全文获取类型
收费全文 | 19681篇 |
免费 | 1504篇 |
国内免费 | 559篇 |
专业分类
耳鼻咽喉 | 64篇 |
儿科学 | 235篇 |
妇产科学 | 133篇 |
基础医学 | 2173篇 |
口腔科学 | 308篇 |
临床医学 | 2555篇 |
内科学 | 3941篇 |
皮肤病学 | 145篇 |
神经病学 | 2933篇 |
特种医学 | 210篇 |
外国民族医学 | 4篇 |
外科学 | 810篇 |
综合类 | 2155篇 |
现状与发展 | 6篇 |
预防医学 | 572篇 |
眼科学 | 167篇 |
药学 | 3597篇 |
8篇 | |
中国医学 | 895篇 |
肿瘤学 | 833篇 |
出版年
2023年 | 217篇 |
2022年 | 191篇 |
2021年 | 522篇 |
2020年 | 602篇 |
2019年 | 564篇 |
2018年 | 589篇 |
2017年 | 622篇 |
2016年 | 643篇 |
2015年 | 640篇 |
2014年 | 912篇 |
2013年 | 1538篇 |
2012年 | 927篇 |
2011年 | 943篇 |
2010年 | 770篇 |
2009年 | 804篇 |
2008年 | 778篇 |
2007年 | 808篇 |
2006年 | 707篇 |
2005年 | 700篇 |
2004年 | 601篇 |
2003年 | 591篇 |
2002年 | 528篇 |
2001年 | 480篇 |
2000年 | 432篇 |
1999年 | 407篇 |
1998年 | 411篇 |
1997年 | 355篇 |
1996年 | 338篇 |
1995年 | 364篇 |
1994年 | 298篇 |
1993年 | 251篇 |
1992年 | 264篇 |
1991年 | 268篇 |
1990年 | 225篇 |
1989年 | 207篇 |
1988年 | 219篇 |
1987年 | 173篇 |
1986年 | 165篇 |
1985年 | 273篇 |
1984年 | 259篇 |
1983年 | 182篇 |
1982年 | 201篇 |
1981年 | 181篇 |
1980年 | 154篇 |
1979年 | 87篇 |
1978年 | 81篇 |
1977年 | 65篇 |
1976年 | 58篇 |
1975年 | 33篇 |
1974年 | 27篇 |
排序方式: 共有10000条查询结果,搜索用时 109 毫秒
91.
92.
Dual blockade of the renin-angiotensin system in type 1 patients with diabetic nephropathy. 总被引:7,自引:0,他引:7
Peter Jacobsen Steen Andersen Kasper Rossing Birgitte V Hansen Hans-Henrik Parving 《Nephrology, dialysis, transplantation》2002,17(6):1019-1024
BACKGROUND: Albuminuria and hypertension are predictors of poor renal and cardiovascular outcome in patients with diabetes. Approximately 30% of type 1 patients with diabetic nephropathy (DN) have albuminuria >1 g/day, and blood pressure >135 and/or >85 mmHg despite antihypertensive therapy with recommended doses of ACE inhibitor (ACEI) and diuretics. We tested the effect of dual blockade of the renin-angiotensin system (RAS) in these patients. METHODS: We performed a randomised double blind crossover trial with 2 months treatment with Irbesartan 300 mg o.d. and placebo added on top of previous antihypertensive treatment. We included 21 type 1 patients with DN responding insufficiently to ACEI and diuretics, as defined above. At the end of each treatment period, albuminuria, 24-h blood pressure and glomerular filtration rate (GFR) were measured. RESULTS: Addition of 300 mg Irbesartan to the patients' usual antihypertensive therapy induced a mean reduction in albuminuria of 37% (95% CI 20-49, P<0.001); from 1574 mg/24 h (95% CI 1162-2132) to 996 mg/24 h (95% CI 699-1419), a reduction in 24-h blood pressure of 8 mmHg systolic (95% CI -2 to 18) and 5 mmHg diastolic (95% CI 1-9) (P=0.11 and 0.01, respectively) (from placebo, mean (SE) 146 (4)/80 (2) mmHg). GFR remained unchanged. Serum potassium increased (mean 4.3 to 4.6 mmol/l, P=0.02). Intervention to reduce serum potassium was needed in two patients with GFR <35 ml/min/1.73 m(2). Otherwise the dual blockade with Irbesartan was safe and well tolerated. CONCLUSIONS: Dual blockade of the RAS may offer additional renal and cardiovascular protection in type 1 patients with DN responding insufficiently to conventional antihypertensive therapy, including recommended doses of ACEI and diuretics. 相似文献
93.
Continuous proteolysis resulting in consumption of major cytoskeletal proteins may be essential for platelet activation and aggregation. In this study we evaluated the effect of a known protease inhibitor, Leupeptin, on agonist induced platelet aggregation and secretion. Platelets exposed to 10 ugs/ml of Leupeptin did not aggregate in response to the action of thrombin (0.2u/ml). However, a concentration of Leupeptin as high as 250 ugs/ml did not prevent arachidonate induced aggregation and secretion. Leupeptin (100 ugs/ml) effectively blocked thrombin (0.2 u/ml) induced elevation of cytosolic calcium, but did not affect arachidonate induced elevation of platelet intracellular calcium levels. At a concentration of 100 ug/ml, Leupeptin effectively blocked thrombin (0.5u/ml) induced clot formation of platelet poor plasma, suggesting that it can exert its effect on thrombin by preventing fibrinogen degradation. Effective Ki for the competitive inhibition of thrombin induced hydrolysis of a chromogenic substrate, S2238, by Leupeptin was 2.4 uM. Leupeptin inhibition of platelet function was reversible by washing platelets free of the polypeptide. Results of our study demonstrate that Leupeptin inhibits thrombin induced platelet activation, probably by interfering with its proteolytic activity on the platelet surface membrane. However, inhibition of platelet surface membrane associated proteases did not prevent activation of platelets by other agonists. 相似文献
94.
Local circuit neurons of macaque monkey striate cortex: I. Neurons of laminae 4C and 5A 总被引:6,自引:0,他引:6
J S Lund 《The Journal of comparative neurology》1987,257(1):60-92
A study has been made, using Golgi preparations, of the organization of neurons with smooth or sparsely spined dendrites, here called local circuit neurons, of the macaque monkey primary visual cortex. Since these neurons include those responsible for inhibitory circuitry of the cortex, a better understanding of their anatomical organization is essential to concepts of functional organization of the region. This account describes those neurons found with cell body and major dendritic spread within the thalamic recipient zone of lamina 4C and its border zone with lamina 5A. The neurons are grouped firstly in terms of in which laminar division the soma occurred--4C beta, 4C alpha or the border zone of 5A-4C beta--and secondly, into varieties on the basis of the interlaminar projection patterns of their axons. Most, if not all, of the local circuit neurons of these divisions have interlaminar axon projections as well as an arbor local to their cell body and dendritic field. These interlaminar projections are highly specific, targeting from one to five laminar divisions depending on the variety of neuron; on this basis 17 varieties of local circuit neuron are described. While the number of varieties appears dauntingly large in terms of understanding the functional circuitry of the region, the clear-cut organization of the interlaminar links may provide clues as to the information processing that concerns each neuron. The local circuit neuron axon projections can be related to a wealth of information already available concerning the laminar organization of afferent axons and efferent cell groups, the organization of spiny neuron intrinsic relays (presumed to be excitatory), and physiological properties of different laminar divisions. It is hoped that the information derived from this study can serve as a guide for correlated physiological-anatomical studies on single cells of the region. 相似文献
95.
96.
检测198例各型乙肝患者血小板功能的五个项目:血小板总数、粘附试验、聚集试验、血块退缩、血小板第3因子有效性,发现各期乙肝患者血小板功能的异常有显著性差异(P<0.01).并提示乙肝患者除有血小板数量的改变外,还有质量的改变,因此,全面的血小板功能检测可作为估计乙肝患者肝损害程度的辅助指标. 相似文献
97.
R. B. Zotz G. Giers B. Maruhn-Debowski & R. E. Scharf 《British journal of haematology》1997,96(1):198-203
Genotyping of platelet alloantigens with the possibility of using any type of cellular material as a source of DNA has become a preferred procedure, particularly in thrombocytopenic patients when platelet counts are too low for phenotyping. Recently human platelet antigen 1 (HPA-1) has been identified as an inherited risk factor for coronary thrombosis. The different detection methods currently used have disadvantages for large-scale DNA diagnosis, including the need for electrophoresis (allele-specific restriction enzyme analysis, amplification with sequence-specific primers) or the potential risk of reduced specificity (allele-specific oligonucleotide hybridization). In this report we describe the adaptation of an automated oligonucleotide ligation assay to genotype HPA-1 in polymerase chain reaction (PCR)-amplified DNA samples. HPA-1a and HPA-1b phenotypes corresponded to the results of the different genotyping assays. The genotypes determined with the ELISA-based PCR-oligonucleotide ligation assay were in 100% concordance with the results obtained by conventional allele-specific restriction enzyme site analysis and PCR amplification with sequence-specific primers. The automated oligonucleotide ligation assay provides a rapid, reliable, nonisotopic method to genotype human platelet antigens that can rapidly be applied to large population screening. 相似文献
98.
J. P. De La Cruz S. Cámara M. A. Frutos F. Sánchez De La Cuesta 《European journal of clinical pharmacology》1992,43(3):307-309
Summary The antiproteinuric effect of the antiplatelet agent dipyridamole has been assessed after inhibiton of thromboxane B2 (TxB2) synthesis in 8 patients with confirmed membranous glomerulonephritis.
There were three study periods, each of 30 days, and 45 days apart, namely a washout period, treatment with dipyridamole 300
mg/d, and dipyridamole 225 mg/d plus aspirin 150 mg/d. On Days 1 and 30 of each study period serum and urine creatinine, 24-h
excretion of protein, creatinine clearance, platelet aggregometry on whole blood and serum TxB2 were measured.
Treatment with dipyridamole alone or with aspirin produced significant inhibition of platelet aggregation and a fall in 24-h
protein excretion; the latter amounted to 54% with dipyridamole alone and 56 % with dipyridamole plus aspirin (NS). Dipyridamole
plus aspirin caused an 82 % reduction in serum TxB2. 相似文献
99.
凝血酶(thromibin,Ⅱa)是一种生成于损伤处血管内皮细胞多功能蛋白酶,它是参与凝血过程各个环节反应中的关键酶。在发挥止血作用的同时,还可能诱导炎症、增生及修复等反应。最近发现的凝血酶受体(thrombin receptor,TR)分子可能为解释上述现象提供了一个理论框架。同时,TRN端被Ⅱa切下的41个氨基酸片段是否具有特殊功效,值得研究探讨。 相似文献
100.
在RPHI试验中,将VitK1或VitK3预先与HBsAg阳性血清作用后,再加抗HBs单克隆抗体诊断红细胞,可见红细胞呈圆点状沉淀,提示HBSAg与抗HBs的结合受到抑制,该抑制作用呈浓度依赖性.RPHI试验后的抗HBs单克隆抗体诊断红细胞,经洗涤后再与HBsAg阳性血清作用,仍出现明显凝集,表明VitK对HBsAg与抗HBs结合的抑制作用不是通过影响抗HBs而产生的。 相似文献