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1.
The efficacy of radiology in evaluating dysphagia was studied in 86 patients by comparison to endoscopic findings. In the 66 patients with endoscopic abnormalities radiology was correct in 54, for a sensitivity of 82%. Sensitivity of radiology improved to 95% if mild esophagitis was excluded. In the 20 patients with normal endoscopy, radiology was normal in 18 (90%). Thus radiology proved to be a reliable means of evaluating the esophagus in patients with dysphagia. 相似文献
2.
3.
目的 :研究SideropenicDysphagla (S -D)综合征膜性蹼产生的机制。方法 :回顾分析S -D综合征2 6例的临床资料。结果 :影像学检查显示膜性蹼在颈段食道前壁呈 2mm深的模样陷凹。血液学检查为缺铁性低血红蛋白性贫血改变。结论 :缺铁性贫血是S -D综合征的原因 ,铁剂治疗有效 相似文献
4.
W. G. Selley FDS Hon FCST R. E. Ellis MPhil F. C. Flack PhD C. R. Bayliss MB B Chir FRCR V. R. Pearce MB FRCP 《Dysphagia》1994,9(3):162-167
Simultaneous recording of adult subjects sipping small amounts of fluid from a cup have been obtained by videofluoroscopy together with feeding respiratory patterns and swallow sounds from the Exeter Dysphagia Assessment Technique (EDAT). These allowed visual representations of respiration and swallow sounds to be superimposed on a videofluoroscopy recording using a split-screen technique. Sequentially numbered, 1/50 sec, half-frame photographic prints were examined and schematic drawings of the relevant radiographs were made. These were superimposed on to the actual EDAT printed chart of the same swallow event, theri exact time relationship with respiration and cervical swallow sounds being preserved. The results allow events in the barium videofluoroscopy to be related to events in the feeding respiratory pattern and swallow sounds recorded by EDAT. 相似文献
5.
G. Bogliolo M. Ferrara L. Masoni V. Pietropaolo G. Pizzicannella G. Miscusi 《Surgical endoscopy》1987,1(4):225-227
Summary Recent observation of one patient suffering from dysphagia lusoria has suggested critical review of treatment of the symptomatic aberrant right subclavian artery. Surgical correction of such an anomaly is difficult and may produce serious complications, and is not always successful. Endoscopic dilatation of the oesophageal stricture, even though it might only produce temporary relief of dysphagia, represents a valid therapeutical alternative because of its favourable cost/benefit ratio, low incidence of complications and patient acceptability. 相似文献
6.
《Auris, nasus, larynx》2022,49(6):986-994
ObjectiveDysphagia is a common symptom in Parkinson's disease (PD) and it represents a negative prognostic factor because of its complications. This study is to evaluate pharyngeal dysphagia for boluses of various consistencies with Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and Pharyngeal High-Resolution Manometry (PHRM) in a group of PD patients, making a comparison between the information provided by the two exams.MethodsGroup of 20 patients affected by PD was selected and initially subjected to a qualitative evaluation of the swallowing performing FEES. Subsequently, they were evaluated by PHRM to identify quantitative measures associated with pressures expressed by pharyngeal organs during swallowing. Values obtained in the study group were compared with those recorded in a group of 20 healthy subjects.ResultsStudy showed that Pmax (the maximum pressure elicited by the single pharyngeal muscle structures involved in swallowing) was significantly lower than the control group (p<0.05) for all the boluses and consistency tested, in particular for the Tongue base and the Cricopharyngeal muscle. Pmean pre-swallowing pressure (represents the mean value of a contraction in which basal and maximal pressure where normally calculated) was significantly higher compared to normal subjects for the Tongue base and the Cricopharyngeal muscle (p<0.05). Mean intra-swallowing pressure was higher for the Velopharynx and the Cricopharyngeal muscle, but lower for the tongue base. Pmax and Pmean at PHRM were altered independently to the degree of dysphagia detected at FEES, and they did not correlate either with the location of the residue or with the type of bolus. Images displayed at the FEES, found the corresponding biomechanical explanations in the PHRM, which also allowed us to quantify the extent of the dysfunction, through the calculation of the pressures generated in the various structures studied.ConclusionPHRM is particularly useful in the early detection of dysphagia, when FEES may still show no evidence of abnormal swallowing. 相似文献
7.
Self-expanding oesophageal metal stents for the palliation of dysphagia due to extrinsic compression
The role of self-expanding metallic stents is well established in the palliation of oesophageal stenosis and dysphagia due
to primary oesophageal malignancy. However, their role in palliation of dysphagia due to external compressive mediastinal
malignancies is not well established. The purpose of this study was to assess the efficacy of self-expanding metallic stents
in the palliation of dysphagia due to extrinsic oesophageal compression by mediastinal malignancy. Between January 1995 and
January 1998, 21 patients with oesophageal compression due to malignant mediastinal tumours underwent oesophageal stent placement
for palliation of dysphagia. Complete data were available in 17 patients (10 men and 7 women). The mean age was 63.5 years
(range 46–89 years). A total of 19 stents were placed successfully. The dysphagia grade prior to and after oesophageal stent
placement was assessed and the complications documented. Of the 17 patients, 16 reported an improvement in dysphagia. The
mean dysphagia score improved from 3.1 prior to treatment to 1.3 after treatment. In 1 patient the stent slipped during placement
and another stent was placed satisfactorily. Early complications (within 48 h) in the form of mild to moderate retrosternal
chest pain occurred in 5 patients. This was treated symptomatically. Late complications (after 48 h) in the form of bolus
impaction occurred in 2 patients. This was successfully treated with oesophagoscopy and removal of bolus. In 2 patients the
stent was overgrown by tumour and in one of these an additional stent was placed. In 1 patient incomplete closure of a tracheo-oesophageal
fistula was observed. There was no procedure- or stent-related mortality. The mean survival time of this group was 2.1 months.
Self-expanding metallic stents can be safely and effectively used in the palliation of dysphagia due to external mediastinal
malignancies.
Received: 21 October 1998; Revised: 1 February 1999; Accepted: 4 February 1999 相似文献
8.
针刺治疗中风后假性球麻痹吞咽困难35例 总被引:16,自引:2,他引:16
目的 观察针刺中风后假性球麻痹吞咽困难的临床疗效。方法 采用随机对照观察 ,设针刺治疗组和药物对照组各35例 ,针刺治疗组主穴取廉泉、天突、风府、天柱、扶突 ,结合辨证配穴。对照组采用中风病药物常规治疗。结果 治疗组治愈 14例 (40 % ) ,有效 17例 (48.5 7% ) ,总有效率 88.5 7% ;对照组治疗 2例 (5 .71% ) ,有效 6例 (17.4 % ) ,总有效率 2 2 .85 % ,治疗组明显优于对照组 (P<0 .0 1)。结论 针刺治疗中风后假性球麻痹吞咽困难有显著疗效 相似文献
9.
针刺太溪穴治疗脑卒中后吞咽障碍疗效观察 总被引:5,自引:1,他引:5
目的比较针刺太溪穴和头针治疗脑卒中引起假性球麻痹造成吞咽困难的疗效。方法将100例患者随机分为治疗组和对照组,每组50例。治疗组采用针刺太溪穴为主配合偏瘫治疗的基础针刺:对照组采用针刺头部的顶颞前、后斜线透刺为主配合偏瘫治疗的基础针刺。观察两组针刺3次、5次、10次的疗效并进行比较。结果治疗组和对照组总体疗效差异具有统计学意义(P〈0.05):治疗组第3次治疗结束后的疗效优于对照组(P〈0.01):但在第5次治疗结束,两组疗效差异无统计学意义。结论针刺太溪穴治疗脑卒中引起假性球麻痹造成吞咽困难疗效显著,起效较快,头针治疗累积效应更为明显。 相似文献
10.
目的:观察头针、项针带针康复训练治疗脑卒中后吞咽功能障碍的疗效。方法:将120例脑卒中后吞咽障碍患者随机分为观察组和对照组各60例,均给予常规神经内科对症治疗,在此基础上两组均进行针刺及康复训练,观察组头项针与康复训练同步进行,对照组头项针与康复训练不同步实施。治疗前后检验洼田氏饮水试验结果。结果:治疗4周后,观察组总有效率高于对照组(96.55%与86.44%,P0.05),观察组吞咽功能改善情况优于对照组(P0.05)。结论:头项针带针康复训练可更为有效地提高脑卒中后吞咽障碍的吞咽功能,其疗效优于针刺、康复训练分步进行者,值得临床推广。 相似文献