全文获取类型
收费全文 | 7601篇 |
免费 | 353篇 |
国内免费 | 57篇 |
专业分类
耳鼻咽喉 | 77篇 |
儿科学 | 95篇 |
妇产科学 | 68篇 |
基础医学 | 770篇 |
口腔科学 | 189篇 |
临床医学 | 461篇 |
内科学 | 1896篇 |
皮肤病学 | 302篇 |
神经病学 | 541篇 |
特种医学 | 298篇 |
外科学 | 1389篇 |
综合类 | 30篇 |
一般理论 | 2篇 |
预防医学 | 233篇 |
眼科学 | 243篇 |
药学 | 399篇 |
中国医学 | 9篇 |
肿瘤学 | 1009篇 |
出版年
2023年 | 59篇 |
2022年 | 117篇 |
2021年 | 210篇 |
2020年 | 106篇 |
2019年 | 136篇 |
2018年 | 178篇 |
2017年 | 138篇 |
2016年 | 186篇 |
2015年 | 180篇 |
2014年 | 230篇 |
2013年 | 258篇 |
2012年 | 494篇 |
2011年 | 507篇 |
2010年 | 303篇 |
2009年 | 267篇 |
2008年 | 447篇 |
2007年 | 442篇 |
2006年 | 431篇 |
2005年 | 386篇 |
2004年 | 417篇 |
2003年 | 379篇 |
2002年 | 331篇 |
2001年 | 126篇 |
2000年 | 157篇 |
1999年 | 178篇 |
1998年 | 119篇 |
1997年 | 80篇 |
1996年 | 90篇 |
1995年 | 75篇 |
1994年 | 65篇 |
1993年 | 66篇 |
1992年 | 106篇 |
1991年 | 80篇 |
1990年 | 72篇 |
1989年 | 66篇 |
1988年 | 66篇 |
1987年 | 44篇 |
1986年 | 41篇 |
1985年 | 52篇 |
1984年 | 34篇 |
1983年 | 19篇 |
1982年 | 20篇 |
1979年 | 25篇 |
1978年 | 18篇 |
1977年 | 27篇 |
1975年 | 20篇 |
1973年 | 18篇 |
1972年 | 14篇 |
1971年 | 15篇 |
1969年 | 15篇 |
排序方式: 共有8011条查询结果,搜索用时 15 毫秒
11.
Masayuki Imamura Yutaka Shimada Yuhji Kanda Manabu Fukumoto Ken Yanagibashi Tokiharu Miyahara Takayoshi Tobe 《Surgery today》1992,22(5):409-415
In order to decrease the perioperative complications by preoperative cisplatin chemotherapy, the preoperative single administration of cisplatin (30 mg/m2) was performed weekly from one to six times in 36 consecutive patients with esophageal cancer classified as higher than Stage II. The survival curve of 17 patients in Stage III was significantly better (P<0.05) than that of patients who had been treated without preoperative cisplatin treatment. In 3 of the 12 patients who had locally invasive cancer, either the main tumors or the metastatic lymph nodes, which had invaded the trachea or the left main bronchus, sufficiently receded, so that a curative esophagectomy became possible; 2 of them have survived over 33 months while 1 died of pneumonia 33 months after surgery. The number of perioperative complications was minimal, and thus, we consider that the postoperative use of cisplatin and fluorouracil is indicated in patients in whom a histological response is noted in the resected specimens.This work was partially supported by Grant No. 02454315 from the Japanese Ministry of Education 相似文献
12.
Y. Kohgo H. Hibi T. Chiba T. Shimoyama T. Muto K. Yamamura M.A. Popovsky 《Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy》2002,6(4):255-260
Abstract: Recently, successful results of ulcerative colitis (UC) treatments with leukocyte apheresis have been reported by several institutes. To certify the efficacy of leukocyte apheresis in refractory UC patients, a multicenter open label trial was conducted, and results were analyzed. Fifty patients diagnosed with active steroid‐resistant UC were enrolled in this study from 14 medical centers. Using a centrifugal cell separator (Component Collection System, Haemonetics), leukocyte apheresis was performed once a week for 5 weeks. General conditions and abdominal symptoms were recorded daily, and laboratory tests were followed weekly. Changes of colonoscopic and histological manifestations of luminal activity through the study period were evaluated. At the end of the study period, stool frequency was decreased to less than 4 times a day in 68.4% (26 of 38) and serum C‐reactive protein (CRP) concentration was normalized in 56.7% (17 of 30) of the patients. Colonoscopic remission was achieved in 57.7% (26 of 45), and histological improvement was noted in 54.1% (20 of 37) of the patients tested. Improved disease activity was demonstrated in 74% (37 of 50) of the patients by general assessment criteria. Analysis of the trial data confirmed the valid clinical efficacy of leukocyte apheresis by centrifugal cell separator in refractory UC patients. 相似文献
13.
In our miniature swine model simulating operating room brain retraction, we investigated the effects of mannitol plus nimodipine on cerebral blood flow (CBF) and evoked potentials (EP) ipsilateral and contralateral to retraction, in comparison with either agent alone, during both normoventilation and hyperventilation. We here report results in 27 animals with intravenous mannitol (2 g kg-1 over 15 min) and/or nimodipine (1 microgram kg-1 min-1 constant infusion). Mannitol plus nimodipine was superior both to controls and to either mannitol alone or nimodipine alone in preserving EP amplitude ipsilateral to retraction during both normoventilation and hyperventilation. Mannitol alone was effective in normoventilation at preserving EP, while nimodipine alone was effective in hyperventilation. No significant asymmetries in CBF or EP were seen with mannitol plus nimodipine in either normoventilation or hyperventilation. By five minutes postretraction CBF had returned to preretraction values for all groups, and EP amplitude had returned also except for hyperventilated controls. In this model of brain retraction, mannitol plus nimodipine is superior to either agent alone in maintaining both CBF and EP when normoventilation and hyperventilation are employed. The results are discussed in terms of the possible mechanisms for the different and complementary effects of mannitol and nimodipine. 相似文献
14.
K. Nakamura T. Saito T. Nishiwaki K. Ueno M. Nashimoto Y. Okuda Y. Tsuchiya R. Oshiki K. Muto M. Yamamoto 《Osteoporosis international》2006,17(8):1202-1207
Introduction A few epidemiologic studies have comprehensively attempted to identify risk factors for low bone mineral density (BMD) in elderly Asian women. The purpose of this study was to identify demographic, lifestyle, and biochemical factors correlated with BMD in elderly Japanese women 69 years of age and over.Methods The study design was cross-sectional. The subjects were 583 ambulatory women aged 69 years and over, and their average age was 74.3 (SD 4.4) years. Predictor variables were age, reproductive history, anthropometric indices, grip strength, calcium intake, lifestyle information, and serum 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D (1,25(OH)2D), osteocalcin (OC), and undercarboxylated osteocalcin (ucOC) values. The outcome variable was forearm BMD measured with a DTX-200 osteometer.Results Simple linear regression analyses showed that BMD was significantly positively associated with body height, weight, body mass index, grip strength, serum albumin concentration, and “housework,” and negatively associated with age, years since menopause, age at menarche, number of children, serum 1,25(OH)2D concentration, serum OC concentration, and ucOC concentration. The stepwise multiple regression analysis showed that weight (β=0.00316, SE=0.00028, R2=0.180), age (β=−0.00321, SE=0.00050, R2=0.108), log-transformed serum OC (β=−0.0445, SE=0.0064, R2=0.053), log-transformed serum 1,25(OH)2D (β=−0.0401, SE=0.0074, R2=0.050), “farmwork” (β=0.00904, SE=0.00426, R2=0.005), and serum 25(OH)D concentration (β=0.000281, SE=0.000120, R2=0.003) were significantly associated with BMD.Conclusion It was concluded that body weight is a major predictor of forearm BMD among the factors measured in this study in independent Japanese women 69 years of age and over and that serum 1,25(OH)2D concentration may be associated with cortical BMD. Maintenance of body weight is very important for maintaining BMD in this population, unless a large weight aggravates obesity-related diseases. A follow-up study is needed to confirm these findings. 相似文献
15.
Hiroshi Terasawa M.D. Kazuhisa Uchiyama M.D. Masaji Tani M.D. Manabu Kawai M.D. Takeshi Tsuji M.D. Katsuyoshi Tabuse M.D. Yasuhito Kobayashi M.D. Katsutoshi Taniguchi M.D. Hiroki Yamaue M.D. 《Journal of gastrointestinal surgery》2006,10(6):823-828
To determine the prognostic factors for patients with pathological T1 (pT1) carcinoma of the ampulla of Vater, 36 consecutive
patients with carcinoma of the ampulla of Vater who underwent surgery were retrospectively analyzed in terms of clinicopathological
features. The overall 5-year Kaplan-Meier survival in all patients was 50.2%, and the median survival of all patients was
64.0 months. Factors favorably influencing a long-term outcome were the absence of lymph node metastasis (P<0.0001), the absence of ulcer formation of the tumor (P=0.0062), and the absence of tumor invasion into the duodenum (P = 0.0025) and the pancreas (P=0.0098). In a multivariate analysis, lymph node metastasis was the only predictor of survival (P=0.0023). In the pT1 stage patients, 20% of the patients had lymph node metastasis, and their survival was statistically poor
compared to the pT1 patients without lymph node metastasis (P=0.017). As for survival after the operation, there was no significant difference between pancreatoduodenectomy and pylorus-preserving
pancreatoduodenectomy. 相似文献
16.
17.
PROSTATE-SPECIFIC ANTIGEN AS A TUMOR MARKER IN PROSTATE CANCER 总被引:3,自引:0,他引:3
Manabu Kuriyama 《International journal of urology》1994,1(2):99-113
18.
Ascorbic acid 2-O-alpha-glucoside (AA-2G) is a stable ascorbate derivative which has vitamin C activity in vivo and in vitro. We studied whether AA-2G exerts a prooxidant action in cultured fibroblasts from chick embryo and human skin, as does ascorbic acid. At concentrations of 0.1-1.0 mM, ascorbic acid markedly reduced the viable cell number of low density cultures within 24 hr, whereas AA-2G had no such effect. The ascorbate cytotoxicity was dependent on the cell density at the time of its addition and it was characteristic of low density cultures. This cytotoxicity was completely prevented by catalase and partially by an Fe3+ ion chelator, desferrioxamine. In the early culture stage at which a morphological change in the fibroblasts began to occur, intracellular ascorbate concentrations in low density cultures after addition of ascorbic acid were much higher than in high density cultures. However, at the same concentrations, AA-2G did not cause an elevation even in low density cultures and it was also effective on collagen synthesis at high and medium densities. These results suggest that the abnormally accumulated ascorbic acid in the cells cultured at low density possibly amplifies the generation of oxygen radicals through the reduction of Fe3+ ions and subsequent oxidative reactions, leading to cell death. Therefore, it is concluded that AA-2G which supplies an adequate amount of ascorbic acid during culture period is a bioavailable ascorbate source without cytotoxicity. 相似文献
19.
Manabu Noguchi Hideaki Takai Kiyoyuki Eishi Sunao Atogami 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2004,52(6):318-321
Prosthetic valve endocarditis (PVE) caused by Candida species is associated with high morbidity and mortality. A combination
of surgical resection and antifungal drug therapy is the golden standard for treatment, yet surgical intervention is not possible
in all cases of Candida PVE. We report a case of PVE due to Candida albicans cured by medical treatment alone. This case suggests
that, in some instances, Candida PVE can be managed medically with antifungal therapy. Such a conservative approach should
be applied with caution and necessitates very close follow-up on a long-term basis. 相似文献
20.
Manabu Muto Mitsuhiro Fujishiro Yoshitaka Sato Yasumasa Niwa Mitsuru Kaise Mototsugu Kato Kaiyo Takubo 《Digestive endoscopy》2007,19(Z1):S153-S155
Optical technological innovations enable us to visualize cellular nuclei endoscopically. Herein is described a protocol design for a multicenter study for the ex vivo evaluation of endocytoscopy. The present study was performed by the Endoscopy Forum Japan study group. 相似文献