全文获取类型
收费全文 | 4337篇 |
免费 | 501篇 |
国内免费 | 90篇 |
专业分类
耳鼻咽喉 | 28篇 |
儿科学 | 65篇 |
妇产科学 | 61篇 |
基础医学 | 768篇 |
口腔科学 | 54篇 |
临床医学 | 465篇 |
内科学 | 700篇 |
皮肤病学 | 94篇 |
神经病学 | 194篇 |
特种医学 | 254篇 |
外科学 | 464篇 |
综合类 | 536篇 |
一般理论 | 1篇 |
预防医学 | 489篇 |
眼科学 | 47篇 |
药学 | 308篇 |
3篇 | |
中国医学 | 198篇 |
肿瘤学 | 199篇 |
出版年
2024年 | 6篇 |
2023年 | 110篇 |
2022年 | 215篇 |
2021年 | 301篇 |
2020年 | 257篇 |
2019年 | 215篇 |
2018年 | 210篇 |
2017年 | 205篇 |
2016年 | 189篇 |
2015年 | 202篇 |
2014年 | 277篇 |
2013年 | 294篇 |
2012年 | 216篇 |
2011年 | 244篇 |
2010年 | 194篇 |
2009年 | 198篇 |
2008年 | 202篇 |
2007年 | 215篇 |
2006年 | 176篇 |
2005年 | 161篇 |
2004年 | 140篇 |
2003年 | 95篇 |
2002年 | 91篇 |
2001年 | 68篇 |
2000年 | 49篇 |
1999年 | 52篇 |
1998年 | 47篇 |
1997年 | 43篇 |
1996年 | 38篇 |
1995年 | 34篇 |
1994年 | 27篇 |
1993年 | 20篇 |
1992年 | 18篇 |
1991年 | 10篇 |
1990年 | 9篇 |
1989年 | 15篇 |
1988年 | 16篇 |
1987年 | 12篇 |
1986年 | 7篇 |
1985年 | 12篇 |
1984年 | 10篇 |
1983年 | 4篇 |
1982年 | 5篇 |
1981年 | 4篇 |
1980年 | 6篇 |
1979年 | 3篇 |
1976年 | 2篇 |
1972年 | 1篇 |
1969年 | 1篇 |
1967年 | 1篇 |
排序方式: 共有4928条查询结果,搜索用时 31 毫秒
1.
《The Journal for Nurse Practitioners》2022,18(2):164-167
Acute diarrhea is a condition of increased water stool content, stool volume, and number of bowel movements that lasts less than 14 days. Mild diarrhea is usually self-limiting; however, undertreated moderate to severe diarrhea may cause severe dehydration and lead to hypovolemic shock. In order to prevent severe dehydration and treat patients appropriately, it is crucial for health care providers to determine the right diagnosis of patients with acute diarrhea. This article focuses on pathophysiology, general patient presentation, diagnostic tests and differential diagnosis lists of acute diarrhea to discuss which diagnosis should be made based on patient presentation and objective data. 相似文献
2.
Victoria L. Parker Matthew C. Winter John A. Tidy Barry W. Hancock Julia E. Palmer Naveed Sarwar Baljeet Kaur Katie McDonald Xianne Aguiar Kamaljit Singh Nick Unsworth Imran Jabbar Allan A. Pacey Robert F. Harrison Michael J. Seckl 《International journal of cancer. Journal international du cancer》2023,152(5):986-997
Gestational trophoblastic neoplasia (GTN) patients are treated according to the eight-variable International Federation of Gynaecology and Obstetrics (FIGO) scoring system, that aims to predict first-line single-agent chemotherapy resistance. FIGO is imperfect with one-third of low-risk patients developing disease resistance to first-line single-agent chemotherapy. We aimed to generate simplified models that improve upon FIGO. Logistic regression (LR) and multilayer perceptron (MLP) modelling (n = 4191) generated six models (M1-6). M1, all eight FIGO variables (scored data); M2, all eight FIGO variables (scored and raw data); M3, nonimaging variables (scored data); M4, nonimaging variables (scored and raw data); M5, imaging variables (scored data); and M6, pretreatment hCG (raw data) + imaging variables (scored data). Performance was compared to FIGO using true and false positive rates, positive and negative predictive values, diagnostic odds ratio, receiver operating characteristic (ROC) curves, Bland-Altman calibration plots, decision curve analysis and contingency tables. M1-6 were calibrated and outperformed FIGO on true positive rate and positive predictive value. Using LR and MLP, M1, M2 and M4 generated small improvements to the ROC curve and decision curve analysis. M3, M5 and M6 matched FIGO or performed less well. Compared to FIGO, most (excluding LR M4 and MLP M5) had significant discordance in patient classification (McNemar's test P < .05); 55-112 undertreated, 46-206 overtreated. Statistical modelling yielded only small gains over FIGO performance, arising through recategorisation of treatment-resistant patients, with a significant proportion of under/overtreatment as the available data have been used a priori to allocate primary chemotherapy. Streamlining FIGO should now be the focus. 相似文献
3.
4.
由于骨盆的特殊结构,其内侧的血管网损伤导致不可压迫性出血。即使创伤中心和救治体系的建设,以及损害控制技术等发展,病死率仍然高达30%~60%。损害控制性复苏、骨盆带、外固定支架、复苏性腹主动脉内球囊阻断(REBOA)、动脉栓塞和腹膜外填塞等技术不断发展,部分已经得到普及,但迄今仍没有公认的确定性止血流程。我国正在普遍建设创伤中心,亟待制订适合我国的骨盆骨折大出血患者的救治流程,以提高救治成功率。本文阐述控制骨盆骨折大出血的外科技术和流程进展供同道参考。 相似文献
5.
6.
Questionnaire data may contain missing values because certain questions do not apply to all respondents. For instance, questions addressing particular attributes of a symptom, such as frequency, triggers or seasonality, are only applicable to those who have experienced the symptom, while for those who have not, responses to these items will be missing. This missing information does not fall into the category ‘missing by design’, rather the features of interest do not exist and cannot be measured regardless of survey design. Analysis of responses to such conditional items is therefore typically restricted to the subpopulation in which they apply. This article is concerned with joint multivariate modelling of responses to both unconditional and conditional items without restricting the analysis to this subpopulation. Such an approach is of interest when the distributions of both types of responses are thought to be determined by common parameters affecting the whole population. By integrating the conditional item structure into the model, inference can be based both on unconditional data from the entire population and on conditional data from subjects for whom they exist. This approach opens new possibilities for multivariate analysis of such data. We apply this approach to latent class modelling and provide an example using data on respiratory symptoms (wheeze and cough) in children. Conditional data structures such as that considered here are common in medical research settings and, although our focus is on latent class models, the approach can be applied to other multivariate models. Copyright © 2009 John Wiley & Sons, Ltd. 相似文献
7.
Medial epicondylitis is a chronic noninflammatory condition resulting from mechanical injury. Despite many treatment options,
including rest, medications, physiotherapy and operative interventions, the results are too often poor; thus new treatment
options are sought. We treated 4 men with chronic epicondylitis (5 affected joints) with extracorporeal shock wave therapy
after failed attempts of other treatments. The patients’ complaints were graded with the Nirschl scoring system prior to and
six months after therapy. The treatment consisted of three sessions, at 20-day intervals, of 3000 pulses of ultrasonic shock
waves from a Piezolith 3000 unit (energy dosage was gradually increased to reach step 10 equaling 0.9 mJ/mm2). At the 6-month follow-up, no patient was pain free. Three cases had slightly lower Nirschl scores than prior to the procedure
but the patients rated this difference as insignificant; two cases were unchanged. No complications were observed but all
patients rated the procedure as very unpleasant. The well recognized biologic effects of ultrasonographic waves (heat generation,
oscillations, cavitation, etc.) that result in functional and structural changes of cellular membranes with sonochemical reactions
(acceleration of normal metabolism, oxygenation and reduction in water solutions, polymer degradation, etc.), even if present
in our cases, did not result in a noticeable decrease of symptoms, even though we used high energy and more impulses per session.
Significant variations in methodology make inconclusive the results of numerous reports on the use of extracorporeal shock
waves in epicondylar degenerative problems, although ineffectiveness of such therapy is the conclusion of a review by Haake
and colleagues. 相似文献
8.
New sonographic techniques for the diagnosis and treatment of hepatocellular carcinoma 总被引:1,自引:0,他引:1
Masatoshi Kudo 《Hepatology research》2007,37(S2):S193-S199
Ultrasound (US) contrast agents such as Levovist and Sonazoid are now commercially available in Japan. Innovative contrast agents and ultrasound technologies have dramatically changed both diagnostic and treatment strategies for hepatocellular carcinoma (HCC). Contrast-enhanced US is extremely useful in the differential diagnosis of hepatic tumors as well as in evaluation of post-treatment response of HCC after lipiodol transarterial chemoembolization and radio frequency ablation. Harmonic US sensitively detects residual cancer cells in HCC patients after treatment, to facilitate accurate guidance for needle insertion for US monitoring; no other imaging modalities, including computed tomography (CT) or magnetic resonance imaging (MRI), have such capability. In 2005, the breakthrough technology of pure arterial phase imaging, which depicts only intranodular arterial accumulated maximum intensity projection images, was developed from advanced raw data storing and accumulation technologies. This technique can clearly identify whether blood supplyin the tumor is of arterial or portal origin, to facilitate the non-invasive characterization of nodular lesions associated with liver cirrhosis. Again, CT or MRI do not have such capabilities. This innovative technique can help differentiate premalignant lesions from overt HCC. Concurrent real-time imaging of multi-detector CT and US, known as real-time virtual sonography, has recently become available. This technique greatly facilitates the treatment guidance for HCC. These newly introduced sonographic techniques are dramatically changing the diagnostic and therapeutic strategies for HCC, which are expected to improve the prognosis of HCC patients. 相似文献
9.
目的 近年来产生了一些用于分析基因表达数据的聚类算法,却很少有关于评价聚类算法方法的研究。本研究的目的是尝试建立一个定量的评价基因表达数据聚类结果的方法。方法 本研究提供了一个系统的评价聚类结果的方法,利用我们提出的实验均方误差F值对几个常见的聚类算法进行比较。结果 利用F值对类质量的评价和利用已有的生物学知识对类进行分析的结果一致。结论 实验均方误差F值可以定量地评判用于基因表达数据的聚类算法。 相似文献
10.
把分段线性函数和斜波脉冲函数进行统一处理,定义成新的函数,使得新的函数既保持了原先两种函数的基本特性,又获得微分和积分递推算法。应用中具有方便,快速计算的优点。 相似文献