全文获取类型
收费全文 | 16390篇 |
免费 | 1034篇 |
国内免费 | 1478篇 |
专业分类
耳鼻咽喉 | 27篇 |
儿科学 | 320篇 |
妇产科学 | 63篇 |
基础医学 | 1866篇 |
口腔科学 | 255篇 |
临床医学 | 908篇 |
内科学 | 1291篇 |
皮肤病学 | 16篇 |
神经病学 | 1752篇 |
特种医学 | 312篇 |
外科学 | 924篇 |
综合类 | 5547篇 |
预防医学 | 617篇 |
眼科学 | 165篇 |
药学 | 3128篇 |
中国医学 | 1549篇 |
肿瘤学 | 162篇 |
出版年
2023年 | 87篇 |
2022年 | 126篇 |
2021年 | 257篇 |
2020年 | 329篇 |
2019年 | 281篇 |
2018年 | 232篇 |
2017年 | 390篇 |
2016年 | 465篇 |
2015年 | 425篇 |
2014年 | 837篇 |
2013年 | 1038篇 |
2012年 | 982篇 |
2011年 | 1144篇 |
2010年 | 898篇 |
2009年 | 845篇 |
2008年 | 943篇 |
2007年 | 986篇 |
2006年 | 919篇 |
2005年 | 749篇 |
2004年 | 666篇 |
2003年 | 719篇 |
2002年 | 563篇 |
2001年 | 508篇 |
2000年 | 413篇 |
1999年 | 330篇 |
1998年 | 283篇 |
1997年 | 276篇 |
1996年 | 265篇 |
1995年 | 277篇 |
1994年 | 226篇 |
1993年 | 194篇 |
1992年 | 211篇 |
1991年 | 209篇 |
1990年 | 153篇 |
1989年 | 139篇 |
1988年 | 127篇 |
1987年 | 94篇 |
1986年 | 87篇 |
1985年 | 177篇 |
1984年 | 162篇 |
1983年 | 134篇 |
1982年 | 155篇 |
1981年 | 126篇 |
1980年 | 116篇 |
1979年 | 84篇 |
1978年 | 63篇 |
1977年 | 55篇 |
1976年 | 46篇 |
1974年 | 22篇 |
1973年 | 26篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
11.
Eric W. Dickson MD Gary V. Doern PhD Leo Trevino PhD Michelle Mazzoni PhD Stephen O. Heard MD 《Academic emergency medicine》2003,10(10):1019-1023
OBJECTIVES: Patients undergoing emergent endotracheal intubation are at increased risk for developing pneumonia. Although numerous strategies have been investigated to reduce ventilator-associated pneumonia (VAP), the incidence of VAP and its associated mortality remains high. This investigation tested the hypothesis that LiquiVent (Alliance Pharmaceutical, San Diego, CA-LV) delivered antibiotics (via spray-dried microspheres-SDM) would improve survival in a rat model of descending gram-negative pneumonia. METHODS: Wistar rats (n = 49) were randomized to receive prophylaxis with 1). nothing (controls); 2). intramuscular (IM) tobramycin, 3). intratracheal LV plus SDM shells (vehicle), 4). intratracheal LV plus SDM shells plus IM tobramycin, or 5). intratracheal LV plus SDM containing 1 mg/kg of tobramycin. All interventions were given 24 hours before a bacterial challenge with 10(8) colony-forming units of intratracheal Klebsiella pneumoniae. Mortality at ten days was the sole outcome measure. Survival in individual groups was compared with controls by Fisher's exact test with Bonferroni correction for multiple comparisons. RESULTS: All animals in the control group died of pneumonia within ten days of bacterial inoculation (0% survival). Prophylaxis with either IM tobramycin or SDM vehicle plus IM tobramycin provided no protection (0% survival). This is in sharp contrast to the cohort receiving pretreatment with tobramycin-containing SDM delivered via LV, in which 60% of the animals survived to study completion (p < 0.05). CONCLUSIONS: Prophylaxis with SDM containing antibiotics delivered in low-dose LV provided significant protection in a rat model of descending gram-negative pneumonia. These data support the hypothesis that perfluorocarbon-delivered intratracheal antimicrobials may be useful in the prevention of VAP. 相似文献
12.
目的:观察卡托普利(CaP)对自发性高血压大鼠(SHR)血管平滑肌细胞(VSMC)增殖的作用及对原癌基因及抑癌基因的影响。方法:氚-胸腺嘧啶核苷(3H-TdR)参入,电镜,原位来交及Northernblot杂交。结果:CaP在降低SHR血压同时,能减少VSMC的线粒体,粗面内质网及3H-TdR参入量(P<0.01),并能逆转c-fos,c-myc,c-sis原癌基因mRNA表达增强(P<0.05或0.01),p53抑癌基因mRNA表达减弱(P<0.01)。结论:Cap能抑制SHR的VSMC增殖,与癌基因调控的分子生物学机制有关。 相似文献
13.
Several studies have demonstrated that a descending dopaminergic pathway innervates the dorsal and the intermediate gray matter of the spinal cord and have suggested that this pathway is involved in pain modulation and in the control of autonomie functions. Other studies have also demonstrated the presence of dopamine (DA) and DA metabolites as well as of DA receptors in the ventral cord. There is also evidence for the implication of DA in the control of motor functions at the spinal level. The occurrence of a dopaminergic innervation in the ventral horn has been, however, disputed until recently. But recent work has demonstrated that the motoneural cell groups in the ventral horn (lamina IX) are a target for descending dopaminergic fibers. In addition, the possibility that DA is a mediator of primary afferent fibers has also been postulated. Finally, the occurrence of dopaminergic cell bodies has been suggested in the spinal cord. This indicates that DA is probably implicated in a complex manner in spinal functions. In the present paper the possible involvement of DA in sensory and in motor functions at spinal level will be discussed in view of neurochemical observations made in polyarthritic rats, in which pain-related behavior and reduction of locomotor activity associated with a marked decrease in mobility, are observed. 相似文献
14.
15.
大蒜素对脑局灶缺血大鼠血小板活化功能及其结构的影响 总被引:13,自引:0,他引:13
目的:观察大蒜素对脑局灶缺血大鼠血小板活化功能或轻药物诱导的血小板活化功能及其结构的影响。方法:(1)将SD大鼠随机分为(空白组、大蒜素大剂量组和小剂量组)3组,于末次给予试药1.5h后颈总动脉插管取血,加入诱导剂二磷酸腺苷(ADP)或胶原,测定血小板最大聚集率;(2)采用化学刺激(FeCl3)诱导血栓闭塞法制备大鼠急性大脑中动脉血栓模型,随机分为(假手术组、模型组、大蒜素大剂量组和小剂量组)4组,给药方法同实验(1),颈总动脉插管取血后分离血浆,测定血浆血栓烷B2(TXB2)、6-酮-前列腺素F1α(6-keto-PGF1α)含量;(3)加入ADP孵育激活性,离心得到血小板沉淀块,透射电镜下观察血小板的超微结构。结果:与空白组或模型组相比,大蒜素大剂量组(10mg/kg)、小剂量组(5mg/kg)均可显著抑制药物诱导的血小板聚集(P<0.01),且大剂量组显著优于小剂量组(P<0.05);均可明显降低模型大鼠血浆TXB2的含量,降低TXB2/6-keto-PGF1α比值,大剂量组还显著升高血浆中6-keto-PGF1α水平(P<0.05,P<0.01);可明显抑制血小板活化过程中超微结构的改变,且有一定的量效关系。结论:大蒜素可能通过抑制血小板聚集,抑制血小板活化时大量释放的活性肽TXA2、促进恢复TXA2/PGI2平衡,抑制血小板激活释放过程中超微结构的改变,从而对脑梗塞起治疗作用。 相似文献
16.
目的 建立大鼠异位辅助性肝移植模型。方法 根据Yu Weiming介绍的方法经以简化建立大鼠异位辅助性肝移植模型。阐明手术操作技巧和术前术后处理等因素对肝移植大鼠的成活率的影响。结果 在30例异位辅助性肝移植大鼠中,供肝热缺血时间为1-2min,安装袖套时间约为4min,肝下腔静脉吻合时间为12min,供肝冷缺血时间为30min,1wk存活率为80%(n=30)。结论 成功复制大鼠辅助性肝移植模型。同时,大鼠的质量,术前状态和精细的手术操作及管理是决定大鼠异位辅助性肝移植成败的关键因素。 相似文献
17.
宽叶缬草在抑制高胆固醇血症大鼠肾小管上皮细胞转分化中的作用 总被引:5,自引:0,他引:5
目的:探讨宽叶缬草在脂质肾损害肾小管上皮细胞转分化中的作用。方法:用含4%胆固醇和1%胆酸钠的高脂饲料饲喂大鼠建立高脂模型,观察宽叶缬草对大鼠血脂、尿蛋白和肌酐清除率的影响,以及对肾小管上皮细胞α-平滑肌肌动蛋白、波形蛋白、角蛋白表达的影响。结果:宽叶缬草有降低总胆固醇、低密度脂蛋白和尿蛋白的作用(P<0.01),免疫组织化学法证实宽叶缬草在降脂和降尿蛋白的同时能降低肾小管上皮细胞α-平滑肌肌动蛋白、波形蛋白的表达(P<0.01),抑制肾上管上皮细胞转分化。结论:宽叶缬草在脂质肾损害中的肾保护作用可能与在降脂基础上对肾小管上皮细胞表型转化的抑制有关。 相似文献
18.
19.
Mary Locniskar PhD Kathleen M. Nauss PhD Paul M. Newberne DVM PhD 《Digestive diseases and sciences》1987,32(7):747-752
Twoin vitro models of immune surveillance were used to examine the immune status of the gut-associated lymphoid tissue, mesenteric lymph nodes, and spleen during the early stages of 1,2-dimethylhydrazine (DMN)-induced colon tumorigenesis. DMH-and vehicletreated Fischer rats were sacrificed at one of three time points; one week, two months, or five months after cessation of treatment. Colonic, lymph node, and splenic natural killer cell cytolytic activity toward YAC-1 tumor targets and T-cell response to autologous la-induced balstogenesis were measured at each time point. We found little change in natural killer cell activity or T-cell proliferation induced by autologous Ia gene products at these time periods.This investigation was supported in part by grant CA26917 from the National Cancer Institute, Department of Health and Human Services. 相似文献
20.
本文从体内氧自由基引发的链产物——LPO为主要指标,观察大鼠烫伤后LPO变化与血清CH_(50),PMN,以及肺血管通透性间的关系。结果表明:烫伤后急性肺损伤的发生与补体活化、激活PMN,使其在肺内聚集释放氧自由基,引发血管内皮细胞膜脂过氧化反应有关。 相似文献