全文获取类型
收费全文 | 10613篇 |
免费 | 676篇 |
国内免费 | 56篇 |
专业分类
耳鼻咽喉 | 151篇 |
儿科学 | 304篇 |
妇产科学 | 162篇 |
基础医学 | 1247篇 |
口腔科学 | 330篇 |
临床医学 | 956篇 |
内科学 | 2277篇 |
皮肤病学 | 214篇 |
神经病学 | 712篇 |
特种医学 | 359篇 |
外国民族医学 | 3篇 |
外科学 | 1729篇 |
综合类 | 175篇 |
一般理论 | 5篇 |
预防医学 | 724篇 |
眼科学 | 381篇 |
药学 | 939篇 |
中国医学 | 86篇 |
肿瘤学 | 591篇 |
出版年
2024年 | 11篇 |
2023年 | 129篇 |
2022年 | 256篇 |
2021年 | 478篇 |
2020年 | 299篇 |
2019年 | 402篇 |
2018年 | 508篇 |
2017年 | 340篇 |
2016年 | 393篇 |
2015年 | 399篇 |
2014年 | 574篇 |
2013年 | 687篇 |
2012年 | 990篇 |
2011年 | 972篇 |
2010年 | 576篇 |
2009年 | 411篇 |
2008年 | 660篇 |
2007年 | 590篇 |
2006年 | 457篇 |
2005年 | 410篇 |
2004年 | 358篇 |
2003年 | 325篇 |
2002年 | 278篇 |
2001年 | 79篇 |
2000年 | 92篇 |
1999年 | 101篇 |
1998年 | 40篇 |
1997年 | 21篇 |
1996年 | 22篇 |
1995年 | 19篇 |
1994年 | 19篇 |
1993年 | 16篇 |
1992年 | 28篇 |
1991年 | 32篇 |
1990年 | 29篇 |
1989年 | 37篇 |
1988年 | 33篇 |
1987年 | 32篇 |
1986年 | 24篇 |
1985年 | 24篇 |
1984年 | 23篇 |
1982年 | 15篇 |
1981年 | 15篇 |
1979年 | 11篇 |
1978年 | 18篇 |
1977年 | 15篇 |
1976年 | 12篇 |
1975年 | 13篇 |
1974年 | 17篇 |
1973年 | 10篇 |
排序方式: 共有10000条查询结果,搜索用时 11 毫秒
21.
22.
Plana M Garcia F Oxenius A Ortiz GM Lopez A Cruceta A Mestre G Fumero E Fagard C Sambeat MA Segura F Miró JM Arnedo M Lopalcos L Pumarola T Hirschel B Phillips RE Nixon DF Gallart T Gatell JM 《Journal of acquired immune deficiency syndromes (1999)》2004,36(3):791-799
OBJECTIVES: To analyze the dynamics of both HIV-1-specific CD4 and CD8 T-cell responses during structured treatment interruptions (STIs) in chronically HIV-1-infected (CHI) patients and to correlate them with the viral set point achieved. METHODS: Forty-five early-stage CHI patients who were on highly active antiretroviral therapy (HAART) for at least 1 year and underwent STI were included. Plasma viral load (VL), peripheral blood mononuclear cell (PBMC) lymphoproliferative (LPR) response to HIV p24 protein, and HIV-1 epitope-specific interferon-gammarelease from CD8 T cells were measured over a minimum study period of 2 years. RESULTS: VL set point during final STI was both significantly lower than, and positively correlated to, baseline VL (P < 0.0001: mean VL reduction 0.77 log10, and r = 0.42, P = 0.004, respectively). CD4 LPRs to p24 increased significantly (P = 0.001) between day 0 of the first STI cycle and 4th STI but decreased thereafter. VL set point during final STI was significantly and negatively correlated with LPRs to p24 at both 2nd STI and 4th STI. Nevertheless, at week 52, 12 weeks after the end of the last STI, LPRs were weak and transient in all patients and were not correlated with VL set point. Moreover, the magnitude and breadth of HIV-1-specific CD8 T-cell responses increased significantly (P < 0.0001) between day 0 and week 52. The largest increases occurred during the final STI. Even though VL reached set point by week 12 of the final STI, HIV-1-specific CD8 T-cell responses did not stabilize but rather increased until the end of the follow-up and did not correlate with plasma VL (r = 0.01, P = 0.88). CONCLUSIONS: STIs do not lead to control of viral replication in CHI patients, probably due to the fact that boosted CTL responses lack strong and durable helper T-cell responses. To reset the VL set point, new approaches that effectively augment and preserve helper T-cell responses should be investigated. 相似文献
23.
24.
Hyperbaric oxygenation mitigates focal cerebral injury and reduces striatal dopamine release in a rat model of transient middle cerebral artery occlusion 总被引:16,自引:0,他引:16
Yang ZJ Camporesi C Yang X Wang J Bosco G Lok J Gorji R Schelper RL Camporesi EM 《European journal of applied physiology》2002,87(2):101-107
The usefulness of the administration of hyperbaric oxygen (HBO) in the treatment of acute focal cerebral ischemia remains
debatable. A significant association exists between focal cerebral injury and an excessive release of extracellular dopamine
(DA). In vivo microdialysis was used in the present study to examine the effect of HBO on DA release in the striatum during
ischemia and reperfusion in rats. The histological changes occurring were also evaluated. Focal cerebral ischemia was induced
by occlusion of the middle cerebral artery (MCA) using a surgically placed intraluminal filament. Control rats (n=8) were subjected to 1 h of ischemia, whilst the study rats (n=8) were in addition treated with HBO (2.8 atmospheres of absolute pressure 100% O2) during ischemia. Both groups were returned to breathing room air at normal pressure during reperfusion. Microdialysis samples
were continuously collected at 15 min intervals at 2 μl·min–1. The [mean (SE)] increase in release of striatal DA attained significance after 30 min of occlusion of MCA [170 (24)%], and
continued to increase [268 (26)% at 45 min] reaching a peak level at 60 min [672 (59)%] before returning to the baseline level
during the late reperfusion phase. There was no significant change in the level of DA in HBO treated rats during the period
of ischemia. A significant reduction in edema and neuronal shrinkage were observed by histological examination in HBO treated
rats when compared to the control rats. The results showed that HBO, when administered during ischemia, offered significant
neuroprotection in our experimental model of transient focal cerebral ischemia in the rat. The mechanism seems to imply, at
least in part, a reduced level of DA.
Electronic Publication 相似文献
25.
New insights into the pathogenesis of dilated cardiomyopathy: possible underlying autoimmune mechanisms and therapy 总被引:7,自引:0,他引:7
In the present study, autoimmune processes involved in the pathogenesis of dilated cardiomyopathy (DCM) are discussed. Genetic predisposition, persistent viral infection, and molecular mimicry have previously been described as the underlying mechanisms of the disease, and prevalence of autoantibodies (AABs) against several intra- and extracellular cardiotropic targets has been confirmed. These autoantibodies are able to disturb the normal physiological activity of the cardiomyocytes. They also could function as mediators in an activated immune system and direct a great deal of attention to injured tissue via (1) complement activation and (2) genesis of circulatory immunocomplexes (CICs) in association with self-antigens. The number as well as duration of accessible autoantigens or CICs seem to play an important role in activation of the antigen-presenting cells (APCs) and, consequently, promotion of autoimmunity. Since AABs play such a decisive role, their exclusion by immunoadsorption (IA) therapy has been discussed as a new approach in DCM treatment. Hitherto, all performed pilot studies using this approach have shown improvement in cardiac function and quality of life in the vast majority of treated DCM patients. The removal of circulating AABs may downregulate the autoimmune system, moderate the inflammatory signals, and hasten the recovery of the affected tissue. 相似文献
26.
Bagher Larijani Mir Reza Bekheirnia Akbar Soltani Alireza Khalili‐Far Hossein Adibi Reza Baradar Jalili 《American journal of human biology》2004,16(2):168-171
The aim of this study was to determine the relationships between bone mineral density (BMD) and blood pressure in 214 men, age 20–76. BMD measurements were done by dual X‐ray absorptiometry using a Lunar DPXMD densitometer at the lumbar spine (L2–L4) and different femoral regions. Systolic (SBP) and diastolic (DBP) blood pressure were measured using an MPC‐350 sphygmomanometer. Physicians gathered demographic data and participants' dietary intake of calcium were determined by using food frequency questionnaires. After adjusting for age, body mass index, dietary calcium, and exercise history, multiple linear regression models showed that DBP was negatively related to femoral neck BMD (β = ?0.145, P = 0.032) and just shy of significant association with femoral neck BMC (β = ?0.114, P = 0.079). SBP was correlated with femoral neck (r = ?0.171, P = 0.012) and Ward's (r = ?0.186, P = 0.006) BMD but not after adjusting for possible confounders. Further studies are needed to determine whether elevated blood pressure is causally related to the development of low bone mass. Am. J. Hum. Biol. 16:168–171, 2004. © 2004 Wiley‐Liss, Inc. 相似文献
27.
G. W. Nuss R. D. Smyth C. H. Breder M. J. Hitchings G. N. Mir N. H. Reavey-Cantwell 《Inflammation research》1976,6(6):735-747
Fenclorac (a,m-dichloro-p-cyclohexylphenylacetic acid, diethylammonium salt) is a potent nonsteroidal anti-inflammatory agent with significant analgesic and antipyretic activity. Fenclorac had an ED50 of 7.9 mg/kg in the carrageenan paw edema assay and had a duration of action of 18–22 hours. Comparative tests in the carrageenan paw edema assay in the rat indicated that the potency of fenclorac was 13 times that of aspirin, 3.4 times phenylbutazone, 3 times ibuprofen and 0.3 times indomethacin. Fenclorac was less potent than indomethacin, but more potent than phenylbutazone or aspirin in treatment of developing or established adjuvant arthritis. The anti-inflammatory effectiveness of fenclorac did not depend upon the integrity of the adrenopituitary axis and was not affected by the route of administration or sex of the test animal. Fenclorac was 77 times more potent than aspirin and more than twice as potent as indomethacin in reducing fever in rats rendered hyperthermic with brewer's yeast. Fenclorac did not affect normal body temperatures. Fenclorac did not interfere with cellular immune mechanisms as measured by its lack of effectiveness in experimental allergic encephalomyelitis. Antinociceptive testing indicated that fenclorac had peripheral but not central analgesic activity. Fenclorac had an acute oral LD50 in rats and mice of 285 and 430 mg/kg, respectively. The acute gastric lesion UD50 for fenclorac was 7 mg/kg in the fasted rat. Studies using51Cr-tagged erythrocytes indicated that fenclorac did not produce significant fecal blood loss in the rat at twice the therapeutic ED50 dose for up to 12 days after dosing. Extensive and prolonged fecal blood loss was observed with a corresponding dose of indomethacin for up to nine days after administration. Comparison of the antiinflammatory pharmacology, Therapeutic Ratio and the data obtained from the51Cr-fecal blood loss studies indicated that fenclorac was well tolerated after acute or subacute administration to the rat. 相似文献
28.
Babak S. Jahromi Yasuo Aihara Jinglu Ai Zhen-Du Zhang George Weyer Elena Nikitina Reza Yassari Khaled M. Houamed R. Loch Macdonald 《Neuroscience letters》2008
The pathogenesis of cerebral vasospasm after subarachnoid haemorrhage (SAH) involves sustained contraction of arterial smooth muscle cells that is maximal 6–8 days after SAH. We reported that function of voltage-gated K+ (KV) channels was significantly decreased during vasospasm 7 days after SAH in dogs. Since arterial constriction is regulated by membrane potential that in turn is determined predominately by K+ conductance, the compromised K+ channel dysfunction may cause vasospasm. Additional support for this hypothesis would be demonstration that K+ channel dysfunction is temporally coincident with vasospasm. To test this hypothesis, SAH was created using the double haemorrhage model in dogs and smooth muscle cells from the basilar artery, which develops vasospasm, were isolated 4 days (early vasospasm), 7 days (during vasospasm) and 21 days (after vasospasm) after SAH and studied using patch-clamp electrophysiology. We investigated the two main K+ channels (KV and large-conductance voltage/Ca2+-activated (KCa) channels). Electrophysiologic function of KCa channels was preserved at all times after SAH. In contrast, function of KV channels was significantly decreased at all times after SAH. The decrease in cell size and degree of KV channel dysfunction was maximal 7 days after SAH. The results suggest that KV channel dysfunction either only partially contributes to vasospasm after SAH or that compensatory mechanisms develop that lead to resolution of vasospasm before KV channels recover their function. 相似文献
29.
30.
Bruce Ho PhD Woodrew Chao Reza Sadri Lu Huang Ricky Taira Henry Shih 《Journal of digital imaging》1995,8(4):180-190
A key advantage in the conversion from film-based to digital radiology is the possibility of a long-term on line electronic archival of patient studies. The popular approach based on optical disk jukeboxes for the long-term archive and magnetic disk storage for data caching is not economically attractive because of the cost of both the jukebox and the medium. Strategies for extending the archival system design with a tape jukebox have been studied. The proposed strategy calls for the use of high-ratio lossy compression together with low-cost tape storage to make long-term on line archiving more affordable. An intelligent prefetching algorithm based on hospital information system and radiologic information system triggers, which in turn are augmented by manual case preparation, can effectively overcome the longer latency of ad hoc retrievals. This longer latency is caused by both system-level bottlenecks and the sequential access constraint of the tape drive. Strategies for image clustering and tape allocation by patient classification also enhance retrieval efficiency. This archival design using image compression, prefetching, and clustering could be implemented in many of the existing teleradiology and picture archiving and communication systems. 相似文献