全文获取类型
收费全文 | 373篇 |
免费 | 16篇 |
国内免费 | 8篇 |
专业分类
耳鼻咽喉 | 33篇 |
儿科学 | 27篇 |
妇产科学 | 8篇 |
基础医学 | 12篇 |
口腔科学 | 14篇 |
临床医学 | 56篇 |
内科学 | 23篇 |
皮肤病学 | 2篇 |
神经病学 | 14篇 |
特种医学 | 52篇 |
外科学 | 91篇 |
综合类 | 33篇 |
预防医学 | 9篇 |
眼科学 | 1篇 |
药学 | 12篇 |
中国医学 | 3篇 |
肿瘤学 | 7篇 |
出版年
2023年 | 3篇 |
2022年 | 11篇 |
2021年 | 6篇 |
2020年 | 9篇 |
2019年 | 3篇 |
2018年 | 8篇 |
2017年 | 11篇 |
2016年 | 24篇 |
2015年 | 10篇 |
2014年 | 26篇 |
2013年 | 20篇 |
2012年 | 24篇 |
2011年 | 19篇 |
2010年 | 21篇 |
2009年 | 28篇 |
2008年 | 15篇 |
2007年 | 22篇 |
2006年 | 21篇 |
2005年 | 13篇 |
2004年 | 16篇 |
2003年 | 14篇 |
2002年 | 9篇 |
2001年 | 6篇 |
2000年 | 11篇 |
1999年 | 4篇 |
1998年 | 4篇 |
1997年 | 8篇 |
1996年 | 2篇 |
1995年 | 3篇 |
1994年 | 3篇 |
1993年 | 1篇 |
1992年 | 2篇 |
1991年 | 1篇 |
1989年 | 1篇 |
1988年 | 1篇 |
1986年 | 7篇 |
1982年 | 2篇 |
1981年 | 1篇 |
1980年 | 2篇 |
1977年 | 2篇 |
1976年 | 1篇 |
1973年 | 1篇 |
1972年 | 1篇 |
排序方式: 共有397条查询结果,搜索用时 15 毫秒
1.
Hidir Esme MD Huseyin Fidan MD Ahmet Cekirdekci MD 《Indian Journal of Thoracic and Cardiovascular Surgery》2006,22(2):137-140
Background Hydatid disease is the most severe helminthic zoonosis, with an important public health problem especially in rural areas
in Turkey. The aim of this study was to review the problems and advantages encountered in surgical treatment of 43 patients
who were ventilated with one-lung ventilation during last four years.
Methods Patients, operated with one-lung ventilation, constitute the study group. Data related to symptoms, radiographic findings,
performed surgical procedures, perioperative and postoperative morbidity, hospitalization time, and cyst recurrence were collected
from each individual's records.
Results Cystotomy and capitonnage were performed in all cases. Perioperative complications were seen in 5 patients. Four of these
5 patients had double-lumen endotracheal tube malpositioning. In one patient hypoxemia developed. The most common postoperative
complication was atelectasis. One patient had recurrent cysts. There was no perioperative or postoperative death.
Conclusions We prefer cystotomy and capitonnage because it is a fast and effective technique with limited postoperative complications.
One-lung ventilation prevents the exposure of lower lung areas from massive aspiration, which may cause acute obstruction
of airways, and contamination by cyst contents from the operative part of the lung that causes recurrent disease. One-lung
ventilation in pulmonary hydatid cyst surgery may be preferred owing to lower mortality and morbidity rates. 相似文献
2.
Rafael Cincu Juan F Martin L��zaro Jos�� Luis Capablo Liesa Jos�� Ram��n Ara Callizo 《Indian Journal of Orthopaedics》2007,41(4):395-397
Intramedullary epidermoid cysts of the spinal cord are rare tumors, especially those not associated with spinal dysraphism. About 50 cases have been reported in the literature. Of these, only seven cases have had magnetic resonance imaging (MRI) studies. We report two cases of spinal intramedullary epidermoid cysts with MR imaging. Both were not associated with spina bifida. In one patient, the tumor was located at D4 vertebral level; while in the other, within the conus medullaris. The clinical features, MRI characteristics and surgical treatment of intramedullary epidermoid cyst are presented with relevant review of the literature. 相似文献
3.
4.
Sergio Negrin-Dastis Dominique Butenda Jacques Dorzee Jacques Fastrez Jean-Paul d��Od��mont 《Canadian respiratory journal》2007,14(4):235-237
A case of pulmonary Langerhans cell histiocytosis, proved by both lung high-resolution computed tomography and lung biopsy, is described. Following smoking cessation, lung nodules and cysts gradually disappeared on serial computed tomography scans, with complete clearance of the lesions after 12 months. The role of tobacco smoking is discussed, in detail, against the background of the literature. 相似文献
5.
目的:探讨胰腺假性囊肿的治疗策略。方法:回顾性分析近5年湘雅医院普通外科收治的89例胰腺假性囊肿临床资料,根据囊肿部位、形成时间及囊壁厚度,采用非手术治疗20例,经皮囊肿穿刺引流7例,开腹手术62例(外引流8例、内引流45例、囊肿切除9例)。结果: 全组无死亡病例,手术后并发症发生率15.9%,随访3个月至5年,复发率5.6%。结论:胰腺假性囊肿的治疗宜根据情况采用不同方式,非手术治疗适于无并发症者;急诊手术应选择外引流;囊壁成熟者,选择内引流术疗效好。 相似文献
6.
磁共振扩散加权成像技术在颅内囊性病变鉴别诊断中的应用 总被引:2,自引:0,他引:2
目的探讨磁共振扩散加权成像(DWI)技术对颅内囊性病变中表皮样囊肿、蛛网膜囊肿、脑脓肿及囊性坏死性脑肿瘤(单发囊性转移瘤、神经上皮肿瘤)的鉴别诊断价值。方法对2004年5月-2006年5月行神经外科手术治疗并经病理证实的50例颅内囊性病变患者的磁共振扩散加权成像资料进行回顾性分析.其中表皮样囊肿10例、蛛网膜囊肿10例、脑脓肿10例、单发囊性转移瘤8例及神经上皮肿瘤12例,均进行常规MRI平扫及DWI检查,生成DWI图及表观扩散系数(ADC)图,观察囊变区信号特征并测量该区的表观扩散系数值。结果(1)表皮样囊肿在扩散加权成像显示为高信号,其表观扩散系数图显示为低或稍低信号,表观扩散系数测量值为(0.924-0.12)×10^-3mm^2/s,蛛网膜囊肿扩散加权成像显示为低信号,表观扩散系数图呈高信号,测量值为(3.094-0.21)×10^-3mm^2/s;两组表观扩散系数测量值差异有统计学意义(t=22.278,P=0.000)。(2)脑脓肿之囊变区于扩散加权成像显示为高信号,表观扩散系数图呈低及等信号,表观扩散系数测量值为(0.524-0.08)×10^-3mm^2/s;单发囊性转移瘤和神经上皮肿瘤之囊变区在扩散加权成像上显示为低信号,表观扩散系数图显示为高信号。表观扩散系数测量值为(2.354-0.41)×10^-3mm^2/s,与脑脓肿组相比差异有统计学意义(t=13.939,P=0.000)。结论不同颅内囊性病变在磁共振扩散加权成像上的表现特点及病灶囊变区表观扩散系数测量值的变化。具有诊断与鉴别诊断价值。 相似文献
7.
蝶窦囊肿诊治47例分析 总被引:5,自引:1,他引:4
目的:提高对蝶窦囊肿的认识,以利于其诊断和治疗,方法:回顾性分析蝶窦囊肿47例,总结其发病趋势、临床表现,影像学特征及治疗效果。结果:蝶窦囊肿最主要的临床症状为头痛,约占64%;其次为眼部症状,再次为鼻部症状。蝶窦囊肿最易易及视神经,影响者视力,早期手术有利于神经力的恢复。鼻内窥镜下蝶窦囊肿摘除了术有损伤小,出血少,痛苦轻,手术时间短、安全,术后恢复快等优点。结论:CT、MRI和鼻内窥镜的应用,提 相似文献
8.
Cystic lesions of the pineal region – MRI and pathology 总被引:5,自引:0,他引:5
Pineal lesions are rare. Tumours in this location comprise 0.4–1 % of intracranial tumours. They grow mainly as solid-mass
lesions, and cystic tumours are not common. On MRI, a cystic configuration is associated usually with non-neoplastic pineal
lesions rather than with a tumour, but analysis does not allow cystic pineal tumours to be distinguished from glial cysts
with certainty. We compared neuroradiological and pathological data from 13 cystic pineal lesions, analysing preoperative
MRI. Formalin-fixed, paraffin-embedded surgical specimens were stained routinely and immunocytochemically, using the streptavidin-biotin-complex
method. Histology revealed six pineocytomas, four glial cysts, an arachnoid cyst, a low-grade astrocytoma and a teratoma.
Signal characteristics of pineocytomas were similar in many respects to those of glial pineal cysts. Histomorphological analysis
allowed unambiguous discrimination between pineocytomas and glial pineal cysts.
Received: 19 July 1999/Accepted: 3 September 1999 相似文献
9.
小儿先天性肺囊肿周边肺发育的观察及其临床价值 总被引:1,自引:0,他引:1
目的 探讨先天性肺囊肿(CBC)与肺发育不全的关系及其外科治疗。方法 32例CBC患儿和18例正常对照,分别测量肺泡辐射状计数(RAC值)及单位视野内第6级以上肺小动脉数(A值)。行肺小动脉Gomori醛复红弹力纤维染色;随访病例复查胸片,测量TLC、VC。结果 CBC组RAC值及A值低于正常对照,支气管型CBC的RAC值低于肺泡型;肺小动脉内、外弹性膜可见多处断裂,管壁平滑肌变性及肥厚;随访囊肿摘除及肺叶切除术后TCL、VC分别为对照的97%—98%、85%~90%。结论 CBC导致周边肺发育不全,宜尽早手术摘除。 相似文献
10.
目的 探讨分析完全性肾输尿管重复畸形合并同侧上输尿管异位囊肿的病人,治疗时是否需要同时切除病变肾和输尿管囊肿。方法 对近8年来我院收治的10名完全性肾输尿臂重复畸形合并同侧上输尿管异位囊肿的病例予以总结。结果 发现其中6名初期治疗中仅切除患侧上半肾输尿管的儿童,平均术后1年都因为膀胱内囊肿增大而再次接受了输尿管囊肿切除术。另3例病人一期同时施行了上半肾输尿管切除术、膀胱内输尿管囊肿切除术和下半肾输尿管再植术,术后随访疗效良好。结论 我们认为对类似疾病应该在切除肾输尿管的同时一并切除异位输尿管囊肿。 相似文献