全文获取类型
收费全文 | 2369篇 |
免费 | 83篇 |
国内免费 | 60篇 |
专业分类
耳鼻咽喉 | 12篇 |
儿科学 | 103篇 |
妇产科学 | 36篇 |
基础医学 | 182篇 |
口腔科学 | 36篇 |
临床医学 | 184篇 |
内科学 | 289篇 |
皮肤病学 | 78篇 |
神经病学 | 161篇 |
特种医学 | 53篇 |
外科学 | 246篇 |
综合类 | 214篇 |
预防医学 | 181篇 |
眼科学 | 59篇 |
药学 | 427篇 |
中国医学 | 172篇 |
肿瘤学 | 79篇 |
出版年
2023年 | 20篇 |
2022年 | 39篇 |
2021年 | 90篇 |
2020年 | 52篇 |
2019年 | 180篇 |
2018年 | 144篇 |
2017年 | 93篇 |
2016年 | 49篇 |
2015年 | 41篇 |
2014年 | 108篇 |
2013年 | 131篇 |
2012年 | 103篇 |
2011年 | 121篇 |
2010年 | 98篇 |
2009年 | 92篇 |
2008年 | 98篇 |
2007年 | 86篇 |
2006年 | 71篇 |
2005年 | 52篇 |
2004年 | 51篇 |
2003年 | 35篇 |
2002年 | 41篇 |
2001年 | 48篇 |
2000年 | 20篇 |
1999年 | 27篇 |
1998年 | 23篇 |
1997年 | 29篇 |
1996年 | 14篇 |
1995年 | 24篇 |
1994年 | 23篇 |
1993年 | 22篇 |
1992年 | 15篇 |
1991年 | 13篇 |
1990年 | 9篇 |
1989年 | 10篇 |
1988年 | 9篇 |
1987年 | 11篇 |
1986年 | 5篇 |
1985年 | 47篇 |
1984年 | 73篇 |
1983年 | 43篇 |
1982年 | 56篇 |
1981年 | 59篇 |
1980年 | 33篇 |
1979年 | 30篇 |
1978年 | 18篇 |
1977年 | 23篇 |
1976年 | 13篇 |
1975年 | 3篇 |
1974年 | 8篇 |
排序方式: 共有2512条查询结果,搜索用时 46 毫秒
1.
Objective To investigate the effect of dexamethasone on the toxicity of bupivacaine in murine neurons.Methods Murine neuroblastoma cell line N2a was obtained from ATCC cell bank (USA). The cells were cultured in 10% fetal cow serum/MEM culture medium and divided into 4 groups voup I control (Con); group II bupivacaine ( Bup); group Ⅲ dexamethasone (Dex) and group IV Dex + Bup. The culture medium contained bupivacaine 900 μmol/L in group Bup and dexamethasone 1 μmol/L in group Dex respectively. In group Dex + Bup ( IV ) Bup was added to the culture medium with a final concentration of 900 μmol/L at 12 h after pretreatment with Dex 1 μmol/L. The cells were inoculated in 24 well plates (0.5 ml in each well, 24 wells in each group) and 10 cm culture dishes (7 ml in each dish, 4 dishes in each group). The release rate of LDH was calculated and the morphology of the cells and nucleus condensation (by Hoechst 3334224 fluorescent staining) was detected at 9 h of incubation in 24 well plates. The mitochondrial transmembrane potential (by JC-1 assay) and phosphorylation of Akt and ERKs (by Western blot) were measured at 5 h of incubation in 24 well plates and in culture dishes respectively. ResultsBupivacaine caused severe damage to the N2a cells as evidenced by increase in LDH release and nucleus condensation (apoptosis), dephosphorylation of Akt and ERKs, decrease in mitochondrial transmembrane potential and severe morphological changes. Dexamethasone pretreatment significantly attenuated bupivacaine-induced neurotoxicity. Conclusion Dexamethasone can protect N2a cells from bupivacaine-induced neurotoxicity through stabilization of mitochondrial transmembrane potential and inhibition of dephosphorylation of Akt and ERKs. 相似文献
2.
护理工作中院内感染相关问题与对策 总被引:5,自引:2,他引:3
目的 :提出护理工作与院内感染相关问题与对策。方法 :通过监测 ,找出护理工作引起院内感染存在的问题及薄弱环节 ,并制定相应对策。结果 :建立严格的控制感染的管理制度 ,层层落实把关 ,主动和独立地判断出行之有效的预防措施。结论 :在感染管理工作中严格认真执行消毒、灭菌、无菌操作 ,最大限度地避免因护理工作失误而引起的医院内感染 相似文献
3.
章新亮 《江西中医学院学报》2010,22(5):10-12
《诸病源侯论》论毒邪篇幅之多,明目之清,发前人所未发,打破传统束缚,注重临床实际。如其提出毒邪判断要以阴阳为纲;毒邪向内为病重,向外为病轻;赤白为轻,青紫黑为重;过肘膝为重,以及伤肠胃心肝脾肾均有不同的症状特征,提示了六淫从化于毒,毒邪与六淫有不同表现等问题,值得一读。 相似文献
4.
大气中不同粒径颗粒物诱导人羊膜FL细胞UDS的研究 总被引:3,自引:0,他引:3
本研究以诱导人羊膜细胞UDS为指标,对太原市大气不同粒径的颗粒物提取液进行了致突变性检验,结果表明,不同粒径颗粒物的提取液均可产生一定的遗传毒性,尤以3.3μm以下的颗粒物的遗传毒性较强。 相似文献
5.
David C. Sarrett 《The Journal of prosthetic dentistry》1981,46(2):142-144
A technique has been described for utilizing an existing fixed splint in the fabrication of a fixed partial denture to replace splinted teeth that are extracted. 相似文献
6.
The synthesis of O-methylgortschakoine and O-methylpetaline was achieved through an unambiguous route. Pharmacological testing of O-methylgortschakoine in comparison to papaverine and 7,8-dimethoxy-N-methyltetrahydroisoquinoline, indicated that it possesses hypotensive, neuromuscular blocking and smooth muscle relaxant activities. 7,8-Dimethoxy-N-methyltetrahydroisoquinoline showed only nonspecific smooth muscle relaxation in our testing system. The 1-(p-methoxybenzyl)-substituent of O-methylgortschakoine appears to be required for this hypotensive and neuromuscular blocking effect. The quaternary analogue O-melthylpetaline was found to possess a more potent neuromuscular blocking activity. 相似文献
7.
Neurological disorders induced by long-term exposure to organic solvents typically have a slowly progressive clinical course, which may be arrested or even reversed following discontinuation of exposure. We report an unusual case of rapidly progressive toxic leukoencephalomyelopathy in a 29-year-old man who had worked at a chemical factory that used toluene for the manufacture of nylon 66 for 5 years. He presented with progressive weakness of legs, recurrent seizures, and cognitive decline. Widespread white-matter changes in the brain and spinal cord, and myelodysplastic syndrome were noted. He died 6 months after the onset of his symptoms, and autopsy showed discrete multifocal demyelination and necrosis in the central nervous system, and dysplastic cells of erythroid, myeloid, and megakaryotic lineages in blood vessels. The co-occurrence of leukoencephalomyelopathy and myelodysplastic syndrome highlights the vulnerability of the white matter and bone marrow to injury from organic solvents. Intravascular congestion of dysplastic hematopoietic cells might have led to his unusually rapid progression of leukoencephalomyelopathy. 相似文献
8.
Kaisa M. Heiskanen Silvia Münzing Fritz Krombach Kai M. Savolainen 《Archives of toxicology》1997,71(10):627-632
The effects of linoleic acid, linoleic acid anilide, and arachidonic acid on the expression of CD11b/CD18, CD11c/CD18 integrins
and l-selectin on human neutrophils were studied by flow cytometry in a whole blood assay. None of these compounds had any effect
on the basal expression of CD11b, CD11c, or l-selectin in the concentration range of 20–100 μM. However, linoleic acid at a concentration of 1000 μM slightly up-regulated
CD11b and CD11c by a factor of 2.1 and 1.7, respectively. Linoleic acid, linoleic acid anilide, and arachidonic acid did not
affect the formyl-methionyl-leucyl-phenylalanine induced up-regulation of CD11b or CD11c. However, linoleic acid and linoleic
acid anilide slightly inhibited the phorbol myristate acetate (PMA)-induced expression of CD11b, which was decreased by 27
and 21% at concentrations of 100 and 1000 μM, respectively. Likewise, arachidonic acid at 40 μM inhibited the PMA-induced
expression of CD11b by 19%. Our results suggest that linoleic acid, linoleic acid anilide, and arachidonic acid do not dramatically
affect the expression of leukocyte adhesion molecules in a whole blood assay.
Received: 17 February 1997 / Accepted: 5 May 1997 相似文献
9.
目的:探究Her2阴性晚期胃癌患者采用阿帕替尼进行治疗的疗效及毒副作用。方法:按照不同治疗方法将本院就诊的Her2阴性晚期胃癌患者分为阿帕替尼组(AP组)和替吉奥组(TI组),各46例,分析比较两组患者的临床疗效、生活质量、毒副作用及远期疗效。结果:治疗后,AP组11例、TI组6例患者出现部分缓解,AP组患者RR、DCR数值明显比TI组高(P<0.05);AP组患者生活质量明显优于TI组(P<0.05)。AP组和TI组患者均出现血小板减少、蛋白尿、肝功能异常等不良反应,但未出现Ⅳ级毒副作用,其中AP组患者高血压、血小板减少的发病率分别为63.52%、76.73%,TI组患者发病率分别为62.45%、78.11%, AP组出现毒副作用的患者人数与TI组比较无明显差异(P>0.05)。随访3年结果显示,AP组患者3年生存率为10.86%,TI组患者为0,AP组患者总生存率明显高于TI组(P<0.05)。结论:阿帕替尼对Her2阴性晚期胃癌患者的临床疗效及远期治疗效果较佳,虽然治疗后也会出现一定的毒副作用,但与替吉奥治疗后出现的毒副作用相近,且患者身体承受程度较佳。阿... 相似文献
10.
G. Adaikan G. N. Beatch T. L. Lee S. S. Ratnam M. J. A. Walker 《Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy》1992,6(Z1):345-352
Tedisamil is a new bradycardic agent, previously shown to block transient outward and delayed rectifier potassium currents in cardiac tissue [1,2]. In the present study tedisamil caused bradycardia and Q-Tc widening in rats and primates. Q-Tc widening is indicative of class III antiarrhythmic actions. In keeping with this, tedisamil had antiarrhythmic activity against electrical and ischemia-induced arrhythmias in rats. In rats, 0.5–4 mg/kg IV tedisamil caused parallel and dose-related increases in action-potential duration, Q-Tc interval, and refractory period; and decreases in maximum ventricular following frequency. In primates after 0.5–2.0 mg/kg IV, findings were similar for indices of Q-T widening and decreases in maximum ventricular following frequency. Tedisamil did not change QRS width, nor did it increase threshold currents for capture of ventricles, nor for fibrillo-flutter at doses below 4 mg/kg in rats. These findings were consistent with the lack of significant sodium-channel blockade. However, upon increasing the dose to 4 mg/kg, ventricular fibrillo-flutter could not be induced in rats by electrical stimulation; instead, only ventricular tachycardias with slow rates occurred. Ischemia-induced ventricular fibrillation was reduced in a dose-related manner by tedisamil in rats. The overall incidence of ischemia-induced ventricular tachycardia was not markedly reduced, but rates during tachycardic episodes were lower. When pacing was used to overcome tedisamil-induced bradycardia, antiarrhythmic actions during ischemia were more pronounced. These findings are consistent with the hypothesis that tedisamil increased refractoriness, which resulted in extended path lengths for reentry circuits and slower rates during episodes of ventricular tachycardia. High doses of tedisamil increased path lengths so much that the multiple reentry circuits of fibrillation could no longer occur. The limited study in primates suggests similar mechanisms could occur in humans. 相似文献