全文获取类型
收费全文 | 5986篇 |
免费 | 337篇 |
国内免费 | 45篇 |
专业分类
耳鼻咽喉 | 172篇 |
儿科学 | 170篇 |
妇产科学 | 52篇 |
基础医学 | 673篇 |
口腔科学 | 108篇 |
临床医学 | 403篇 |
内科学 | 1550篇 |
皮肤病学 | 110篇 |
神经病学 | 377篇 |
特种医学 | 263篇 |
外科学 | 1011篇 |
综合类 | 54篇 |
一般理论 | 1篇 |
预防医学 | 177篇 |
眼科学 | 228篇 |
药学 | 287篇 |
中国医学 | 12篇 |
肿瘤学 | 720篇 |
出版年
2024年 | 13篇 |
2023年 | 72篇 |
2022年 | 155篇 |
2021年 | 260篇 |
2020年 | 128篇 |
2019年 | 171篇 |
2018年 | 241篇 |
2017年 | 164篇 |
2016年 | 181篇 |
2015年 | 169篇 |
2014年 | 231篇 |
2013年 | 287篇 |
2012年 | 409篇 |
2011年 | 429篇 |
2010年 | 223篇 |
2009年 | 185篇 |
2008年 | 344篇 |
2007年 | 323篇 |
2006年 | 276篇 |
2005年 | 327篇 |
2004年 | 321篇 |
2003年 | 245篇 |
2002年 | 247篇 |
2001年 | 89篇 |
2000年 | 67篇 |
1999年 | 75篇 |
1998年 | 52篇 |
1997年 | 37篇 |
1996年 | 36篇 |
1995年 | 30篇 |
1994年 | 27篇 |
1993年 | 19篇 |
1992年 | 51篇 |
1991年 | 29篇 |
1990年 | 41篇 |
1989年 | 31篇 |
1988年 | 48篇 |
1987年 | 46篇 |
1986年 | 23篇 |
1985年 | 24篇 |
1984年 | 17篇 |
1983年 | 17篇 |
1982年 | 19篇 |
1981年 | 14篇 |
1979年 | 27篇 |
1977年 | 17篇 |
1975年 | 14篇 |
1974年 | 12篇 |
1973年 | 15篇 |
1971年 | 11篇 |
排序方式: 共有6368条查询结果,搜索用时 15 毫秒
11.
Kousaku Matsubara M.D. Kei Suzuki M.D. Ying Wei Lin M.D. Toshiyuki Yamamoto M.D. Shigeru Ohta M.D. 《Pediatrics international》1991,33(4):482-487
We present two female siblings with familial juvenile nephronophthisis (FJN) which was diagnosed at the early stage of renal failure. Diagnosis was made during the investigation of anemia in case 1 and by a subsequent family survey in case 2. Most patients with FJN are not identified until the terminal stage of renal failure and such cases have rarely been reported in Japan. Case 2 had a reduction in the maximum urinary concentration ability but no azotemia, and among the FJN patients reported in Japan so far she has the least advanced renal disease. Histological examination of the renal biopsy in case 1 showed typical findings of FJN, such as thickening and lamination of the tubular basement membrane (TBM), interstitial fibrosis, and round cell infiltration of the interstitium. In case 2, renal biopsy revealed an irregular marked thickening of the TBM with trivial interstitial changes and a normal glomerular appearance. The histology of these two cases suggests that the TBM may be the primary site affected in FJN. 相似文献
12.
Satoshi Ogata Takayuki Naito Noriaki Yorioka Kei Kiribayashi Masatoshi Kuratsune Nobuoki Kohno 《Nephrology, dialysis, transplantation》2004,19(11):2831-2837
BACKGROUND: In patients on long-term continuous ambulatory peritoneal dialysis (CAPD), peritoneal dysfunction may occur due to loss of peritoneal mesothelial cells, peritoneal fibrosis and neovascularization. Lactate, long used as a buffer in peritoneal dialysates, has been substituted by bicarbonate in recent years. However, their effects on the peritoneum of CAPD patients are unknown. This study investigated the influence of lactate and bicarbonate on peritoneal dysfunction in CAPD patients. METHODS: The mitochondrial activity of human peritoneal mesothelial cells (HPMCs) and their expression of basic fibroblast growth factor (bFGF) were studied after culture under various conditions. We also assessed the mitochondrial-activating effect of the supernatant of those cultures on human peritoneal fibroblasts (HPFBs) and human umbilical vein endothelial cells (HUVECs) and the effect of recombinant human bFGF on the mitochondrial activity of HPFBs and HUVECs. We used the WST-1 assay to determine mitochondrial activity in HPMC. RESULTS: At pH 7.4, the mitochondrial activity of HPMCs was lowest in a medium containing 40 mM (Lac), intermediate in a lactate (15 mM) plus bicarbonate (25 mM) medium (Lac/Bic), and highest in a 40 mM bicarbonate medium (Bic). In culture supernatant, the increase of bFGF was: Lac > Lac/Bic > Bic. Mitochondrial activation of HPFBs and HUVECs was stimulated by HPMC culture supernatants in the following decreasing order: Lac > Lac/Bic > Bic. The effects of these supernatants were suppressed by a bFGF-neutralizing antibody, while recombinant bFGF caused concentration-dependent mitochondrial activation in HPFBs and HUVECs. CONCLUSIONS: The role of bFGF in peritoneal fibrosis and neovascularization may be important. A bicarbonate-containing medium is better than a lactate-containing medium for preserving cell viability in HPMCs and preventing bFGF expression by these cells. 相似文献
13.
14.
Arrhythmogenic right ventricular dysplasia/cardiomyopathy assessed with 64-slice computed tomography
Nishiyama Kei; Tadamura Eiji; Kanao Eitaro; Shizuta Satoshi; Furukawa Yutaka; Nakagawa Yoshihisa; Kimura Takeshi; Kita Toru 《European heart journal》2006,27(22):2666
A 69-year-old man was admitted to hospital because of sustainedventricular tachycardia with right bundle branch block morphology.After abolition of ventricular tachycardia, an electrocardiogramshowed atrial fibrillation, complete right bundle 相似文献
15.
The utility of MRI using magnetization transfer (MT) enhanced pulse sequences to diagnose hepatic cirrhosis in a rat model was investigated. Hepatic T1 was measured with and without MT off-resonance RF pulses in 17 treated and six control rats. The livers were evaluated histologically, and the hydroxyproline content quantitatively measured. We did not find a statistically significant linear correlation between the MR relaxation times and the degree of tissue injury. However, the MR measurements performed with MT were superior to those without differentiating the treated and control groups. Specifically, the T1 times were 695 ±76 ms for the treated group, versus 748 ± 61 ms in the controls; P= 0.095. The T1sat times were also lower in the treated group, with statistical significance: 367 ± 51 ms versus 421 ± 38 ms, P = 0.016. Finally, the change in the relaxation rates (the inverse of the relaxation times) with and without saturation were 1.31 ± 0.22 s?1 (treated group) versus 1.05 ± 0.12 s?1 (controls), which differed significantly, P= 0.001. 相似文献
16.
Blood pressure changes following extracorporeal shock wave lithotripsy for urolithiasis. 总被引:1,自引:0,他引:1
M Yokoyama F Shoji R Yanagizawa M Kanemura K Kitahara S Takahasi K Kawai H Oda M Osaka H Handa 《The Journal of urology》1992,147(3):553-7; discussion 557-8
Hypertension after extracorporeal shock wave lithotripsy (ESWL) has been a controversial subject. Changes in blood pressure were studied in 262 patients (mean age 47.8 years) 18.6 months after ESWL. According to World Health Organization criteria the number of patients who showed a decrease exceeded those who showed an increase in blood pressure. The patients who have been on antihypertensive therapy showed a significantly greater decrease in blood pressure than those without medication. Of 192 normotensive patients diastolic pressure increased 1.2 mm. Hg and 2 (1.0%) had hypertension 18.4 months after ESWL. Annualized increase in diastolic pressure and new onset of hypertension were calculated to be 0.78 mm. Hg and 0.65%, respectively. Significant elevation of diastolic pressure was noted in the patients who received a larger number of shock waves. Blood pressure should be carefully followed after ESWL especially in patients who have been treated by a greater number of shock waves. 相似文献
17.
18.
Katsumi Kimura Naotaka Fujita Yutaka Noda Go Kobayashi Kei Ito Jun Horaguchi Toshiki Sugawara Osamu Takasawa 《Digestive endoscopy》2004,16(1):54-57
Clinical diagnosis of chronic cholecystitis is made based on diffuse hyperechoic thickening of the gallbladder wall as shown by ultrasonographic examination. We herein report three cases of chronic cholecystitis showing localized hypoechoic thickening of the gallbladder wall that mimicked gallbladder cancer by ultrasonography. Histologically, hypertrophy of the muscularis propria was a common characteristic finding in these three patients. A smooth surface of the inner hypoechoic layer of the thickened wall was considered to be a reliable finding in the differential diagnosis between this type of chronic cholecystitis and gallbladder cancer. 相似文献
19.
Satoko Kobori Fumihito Yoshii Hirohide Takahashi Shigeharu Takagi Kei Funakoshi 《Clinical neurology》2007,47(1):53-55
We report a patient who developed overlapping symptoms of ophthalmoplegia and oropharyngeal palsy after Campylobacter jejuni infection. A 15-year-old man had diarrhea and fever, and developed dysarthria, diplopia and ptosis two weeks later. He did not show ataxia, weakness or abnormal tendon reflexes in the extremities during the clinical course. In the acute phase of the disease, we found significant elevation of anti-GQlb and anti-GTla IgG antibodies in the serum, and high-dose intravenous immunoglobulin therapy remarkably ameliorated the symptoms. Our patient was atypical of Fisher syndrome or pharyngeal-cervical-brachial (PCB) weakness, and this is the first case of multiple cranial neuropathy associated with C. jejuni infection. 相似文献
20.
Y Miyasaka K Yada T Ohwada T Kitahara M Endoh M Saito A Kurata H Ohtaka 《Journal of neurosurgery》1990,72(4):540-545
Five cases of retrograde thrombosis of former feeding arteries after removal of an arteriovenous malformation (AVM) are reported. The clinical features of these patients were studied and compared to those of 71 patients without this complication. The following characteristics were found to correlate with retrograde thrombosis: 1) advancing age of the patient; 2) large AVM size; and 3) markedly dilated and elongated feeders. It is suggested that the slow flow in the former feeding arteries that was observed immediately after AVM removal and pathological changes in these vessels due to long-standing hemodynamic stresses contributed to the development of retrograde thrombosis. Neurological manifestations related to retrograde thrombosis were noted in three of the five cases. Although infrequent, this complication should be considered as a serious possibility following removal of an AVM. 相似文献