evaluation of the biological features of the cerebellar cortex showed high proliferative activity mainly confined to the transient external granular layer in prenatal life, and high apoptotic index after birth. Thus, the histological examination, better with the support of biomarker investigations, allows with accuracy to describe the dynamic sequence of steps that occur in human cerebellar cortex development and to establish in each case the age, namely the pre- or postnatal month of life. Consequently, we can diagnose delayed or altered processes of differentiation during the development of the human cerebellar cortex. 相似文献
7.
A case of gastric tube bleeding after an Ivor-Lewis esophagectomy with gastroesophageal anastomosis is reported. During the early postoperative course, the patient had a gastric tube stasis that improved progressively. The subsequent onset of a serious and intermittent hematemesis, which was endoscopically deemed to be the result of a hemorrhagic gastritis, required multiple blood transfusions. The evolution to a severe hemodynamic instability obliged us to reoperate on the patient. During surgery, a band-related obstruction of the first jejunal loop with local signs of vascular hypertension was noted. As soon as the obstruction was solved, the gastric bleeding stopped. The authors discuss the clinical aspects and physiopathology of the gastric tube bleeding and, in particular, they evaluate the influence of the intestinal obstruction with vascular involvement on the development of this exceptional and severe complication. 相似文献
8.
9.
10.
The second part of this review addresses the treatment and prognosis of the vasculitides Wegener's granulomatosis, microscopic
polyangiitis, Churg–Strauss syndrome and polyarteritis nodosa. Treatment regimens consist of an initial remission phase with
aggressive immunosuppression, followed by a more prolonged maintenance phase using less toxic agents and doses. This review
focuses on the initial treatment of fulminant vasculitis, the mainstay of which remains immunosuppression with steroids and
cyclophosphamide. For Wegener's granulomatosis and microscopic polyangiitis plasma exchange can be considered for first-line
therapy in patients with acute renal failure and/or pulmonary haemorrhage. Refractory disease is rare and is usually due to
inadequate treatment. The vasculitides provide a particular challenge for the critical care team. Particular aspects of major
organ support related to these conditions are discussed. Effective treatment has revolutionized the prognosis of these conditions.
However, mortality is still approximately 50% for those requiring admission to intensive care unit. Furthermore, there is
a high morbidity associated with both the diseases themselves and the treatment. 相似文献