What would you like to print?
Background
Open splenectomy is performed in two major clinical scenarios: trauma and hematologic disease. The spleen is one of the most frequently injured intraperitoneal organs, and management of splenic injuries may require splenectomy or, rarely, splenorrhaphy.
The spleen is an wedge-shaped organ that lies in relation to the ninth and 11th ribs, located in the left hypochondrium and partl thus, it is situated between the fundus of the stomach and the diaphragm. The spleen is highly vascula its size and weight are variable. A normal spleen is not palpable. For more information about the relevant anatomy, see&Spleen Anatomy.
The spleen's key function is the removal of old red blood cells (RBCs), defective circulating cells, and circulating bacteria. In addition, the spleen helps maintain normal erythrocyte morphology by processing immature erythrocytes, removing their nuclei, and changing the shape of the cellular membrane. Other functions of the spleen include the removal of nuclear remnants of RBCs, denatured hemoglobin, and iron granules and the manufacture of opsonins (properdin and tuftsin).
The current trends are toward nonoperative management of the spleen after traumaand toward laparoscopic splenectomy for hematologic disorders.&Today, most elective splenectomies are done laparoscopically, except in the case of severe splenomegaly.Even in the setting of massive splenomegaly, there is some evidence to suggest that the laparoscopic approach is safe and feasible in children.
Indications
Indications
The most common indications for open splenectomy in an adult are the following:
Traumatic splenic rupture
Blood dyscrasias
Splenic rupture is usually caused by blunt or penetrating trauma (see the first, second, and third images below); delayed rupture of the spleen&(see the fourth image below) and spontaneous splenic rupture&occur rarely. An analysis by the National Trauma Data Bank (NTDB) found high failure rates and prolonged hospital stays when high-grade splenic injuries were managed conservatively (ie, with nonoperative management).
CT scan of abdomen showing grade IV splenic injury.
CT scan of abdomen demonstrating grade IV injury of spleen.
Resected traumatized spleen with multiple lacerations.
CT scan of abdomen demonstrating large delayed rupture of subcapsular hematoma of spleen in symptomatic polytrauma patient previously managed with percutaneous angioembolization.
Surgical management of splenic rupture is indicated for patients who have hemodynamic instability or shock on admission, those who have associated injuries necessitating operative intervention, and those in whom nonoperative management has failed.
Patients with various hematologic disorders may benefit from splenectomy. Splenomegaly (see the image below) is observed in conditions such as idiopathic (immune) thrombocytopenic purpura (ITP),thrombotic thrombocytopenic purpura (TTP), and hereditary spherocytosis. Of these, ITP is the most common indication for elective splenectomy. In hereditary spherocytosis, the RBCs have a tendency to be trapped and destroyed in the spleen. The main features of this disease include anemia, reticulocytosis, jaundice, and splenomegaly.
Severe (massive) splenomegaly occupying most of left abdominal cavity in patient with symptomatic hematologic disorder after failure to respond to medical therapy.
Generally, the operation should be delayed until the patient is at least 6 years old to minimize the risk of overwhelming postsplenectomy sepsis (OPSS; also referred to as overwhelming postsplenectomy infection [OPSI]).&After removal of the spleen, the erythrocytes achieve a normal life span, and the jaundice, if present, disappears in a timely manner. Other, less common hematologic indications for splenectomy include&thalassemia&and&sickle cell anemia.
Other disorders for which splenectomy may be indicated include the following:
Hodgkin disease - In patients who are refractory to medical therapy, splenectomy is indicated to decrease pain, fullness, and hypersplenism
Felty syndrome (rheumatoid arthritis, splenomegaly, and neutropenia) - Symptomatic splenomegaly and neutropenia can be corrected by splenectomy
Splenic abscess, cyst, sarcoidosis
Contraindications
Contraindications for open splenectomy are few. For elective open splenectomy, the only absolute contraindications are uncorrectable coagulopathy and severe cardiovascular disease that prohibits the administration of general anesthesia.
Ruben Peralta, MD, FACS&Professor of Surgery, Anesthesia and Emergency Medicine, Senior Medical Advisor, Board of Directors, Program Chief of Trauma, Emergency and Critical Care, Consulting Staff, Professor Juan Bosch Trauma Hospital, Dominican RepublicRuben Peralta, MD, FACS is a member of the following medical societies: American Association of Blood Banks, American College of Surgeons, American Medical Association, Association for Academic Surgery, Massachusetts Medical Society, Society of Critical Care Medicine, Society of Laparoendoscopic Surgeons, Eastern Association for the Surgery of Trauma, American College of Healthcare ExecutivesDisclosure: Nothing to disclose.
Coauthor(s)
Hassan Al-Thani, MD, FRCSC, FRCS(Ire)&Senior Consultant in Surgery, Vascular, and Trauma Surgery, Head, Division of Vascular Surgery, Head, Trauma Surgery Section, Hamad General Hospital, QatarHassan Al-Thani, MD, FRCSC, FRCS(Ire) is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada, Royal College of Physicians of IrelandDisclosure: Nothing to disclose.
Specialty Editor Board
Mary L Windle, PharmD&Adjunct Associate Professor, University of Nebraska Medical Center College of P Editor-in-Chief, Medscape Drug ReferenceDisclosure: Nothing to disclose.
Chief Editor
Kurt E Roberts, MD&Assistant Professor, Section of Surgical Gastroenterology, Department of Surgery, Director, Surgical Endoscopy, Associate Director, Surgical Skills and Simulation Center and Surgical Clerkship, Yale University School of MedicineKurt E Roberts, MD is a member of the following medical societies: American College of Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic SurgeonsDisclosure: Nothing to disclose.
References
Cocanour CS. Blunt splenic injury. Curr Opin Crit Care. 2010 Dec. 16 (6):575-81. [Medline].
Scarborough JE, Ingraham AM, Liepert AE, Jung HS, O'Rourke AP, Agarwal SK. Nonoperative Management Is as Effective as Immediate Splenectomy for Adult Patients with High-Grade Blunt Splenic Injury. J Am Coll Surg. 2016 Aug. 223 (2):249-58. [Medline].
Maurus CF, Sch?fer M, Müller MK, Clavien PA, Weber M. Laparoscopic versus open splenectomy for nontraumatic diseases. World J Surg. 2008 Nov. 32(11):2444-9. [Medline].
Chen J, Ma R, Yang S, Lin S, He S, Cai X. Perioperative outcomes of laparoscopic versus open splenectomy for nontraumatic diseases: a meta-analysis. Chin Med J (Engl). 2014 Jul. 127(13):2504-10. [Medline].
Poulin EC, Schlachta CM, Mamazza J. Splenectomy. Ashley SW et al, eds. ACS Surgery: Principles and Practice. Hamilton, ON: BC Decker Inc.; 2010.
Hassan ME, Al Ali K. Massive splenomegaly in children: laparoscopic versus open splenectomy. JSLS. 2014 Jul. 18(3):[Medline]. [Full Text].
Theodoropoulos J, Krecioch P, Myrick S, Atkins R. Delayed presentation of a splenic injury after colonoscopy: a diagnostic challenge. Int J Colorectal Dis. 2010 Aug. 25(8):1033-4. [Medline].
Crawford RS, Tabbara M, Sheridan R, Spaniolas K, Velmahos GC. Early discharge after nonoperative management for splenic injuries: increased patient risk caused by late failure?. Surgery. 2007 Sep. 142(3):337-42. [Medline].
Wang C, Tu X, Li S, Luo G, Norwitz ER. Spontaneous rupture of the spleen: a rare but serious case of acute abdominal pain in pregnancy. J Emerg Med. 2011 Nov. 41 (5):503-6. [Medline].
Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009 Oct. 96(10):1114-21. [Medline].
Watson GA, Rosengart MR, Zenati MS, Tsung A, Forsythe RM, Peitzman AB. Nonoperative management of severe blunt splenic injury: are we getting better?. J Trauma. 2006 Nov. 61(5):1113-8; discussion 1118-9. [Medline].
McIntyre LK, Schiff M, Jurkovich GJ. Failure of nonoperative management of splenic injuries: causes and consequences. Arch Surg. 2005 Jun. 140(6):563-8; discussion 568-9. [Medline].
Li Y, Zhang D, Hua F, Gao S, Wu Y, Xu J. Factors associated with the effect of open splenectomy for immune thrombocytopenic purpura. Eur J Haematol. 2016 Jun 1. [Medline].
Cap J. [Long-term clinical experience with spherocytic hemolytic anemia in children]. Cesk Pediatr. 1992 Oct. 47(10):592-5. [Medline].
Meekes I, van der Staak F, van Oostrom C. Results of splenectomy performed on a group of 91 children. Eur J Pediatr Surg. 1995 Feb. 5(1):19-22. [Medline].
Alizai NK, Richards EM, Stringer MD. Is cholecystectomy really an indication for concomitant splenectomy in mild hereditary spherocytosis?. Arch Dis Child. 2010 Aug. 95(8):596-9. [Medline].
Sandler A, Winkel G, Kimura K, Soper R. The role of prophylactic cholecystectomy during splenectomy in children with hereditary spherocytosis. J Pediatr Surg. 1999 Jul. 34(7):1077-8. [Medline].
Cines DB, Blanchette VS. Immune thrombocytopenic purpura. N Engl J Med. 2002 Mar 28. 346(13):995-1008. [Medline].
Hoyt DB, Coimbra R. Splenectomy and splenorrhaphy. Fischer JE, ed. Mastery of Surgery. 5th ed. Philadelphia: Lippincott Williams & W 2007. II: 149.
Winslow ER, Brunt LM, Drebin JA, Soper NJ, Klingensmith ME. Portal vein thrombosis after splenectomy. Am J Surg. 2002 Dec. 184(6):631-5; discussion 635-6. [Medline].
Bisharat N, Omari H, Lavi I, Raz R. Risk of infection and death among post-splenectomy patients. J Infect. 2001 Oct. 43(3):182-6. [Medline].
Okabayashi T, Hanazaki K. Overwhelming postsplenectomy infection syndrome in adults - a clinically preventable disease. World J Gastroenterol. 2008 Jan 14. 14(2):176-9. [Medline]. [Full Text].
Kimmig LM, Palevsky HI. Review of the Association between Splenectomy and Chronic Thromboembolic Pulmonary Hypertension. Ann Am Thorac Soc. 2016 Jun. 13 (6):945-54. [Medline].
Brigden ML, Pattullo AL. Prevention and management of overwhelming postsplenectomy infection--an update. Crit Care Med. 1999 Apr. 27(4):836-42. [Medline].
Jacoby RC, Wisner DH. Injury to the spleen. Mattox KL, Feliciano DV, Moore EE, eds. Trauma. 6th ed. New York: McGraw-Hill M .
Knudson MM, Maull KI. Nonoperative management of solid organ injuries. Past, present, and future. Surg Clin North Am. 1999 Dec. 79(6):1357-71. [Medline].
Malangoni MA, Evers BM, Peyton JC, Wellhausen SR. Reticuloendothelial clearance and splenic mononuclear cell populations after resection and autotransplantation. Am J Surg. 1988 Feb. 155(2):298-302. [Medline].
CT scan of abdomen showing grade IV splenic injury.
Resected traumatized spleen with multiple lacerations.
Severe (massive) splenomegaly occupying most of left abdominal cavity in patient with symptomatic hematologic disorder after failure to respond to medical therapy.
Left oblique abdominal incision showing severe (massive) splenomegaly in patient with hemolytic disorder.
CT scan of abdomen demonstrating grade IV injury of spleen.
Placement of vascular loops during dissection is recommended to help control splenic vessels in cases of severe (massive) splenomegaly.
CT scan of abdomen demonstrating large delayed rupture of subcapsular hematoma of spleen in symptomatic polytrauma patient previously managed with percutaneous angioembolization.
Read more about Open Splenectomy on Medscape
Related News and Articles
About Medscape Drugs & Diseases
Medscape's clinical reference is the most authoritative and accessible point-of-care medical reference for physicians and healthcare professionals, available online and via all major mobile devices. All content is free.
The clinical information represents the expertise and practical knowledge of top physicians and pharmacists from leading academic medical centers in the United States and worldwide.
The topics provided are comprehensive and span more than 30 medical specialties, covering:
Diseases and Conditions
More than 6000 evidence-based and physician-reviewed disease and condition articles are organized to rapidly and comprehensively answer clinical questions and to provide in-depth information in support of diagnosis, treatment, and other clinical decision-making. Topics are richly illustrated with more than 40,000 clinical photos, videos, diagrams, and radiographic images.
Procedures
More than 1000 clinical procedure articles provide clear, step-by-step instructions and include instructional videos and images to allow clinicians to master the newest techniques or to improve their skills in procedures they have performed previously.
More than 100 anatomy articles feature clinical images and diagrams of the human body's major systems and organs. The articles assist in the understanding of the anatomy involved in treating specific conditions and performing procedures. They can also facilitate physician-patient discussions.
Drug Monographs
More than 7100 monographs are provided for prescription and over-the-counter drugs, as well as for corresponding brand-name drugs, herbals, and supplements. Drug images are also included.
Drug Interaction Checker
Our Drug Interaction Checker provides rapid access to tens of thousands of interactions between brand and generic drugs, over-the-counter drugs, and supplements. Check mild interactions to serious contraindications for up to 30 drugs, herbals, and supplements at a time.
Formulary Information
Access health plan drug formulary information when looking up a particular drug, and save time and effort for you and your patient. Choose from our complete list of over 1800 insurance plans across all 50 US states. Customize your Medscape account with the health plans you accept, so that the information you need is saved and ready every time you look up a drug on our site or in the Medscape app. Easily compare tier status for drugs in the same class when considering an alternative drug for your patient.
Medical Calculators
Medscape Reference features 129 medical calculators covering formulas, scales, and classifications. Plus, more than 600 drug monographs in our drug reference include integrated dosing calculators.
Image Collections
Hundreds of image-rich slideshow presentations visually engage and challenge readers while expanding their knowledge of both common and uncommon diseases, case presentations, and current controversies in medicine.
Click on citations within drug and disease topics in our clinical reference to review the clinical evidence on MEDLINE. Plus, search the MEDLINE database for journal articles.
Medscape is the leading online destination for healthcare professionals seeking clinical information. In addition to clinical reference tools, Medscape offers:
Medical News
Continuing Medical Education
All material on this website is protected by copyright, Copyright &
by WebMD LLC.
This website also contains material copyrighted by 3rd parties.||||||||||||||||||||||||||||||
2013年最新SCI杂志影响因子-SCI收录的期刊首字母为A
ANN MAT PUR APPL
ANN MATH ARTIF INTEL
ANN MED-PSYCHOL
ANN MICROBIOL
ANN MO BOT GARD
ANN NEUROL
ANN NONINVAS ELECTRO
ANN NUCL ENERGY
ANN NUCL MED
ANN NUTR METAB
ANN NY ACAD SCI
ANN OCCUP HYG
ANN OPER RES
ANN OTO RHINOL LARYN
ANN PALEONTOL
ANN PATHOL
ANN PHARMACOTHER
ANN PHYS-BERLIN
ANN PHYS-NEW YORK
ANN PLAS SURG
ANN POL MATH
ANN PROBAB
ANN PURE APPL LOGIC
ANN RHEUM DIS
ANN ROY COLL SURG
ANN SAUDI MED
ANN SCI ECOLE NORM S
ANN SCUOLA NORM-SCI
ANN SOC ENTOMOL FR
ANN SOC GEOL POL
ANN SURG ONCOL
ANN TELECOMMUN
ANN THORAC CARDIOVAS
ANN THORAC MED
ANN THORAC SURG
ANN TRANSPL
ANN TROP MED PARASIT
ANN TROP PAEDIATR
ANN VASC SURG
ANN ZOOL FENN
ANNU REP MED CHEM
ANNU REP NMR SPECTRO
ANNU REV ANAL CHEM
ANNU REV ASTRON ASTR
ANNU REV BIOCHEM
ANNU REV BIOMED ENG
ANNU REV BIOPHYS
ANNU REV CELL DEV BI
ANNU REV CHEM BIOMOL
ANNU REV CLIN PSYCHO
ANNU REV CONDEN MA P
ANNU REV CONTROL
ANNU REV EARTH PL SC
ANNU REV ECOL EVOL S
ANNU REV ENTOMOL
ANNU REV ENV RESOUR
ANNU REV FLUID MECH
ANNU REV FOOD SCI T
ANNU REV GENET
ANNU REV GENOM HUM G
ANNU REV IMMUNOL
ANNU REV INFORM SCI
ANNU REV MAR SCI
ANNU REV MATER RES
ANNU REV MED
ANNU REV MICROBIOL
ANNU REV NEUROSCI
ANNU REV NUCL PART S
ANNU REV NUTR
ANNU REV PATHOL-MECH
ANNU REV PHARMACOL
ANNU REV PHYS CHEM
ANNU REV PHYSIOL
ANNU REV PHYTOPATHOL
ANNU REV PLANT BIOL
ANNU REV PSYCHOL
ANNU REV PUBL HEALTH
ANTARCT SCI
ANTHROPOL SCI
ANTHROPOLOGIST
ANTHROZOOS
ANTI-CANCER AGENT ME
ANTI-CANCER DRUG
ANTI-CORROS METHOD M
ANTIBIOTIQUES
ANTICANCER RES
ANTIMICROB AGENTS CH
ANTIOXID REDOX SIGN
ANTIVIR RES
ANTIVIR THER
ANTON LEEUW INT J G
ANZ J SURG
&&&&&&&&[7]&&&&&
没有热点文章
&&&&&&&&&&
全站分类导航
|||||||||||||||
|||||||||||||||
版权所有& CopyRight , , All Rights Reserved医学会议频道
MedSci梅斯医学APP下载
大家还在关注：
Ann Am Thorac Soc：极早产儿成年前请留心肺部功能发育
作者：MedSci&&&来源：MedSci
可以看到蛮多有用的东西
相关资讯：
猜你感兴趣
资讯分类阅读
关注Medsci
声明：MedSci(梅斯医学)登载此文出于传递更多信息之目的，并不意味着赞同其观点或证实其描述。文章内容仅供专业医生参考，具体诊断和治疗请咨询专科医生。
MedSci备案号
扫码领取IF曲线
IF连续增长的期刊关注今日：12 | 主题：506558
微信扫一扫
扫一扫，下载丁香园 App
即送15丁当
即时影响因子查询 包括 2016最新发布SCI 影响因子
页码直达：
楼主好人！peerj,theranostics
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
丁香园准中级站友
sesame_oil clinical laboratory
0.796Journal of Clinical Laboratory Analysis
1.111估计也不会太高应该是1和1.3那样吧
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
Clin ChemLab Med，IntJ Lab Hematol， Adv Clin Exp Med， Braz J Med Biol Res，Eur Rev Med Pharmacol Sci楼主不预测了吗？求预测啊，好心的楼主。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
沭阳检验医师 估计也不会太高应该是1和1.3那样吧Journal of Clinical Laboratory Analysis，我这上面投过一篇，奶奶的，耗时半年回修，都毕业了，放弃修改了。这个杂志真心慢。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176 要是medicine能保住两分也行啊！It is very unlikely.
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
jiaoyang1989731 楼主好人！peerj,theranosticsTheranostics: 8.13 or higher
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176 要是medicine能保住两分也行啊！It is very unlikely.为何？可以提供下数据支持吗？支持前辈。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
楼主不帮我预测吗？
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
Am J Emerg Med和World Journal of Surgical Oncology 谢谢啦
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
丁香园准中级站友
Evid Based ComplementAlternat Med，谢谢
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
sesame_oil international journal of Cardiology
3.036IJC算的有问题吧，13-14年article+review文章数1994篇，在15年已经被引用8519次，应该是4.3了都
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176 为何？可以提供下数据支持吗？支持前辈。我觉得也不一定。参照之前的2014年的Internationa Journal of Cardiology和JAHA计算方法，medicine由于2014年文章数大增，可能会要求分开算2013年和2014年发表文章的IF，然后取平均值。medicine 2013年发表的文章质量很高，影响因子在5分以上，但2014年的太差，1分出头。如果是这样，那么2015年的影响因子在3分左右。但是如果杂志社不要求分开算，或者WOS不同意分开算，那就只有不到2分了。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
哈哈哈哈哈哈
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
楼主楼主~ 求catalysis science & technology的即时影响因子~ 谢谢楼主 楼主大好人~~~
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176 为何？可以提供下数据支持吗？支持前辈。我觉得也不一定。参照之前的2014年的Internationa Journal of Cardiology和JAHA计算方法，medicine由于2014年文章数大增，可能会要求分开算2013年和2014年发表文章的IF，然后取平均值。medicine 2013年发表的文章质量很高，影响因子在5分以上，但2014年的太差，1分出头。如果是这样，那么2015年的影响因子在3分左右。但是如果杂志社不要求分开算，或者WOS不同意分开算，那就只有不到2分了。我觉得不太可能。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
sesame_oil 各位战友好：
预测即时SCI 影响因子，不一定十分准确啊
都是即时影响因子啊，因为很多杂志出版延时的原因，影响因子预测的会比真实的低一些喔收拾收拾
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
Ann Am Thorac Soc啥时候会进SCI啊，影响因子会是多少？
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
还有J Proteome Res杂志
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
freely52 还有J Proteome Res杂志journal of proteome research
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
freely52 Ann Am Thorac Soc啥时候会进SCI啊，影响因子会是多少？不知道啊
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
wuxiczy 楼主楼主~ 求catalysis science & technology的即时影响因子~ 谢谢楼主 楼主大好人~~~catalysis science & technology
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
kltscl Evid Based ComplementAlternat Med，谢谢Evidence-based complementary and alternative medicine
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176
Clin ChemLab Med，IntJ Lab Hematol， Adv Clin Exp Med， Braz J Med Biol Res，Eur Rev Med Pharmacol Sci楼主不预测了吗？求预测啊，好心的楼主。最好给出杂志名称的全文
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
楼主，international journal of clinical and experimental pathology，谢谢
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
jiaoyang1989731 楼主好人！peerj,theranosticsPeerJ
1.906theranostics
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
david7582176
Clin ChemLab Med，IntJ Lab Hematol，
Adv Clin Exp Med， Braz J Med Biol Res。求预测。Eur Rev Med Pharmacol Sci求助太多了，每种杂志计算都需要时间，况且需要把名称全文给出，要不还得给你查
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
xiexielouzhu
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
语灵2011 xiexielouzhu不客气，共同进步
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
European journal of pharmacology即时多少啊？估计多少啊？
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
, 楼主求预测，我写的全称。谢谢。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
， Brazilian Journal of Medical and Biological Research ，还有这两个。谢谢。
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
cancer lettersoncotarget谢谢楼主！
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
谢谢楼主~ 楼主请教下
这个是怎么算的呀
是ISI里面的JCR检索吗？~
微信扫一扫
广告宣传推广
政治敏感、违法虚假信息
恶意灌水、重复发帖
违规侵权、站友争执
附件异常、链接失效
关于丁香园}