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51.
The lipid composition of platelet cytoskeletons was analyzed. Triton X- 100 (0.5%) was used to prepare cytoskeletons from thrombin-treated platelets. The lipid/protein ratio of platelet cytoskeletons was 0.260 and the phospholipid/protein ratio was 0.177, which were comparable to the ratios present in platelets. However, there was a selective enrichment of platelet lipids in platelet cytoskeletons. Only 2 of the 5 major platelet phospholipids were detected. About 14% platelet sphingomyelin and 2% platelet phosphatidylcholine were present in platelet cytoskeletons. Only 1 of the 4 platelet neutral glycolipids, trihexosyl ceramide, was detected and was about 7% of that in intact platelets. Two percent of platelet hematoside, the predominant ganglioside in platelets, was found in cytoskeletons. Six percent of platelet cholesterol was present in platelet cytoskeletons, while no other neutral lipid could be detected. The study demonstrates that the lipid/protein ratio of platelet cytoskeletons is similar to that in platelets, but the composition of cytoskeleton lipids is specific and distinctly different from that in platelets. The selective glycolipid and phospholipid composition of cytoskeletons may be important for cytoskeleton and platelet function. 相似文献
52.
Thrombomodulin, an endothelial anticoagulant protein, is absent from the human brain 总被引:10,自引:1,他引:10
Protein C activation by thrombin is significantly accelerated by the endothelial cell cofactor, thrombomodulin. In this study, we have developed a radioimmunoassay for thrombomodulin and have measured the cofactor content in several human tissues. The assay method detects as little as 2 ng of thrombomodulin. The highest thrombomodulin content was found in lung and placenta, but the antigen was also detected in spleen, pancreas, liver, kidney, skin, heart, and aorta. Unexpectedly, thrombomodulin was absent from brain. Extracts from cerebral cortex, cerebellum, centrum semiovale, midbrain, basal ganglia, pons, and medulla were devoid of thrombomodulin. In contrast, thrombomodulin antigen is present in extracerebral intracranial vessels, including basilar and internal carotid arteries and choroid plexus, as well as in endothelium of the pia-arachnoid. 相似文献
53.
RS McLeod BG Wolff AH Steinhart PW Carryer K O'Rourke DF Andrews JE Blair JR Cangemi Z Cohen JB Cullen RG Chaytor GR Greenberg NM Jaffer KN Jeejeebhoy RL MacCarty RL Ready LH Weiland 《Gastroenterology》1997,113(6):1823-1827
BACKGROUND & AIMS: The aim of this study was to determine the risk of endoscopic/radiological recurrence of Crohn's disease postoperatively and the long-term outcome. METHODS: A randomized placebo-controlled trial was performed to determine the effectiveness of mesalamine in preventing recurrent Crohn's disease postoperatively. Patients in the control group were examined endoscopically/radiologically before entry into and annually during the trial. Findings were classified as minimal or severe. RESULTS: There were 76 patients (49 men and 37 women; mean age, 37.1 +/- 13.2 years). Fifty (61.7%) had terminal ileal resections. Overall, 55 endoscopic/radiological recurrences were observed in 51 patients (67.1%). Expressed actuarially, the recurrence rate was 27.5% at 1 year (95% confidence interval [CI], 15.8%-37.6%), 60.8% at 2 years (95% CI, 46%-71.3%), and 77.3% at 3 years (95% CI, 62.7%-86.3%). Nineteen (37%) were symptomatic and 12 (24%) were initially asymptomatic but later became symptomatic (mean, 13.0 +/- 8.8 months), whereas 20 (39%) remained asymptomatic (mean, 16.9 +/- 17.4 months). Patients with severe endoscopic/radiological disease were significantly more likely to be or become symptomatic than those with minimal disease (23 of 32 vs. 8 of 19, respectively; P = 0.0437). CONCLUSIONS: This study suggests that postoperative endoscopic/radiological recurrences occur later than previously reported. Furthermore, many of these patients, especially with minimal disease, will remain asymptomatic. (Gastroenterology 1997 Dec;113(6):1823-7) 相似文献
54.
Lear JT; Smith AG; Heagerty AH; Bowers B; Jones PW; Gilford J; Alldersea J; Strange RC; Fryer AA 《Carcinogenesis》1997,18(8):1499-1503
Basal cell carcinoma (BCC) is the commonest cancer in Caucasians. Its
incidence is rising and many patients develop multiple primary tumours at
separate sites. Factors determining time between first primary tumour
presentation and the next new primary lesion are unclear. We used Cox's
proportional hazards model to study, in 856 Caucasians, the influence of
tumour site, individual characteristics and polymorphism in glutathione
S-transferase (GSTM1, GSTT1) and cytochrome P450 (CYP2D6, CYP1A1) loci on
time to next primary tumour presentation. More than one tumour at first
presentation (P <0.0001, hazard ratio 2.72) and GSTT1 null (P = 0.028,
hazard ratio 1.74) were associated with decreased time to next primary
tumour presentation. Significant two- factor interactions, corrected for
number of tumours at presentation, were identified between a truncal tumour
at first presentation and each of male gender, GSTM1 null and CYP2D6 EM (P
<0.003, hazard ratios 3.09- 3.82). In each of these cases, all patients
with the risk combination demonstrated further separate tumours within 5
years of first presentation. Thus, patients with a truncal tumour at first
presentation, especially males and those presenting with more than one
lesion have a significantly decreased time to presentation of further
tumours and should receive more meticulous follow-up. Polymorphism in GSTM1
and CYP2D6 also influences the rate of new primary tumour accrual giving
insights into the link between ultraviolet exposure and multiple tumour
development.
相似文献
55.
CA McLean JW Ironside MP Alpers PW Brown L Cervenakova RMcD Anderson CL Masters 《Brain pathology (Zurich, Switzerland)》1998,8(3):429-437
The three major influences on the phenotype of the transmissible spongiform encephalopathies are believed to be strain of agent, route of infection and host genotype. We have compared the pathologic profiles and genotypes of the new variant of Creutzfeldt-Jakob disease (vCJD) and kuru. The comparison reveals that there are distinct lesional differences particularly in the prion protein (PrP) load and distribution as seen by immunohistochemistry. The clinico-pathologic phenotypes and the genotypes of these two diseases are sufficiently different to suggest that the strain of agent may play a greater role than any presumptive common route of peripherally acquired infection. 相似文献
56.
Nedocromil sodium given by the Fisonair spacer should be inhaled immediately. Multiple actuations into the spacer should be avoided. Delay of 20 seconds before sampling reduced the amount of drug available for inhalation in the respirable range by 81%. Placing two actuations into the spacer reduced the amount of drug available by 47%. 相似文献
57.
The incidence, aetiology and management of anaphylaxis presenting to an accident and emergency department 总被引:4,自引:0,他引:4
We retrospectively studied anaphylaxis in an A&E department from
computerized records. In 1993 (Study A), of 55,000 patients seen in
casualty, nine had severe anaphylaxis (ANA) with loss of consciousness
(LOC) or fainting (about 1: 6000). Fifteen had generalized allergic
reactions (GR) without LOC or fainting, but including dyspnoea due to
laryngeal oedema or asthma, angioedema and/or urticaria. Thus there were 24
(about 1:2300) generalized reactions involving hypotension and/or
respiratory difficulty. A further case diagnosed as hyperventilation
syndrome was probably a wasp sting GR. Six cases of urticaria and/or
angioedema were also identified. Of the nine with ANA, a possible cause was
identified in eight (3 stings; 2 drugs; 3 foods). There was delay in
arrival in A&E: hypotension was noted in three and had resolved
spontaneously in six. Only 3/9 were related with adrenaline: i.v.
hydrocortisone and chlorpheniramine was the mainstay of treatment. No
investigation was recommended nor advice given on future management. Four
patients were later referred to our allergy clinic by their GPs. In study B
(aug-Oct 1994), nine cases of ANA were identified (1:1500), eight due to
bee or wasp stings. The increased incidence was probably related to more
detailed history-taking. Only three were treated with adrenaline. The use
of adrenaline for future anaphylaxis was discussed with six patients, and
five were referred to our allergy clinic. A reaction to the same allergen
had occurred previously in 24%. Improved awareness of anaphylaxis and its
management is necessary.
相似文献
58.
Potential applications of gene therapy 总被引:1,自引:0,他引:1
59.
60.