全文获取类型
收费全文 | 1759篇 |
免费 | 71篇 |
国内免费 | 35篇 |
专业分类
耳鼻咽喉 | 27篇 |
儿科学 | 50篇 |
妇产科学 | 18篇 |
基础医学 | 108篇 |
口腔科学 | 10篇 |
临床医学 | 273篇 |
内科学 | 393篇 |
皮肤病学 | 239篇 |
神经病学 | 195篇 |
特种医学 | 33篇 |
外科学 | 191篇 |
综合类 | 113篇 |
预防医学 | 86篇 |
眼科学 | 16篇 |
药学 | 98篇 |
中国医学 | 11篇 |
肿瘤学 | 4篇 |
出版年
2024年 | 3篇 |
2023年 | 55篇 |
2022年 | 103篇 |
2021年 | 164篇 |
2020年 | 123篇 |
2019年 | 139篇 |
2018年 | 111篇 |
2017年 | 82篇 |
2016年 | 73篇 |
2015年 | 47篇 |
2014年 | 132篇 |
2013年 | 152篇 |
2012年 | 65篇 |
2011年 | 92篇 |
2010年 | 61篇 |
2009年 | 67篇 |
2008年 | 59篇 |
2007年 | 55篇 |
2006年 | 43篇 |
2005年 | 41篇 |
2004年 | 36篇 |
2003年 | 30篇 |
2002年 | 19篇 |
2001年 | 11篇 |
2000年 | 16篇 |
1999年 | 12篇 |
1998年 | 16篇 |
1997年 | 11篇 |
1996年 | 15篇 |
1995年 | 5篇 |
1994年 | 4篇 |
1993年 | 4篇 |
1991年 | 2篇 |
1990年 | 1篇 |
1989年 | 3篇 |
1988年 | 5篇 |
1987年 | 1篇 |
1985年 | 1篇 |
1984年 | 2篇 |
1982年 | 2篇 |
1980年 | 1篇 |
1976年 | 1篇 |
排序方式: 共有1865条查询结果,搜索用时 15 毫秒
1.
BackgroundHigher vitamin D status has been associated with symptom improvement and decreased risk of various autoimmune disorders. Our objective was to determine whether higher serum 25-hydroxyvitamin D (25OHD) concentration correlated with less severe first-diagnosed bullous pemphigoid (BP) in older inpatients.MethodsThis cross-sectional study was performed from November 2012 to February 2014 among 30 consecutive older inpatients (21 women; mean ± SD, 83 ± 7 years; all Caucasian) with a de novo diagnosis of active BP recruited in the Department of Dermatology of Angers University Hospital, France. The severity of BP was graded clinically on the basis of i) the number of bullae during the first three days of hospitalization (grade 0–4, worse), and ii) the extent of the lesions (grade 0–5, worse).ResultsSixteen participants had ≤ 5 bullae at the time of diagnosis, 8 had 6–20 bullae, 3 had 20–50 bullae, and 3 had >50 bullae. The lesions were spread over 5 cutaneous areas in 5 participants (17%). The median 25OHD concentration was 23 [IQR, 16–42] nmol/L. Serum 25OHD concentration was inversely correlated with the bullae grade (ρ = − 0.38, p = 0.04) and the lesion extension grade (ρ = − 0.50, p = 0.005).ConclusionsHigher serum 25OHD concentration correlated with less severe BP prior to initiation of treatment among our sample of older inpatients. This result suggests that vitamin D may be involved in the pathophysiology of BP and could serve as prognostic biomarker of BP. 相似文献
2.
目的研究家族性与散发性SARS患者的重症率及病死率的区别。方法把61例SARS患者分为家族性病例和散发性病例两组,家族性病例23例,散发性病例38例,分别对重症率及病死率进行比较。结果家族性患者的重症率47.8%,散发性患者的重症率22.5%(P〈0.05),家族性患者的病死率21.7%,散发性患者的病死率5.2%(P〉0.05),本组资料尚未发现病死率有统计学明显差异。可能与病例数较少有关。结论家族性SARS患者的重症率明显高于散发性SARS患者。 相似文献
3.
Narendrakumar Venilal Morris Michael John Abramson Malcolm John Rosier Roger Peter Strasser 《The Journal of asthma》1996,33(6):425-439
The objective of this study was to evaluate clinical history and self-perception of severity as predictors of asthma severity. A short-term longitudinal study was conducted in a family practice in Melbourne, Australia, utilizing peak flow monitoring, medication diary, and self-administered asthma severity questionnaire. Seventy-two asthmatic subjects with a positive bronchodilator or exercise test, aged between 6 and 79 years, were studied. Symptom and treatment items were correlated with peak flow variability and minimal peak expiratory flow rate (PEFR). An asthma severity scale was generated using the partial credit version of Item Response Theory and the participants' severity scores were validated against lung function tests and medication usage. Quantitative modeling procedures were used to investigate the interrelationships of factors associated with peak flow variability. Severity scores demonstrated significant relationships with peak flow variability (partial r = 0.34) and treatment items. Self-perceived severity of asthma in the preceding 2 weeks showed significant association with peak flow variability (partial rho = 0.46) and minimal PEFR (rho = -0.41). The severity module of the Monash Respiratory Questionnaire is a valid and reliable instrument. The most important symptoms appear to be the frequency of use of bronchodilator and frequency of nocturnal attacks. A carefully structured clinical history in conjunction with the peak flow criteria of variability and minimal peak flow rate would be appropriate in the evaluation of asthma severity. Patients' self-perception of the severity of their asthma needs further evaluation. 相似文献
4.
5.
6.
Lena Möbus Elke Rodriguez Inken Harder Agatha Schwarz Ulrike Wehkamp Dora Stölzl Nicole Boraczynski Sascha Gerdes Thomas Litman Andreas Kleinheinz Susanne Abraham Annice Heratizadeh Christiane Handrick Eva Haufe Jochen Schmitt Thomas Werfel Stephan Weidinger 《The Journal of allergy and clinical immunology》2021,147(5):1959-1965.e2
7.
Jared Liu Hsin-Wen Chang Zhi-Ming Huang Mio Nakamura Sahil Sekhon Richard Ahn Priscila Munoz-Sandoval Shrishti Bhattarai Kristen M. Beck Isabelle M. Sanchez Eric Yang Mariela Pauli Sarah T. Arron Wai-Ping Fung-Leung Ernesto Munoz Xuejun Liu Tina Bhutani Jeffrey North Wilson Liao 《The Journal of allergy and clinical immunology》2021,147(6):2370-2380
8.
9.
Whybra C Kampmann C Krummenauer F Ries M Mengel E Miebach E Baehner F Kim K Bajbouj M Schwarting A Gal A Beck M 《Clinical genetics》2004,65(4):299-307
Anderson-Fabry disease (AFD) is an X-linked disorder caused by deficient activity of the lysosomal enzyme alpha-galactosidase A. The availability of enzyme replacement therapy (ERT) for this debilitating condition has led to the need for a convenient and sensitive instrument to monitor clinical effects in an individual patient. This study aimed to develop a scoring system--the Mainz Severity Score Index (MSSI)--to measure the severity of AFD and to monitor the clinical course of the disease in response to ERT. Thirty-nine patients (24 males and 15 females) with AFD were assessed using the MSSI immediately before and 1 year after commencing agalsidase alfa ERT. Control data were obtained from 23 patients in whom AFD was excluded. The MSSI of patients with AFD was significantly higher than that of patients with other severe debilitating diseases. The MSSI indicated that, although more men than women had symptoms classified as severe, overall, the median total severity scores were not significantly different between male and female patients. One year of ERT with agalsidase alfa led, in all patients, to a significant (p < 0.001) reduction in MSSI score (by a median of nine points). This study has shown that the MSSI score may be a useful, specific measure for objectively assessing the severity of AFD and for monitoring ERT-related treatment effects. 相似文献
10.
The relationship between exposure duration, COHb, blood glucose, pyruvate and lactate and the severity of intoxication was investigated in a group of 39 cases of acute CO poisoning treated in the Clinical Toxicology Center in ód, Poland.On the basis of clinical criteria the patients were classified into cases of mild, moderate, severe and very severe CO poisoning. COHb and carbohydrate metabolites were estimated in venous blood taken immediately after admission of the patient to hospital prior to treatment.The severity of intoxication did not correlate with blood COHb; variation in exposure duration seems to be responsible for this phenomenon. Severe and very severe poisonings were associated with longer exposures and were accompanied by a markedly higher blood lactate level, compared to mild and moderate cases. Blood pyruvate depended less than lactate on the severity of intoxication. Blood glucose depended neither on exposure duration nor on the severity of intoxication.Among the carbohydrate metabolic parameters studied, blood lactate determination can be helpful in the evaluation of the severity of CO poisoning in man. 相似文献