全文获取类型
收费全文 | 4613篇 |
免费 | 299篇 |
国内免费 | 35篇 |
专业分类
耳鼻咽喉 | 14篇 |
儿科学 | 179篇 |
妇产科学 | 65篇 |
基础医学 | 472篇 |
口腔科学 | 126篇 |
临床医学 | 403篇 |
内科学 | 1223篇 |
皮肤病学 | 160篇 |
神经病学 | 494篇 |
特种医学 | 423篇 |
外国民族医学 | 1篇 |
外科学 | 496篇 |
综合类 | 84篇 |
一般理论 | 1篇 |
预防医学 | 307篇 |
眼科学 | 32篇 |
药学 | 181篇 |
中国医学 | 2篇 |
肿瘤学 | 284篇 |
出版年
2021年 | 42篇 |
2019年 | 44篇 |
2018年 | 42篇 |
2017年 | 48篇 |
2016年 | 45篇 |
2015年 | 45篇 |
2014年 | 92篇 |
2013年 | 103篇 |
2012年 | 156篇 |
2011年 | 167篇 |
2010年 | 121篇 |
2009年 | 88篇 |
2008年 | 181篇 |
2007年 | 225篇 |
2006年 | 169篇 |
2005年 | 178篇 |
2004年 | 186篇 |
2003年 | 172篇 |
2002年 | 150篇 |
2001年 | 154篇 |
2000年 | 175篇 |
1999年 | 127篇 |
1998年 | 47篇 |
1997年 | 60篇 |
1996年 | 44篇 |
1995年 | 47篇 |
1994年 | 47篇 |
1993年 | 46篇 |
1992年 | 128篇 |
1991年 | 135篇 |
1990年 | 107篇 |
1989年 | 128篇 |
1988年 | 112篇 |
1987年 | 113篇 |
1986年 | 107篇 |
1985年 | 98篇 |
1984年 | 75篇 |
1983年 | 69篇 |
1982年 | 48篇 |
1981年 | 45篇 |
1980年 | 46篇 |
1979年 | 78篇 |
1978年 | 64篇 |
1977年 | 49篇 |
1975年 | 36篇 |
1974年 | 57篇 |
1973年 | 50篇 |
1971年 | 43篇 |
1970年 | 46篇 |
1968年 | 36篇 |
排序方式: 共有4947条查询结果,搜索用时 421 毫秒
141.
Rashid Ghaznawi Maarten HT Zwartbol Nicolaas PA Zuithoff Jeroen de Bresser Jeroen Hendrikse Mirjam I Geerlings 《Journal of cerebral blood flow and metabolism》2021,41(6):1229
Global cerebral hypoperfusion may be involved in the aetiology of brain atrophy; however, long-term longitudinal studies on this relationship are lacking. We examined whether reduced cerebral blood flow was associated with greater progression of brain atrophy. Data of 1165 patients (61 ± 10 years) from the SMART-MR study, a prospective cohort study of patients with arterial disease, were used of whom 689 participated after 4 years and 297 again after 12 years. Attrition was substantial. Total brain volume and total cerebral blood flow were obtained from magnetic resonance imaging scans and expressed as brain parenchymal fraction (BPF) and parenchymal cerebral blood flow (pCBF). Mean decrease in BPF per year was 0.22% total intracranial volume (95% CI: –0.23 to –0.21). Mean decrease in pCBF per year was 0.24 ml/min per 100 ml brain volume (95% CI: –0.29 to –0.20). Using linear mixed models, lower pCBF at baseline was associated with a greater decrease in BPF over time (p = 0.01). Lower baseline BPF, however, was not associated with a greater decrease in pCBF (p = 0.43). These findings indicate that reduced cerebral blood flow is associated with greater progression of brain atrophy and provide further support for a role of cerebral blood flow in the process of neurodegeneration. 相似文献
142.
Whitley W. Aamodt MD MPH Teresa Waligorska MSc Junchao Shen BS Thomas F. Tropea DO MPH MSTR Andrew Siderowf MD MSCE Daniel Weintraub MD Murray Grossman MD David Irwin MD MSTR David A. Wolk MD Sharon X. Xie PhD John Q. Trojanowski MD PhD Leslie M. Shaw PhD Alice S. Chen-Plotkin MD 《Movement disorders》2021,36(12):2945-2950
143.
144.
Hematopoietic growth factors not only modulate blood progenitor cell activity but also alter the function of mature phagocytes. Recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF; 1 ng/mL for 60 min) did not stimulate luminol-enhanced chemiluminescence of polymorphonuclear leukocytes (PMNs) in suspension but primed PMN for as much as a 15-fold increase in chemiluminescence in response to f-met- leu-phe (fMLP). Mixed mononuclear leukocytes (monocytes [approximately 20%] and lymphocytes [approximately 80%]; MNL) chemiluminescence was very low even after rhGM-CSF priming, but MNLs added to the PMNs (PMN- MNL) resulted in near doubling of rhGM-CSF-primed PMN fMLP-stimulated chemiluminescence. The enhancing factor(s) from MNLs were inherent rather than induced by the GM-CSF, and purified lymphocytes increased GM-CSF-primed PMN chemiluminescence equal to mixed MNLs. We could not detect cell-free "enhancing factor(s)," but cell-to-cell contact further enhanced rhGM-CSF-primed fMLP-stimulated PMN-MNL oxidative activity by 40%. Polyclonal rabbit anti-tumor necrosis factor (TNF) (but not preimmune serum) decreased both fMLP-stimulated rhGM-CSF- primed PMNs and PMN-MNL chemiluminescence, suggesting that TNF on the PMN surface is enhancing GM-CSF-primed chemiluminescence. GM-CSF priming markedly increased PMN superoxide release (sevenfold), but PMN superoxide release was not further enhanced by the presence of MNLs. Recombinant human granulocyte colony-stimulating factor (rhG-CSF) and interleukin-3 (rhIL-3) displayed much smaller effects on pure PMNs and mixed PMN-MNL chemiluminescence and superoxide release than rhGM-CSF. rhGM-CSF primes PMNs for increased oxidative activity more than rhG-CSF and rhIL-3. Maximal oxidative activity was observed when mixed PMN-MNL were primed with GM-CSF in a cell pellet-promoting cell-to-cell contact. This enhanced activity can be attributed, in part, to both inherent enhancing factor(s) on lymphocytes and PMN-associated TNF induced by GM-CSF. 相似文献
145.
Julian L. Berman MD Laurence H. Green MD William Grossman MD FACC 《The American journal of cardiology》1979,44(7):1263-1268
Right ventricular hemodynamics were evaluated in 179 patients with coronary artery disease to determine the effects of chronic ischemia on right ventricular diastolic pressure. Abnormal right ventricular filling pressures occurred only in patients with an abnormal right ventricular systolic pressure or an abnormal left ventricular end-diastolic pressure. Of the 63 patients whose right ventricle was stressed by an increased systolic load secondary to passive pulmonary hypertension, 44 (72 percent) had an abnormal right ventricular end-diastolic pressure. In this group obstruction of vessels serving the right ventricular free wall or septum, or both, was almost universal (43 of 44, 98 percent) and a significantly increased incidence of inferior infarction (P < 0.05) was noted. Such obstruction was significantly less frequent in patients with normal filling pressures (10 of 17, 59 percent; P < 0.001). Compared with patients with coronary artery disease, patients with passive pulmonary hypertension due to aortic stenosis or mitral stenosis had significantly greater degrees of pulmonary hypertension (P < 0.05) yet slightly lesser elevations of right ventricular end-diastolic pressure. These data suggest that in patients with ischemic heart disease the right ventricle exhibits diastolic dysfunction at lower levels of afterload stress than it would with normal coronary blood flow. 相似文献
146.
147.
148.
Istomin V Sade E Grossman Z Rudich H Sofer O Hassin D 《European Journal of Internal Medicine》2004,15(8):531-533
In the course of 6 years, 23 otherwise healthy patients with acute febrile illness and leukopenia were diagnosed as having acute parvovirus B19 infection. Five of these patients had agranulocytosis associated with acute parvovirus B19 infection and one had chronic agranulocytosis due to persistent parvovirus B19 infection. The diagnosis was made after positive anti-parvovirus B19 IgM antibodies were found in all of the patients and viral DNA was detected by PCR in four patients. Neutropenia and agranulocytosis appear to be much more frequently associated with parvovirus B19 infection than previously reported. 相似文献
149.
150.