全文获取类型
收费全文 | 21188篇 |
免费 | 2164篇 |
国内免费 | 1215篇 |
专业分类
耳鼻咽喉 | 158篇 |
儿科学 | 421篇 |
妇产科学 | 195篇 |
基础医学 | 2207篇 |
口腔科学 | 396篇 |
临床医学 | 2335篇 |
内科学 | 3503篇 |
皮肤病学 | 351篇 |
神经病学 | 1137篇 |
特种医学 | 1013篇 |
外国民族医学 | 5篇 |
外科学 | 2501篇 |
综合类 | 3482篇 |
现状与发展 | 5篇 |
一般理论 | 4篇 |
预防医学 | 1644篇 |
眼科学 | 342篇 |
药学 | 2260篇 |
10篇 | |
中国医学 | 1080篇 |
肿瘤学 | 1518篇 |
出版年
2024年 | 47篇 |
2023年 | 207篇 |
2022年 | 463篇 |
2021年 | 664篇 |
2020年 | 575篇 |
2019年 | 631篇 |
2018年 | 696篇 |
2017年 | 618篇 |
2016年 | 746篇 |
2015年 | 949篇 |
2014年 | 1121篇 |
2013年 | 1283篇 |
2012年 | 1586篇 |
2011年 | 1695篇 |
2010年 | 1336篇 |
2009年 | 1206篇 |
2008年 | 1216篇 |
2007年 | 1263篇 |
2006年 | 1131篇 |
2005年 | 977篇 |
2004年 | 1027篇 |
2003年 | 1105篇 |
2002年 | 997篇 |
2001年 | 734篇 |
2000年 | 469篇 |
1999年 | 313篇 |
1998年 | 198篇 |
1997年 | 216篇 |
1996年 | 157篇 |
1995年 | 98篇 |
1994年 | 110篇 |
1993年 | 56篇 |
1992年 | 57篇 |
1991年 | 64篇 |
1990年 | 47篇 |
1989年 | 75篇 |
1988年 | 51篇 |
1987年 | 55篇 |
1986年 | 44篇 |
1985年 | 27篇 |
1984年 | 31篇 |
1983年 | 18篇 |
1982年 | 26篇 |
1981年 | 19篇 |
1980年 | 21篇 |
1979年 | 17篇 |
1978年 | 12篇 |
1977年 | 15篇 |
1976年 | 10篇 |
1975年 | 15篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
11.
BACKGROUND: A simple, rapid, inexpensive method for measuring the flow in a
patient's vascular access would permit routine monitoring during
haemodialysis, and hence provide information of access graft deterioration
sufficiently early to increase the success of minimally invasive remedial
procedures. This paper reports the validation of such a method in animals.
METHODS: A PTFE graft was implanted in sheep between the carotid artery and
the jugular vein. While the sheep was under general anaesthesia and on an
haemodialysis circuit, ultrasound velocity in its blood was perturbed by
the injection of a 5-10 ml bolus of isotonic NaCl. The pump tubing flow was
measured by a transit-time blood flow meter. This flow was combined with
the areas of perturbation generated by the injection before and after
mixing in the access flow to estimate graft flow. The calculated graft flow
was compared to flow measured directly by a transit-time probe on the same
carotid artery. RESULTS: Over a 10-fold range, 120-1260 ml/min, graft flow
measured by ultrasound velocity dilution agreed well with graft flow
measured directly with a scatter of 76 ml/min about the regression line.
CONCLUSION: Ultrasound velocity dilution provides a method for measuring
flow in the graft accurate enough for clinical evaluation of patients on
dialysis.
相似文献
12.
扩大经蝶入路进入海绵窦内侧腔的应用显微解剖 总被引:1,自引:0,他引:1
目的为临床开展扩大经蝶入路进入海绵窦内侧腔手术提供解剖学依据。方法用50例成人头颅标本.在显微镜下对蝶窦外侧壁、蝶鞍、海绵窦及周围结构进行解剖学观察并测量。模拟扩大经蝶入路磨除海绵窦腹侧骨质,切开海绵窦内侧壁,显露海绵窦内侧腔。结果颈内动脉(ICA)明显隆起于蝶窦侧壁的占58%,蝶窦内隆起呈管型占3%。鞍底硬膜分为2层,海绵窦内侧壁的上部南垂体硬膜构成,无骨性结构支撑;下部由骨周硬膜构成,有蝶窦侧壁骨质支撑。两侧海绵窦内侧壁的距离为(14.8±2.7)mm。海绵窦内侧腔位于C4段ICA与垂体之间,腔内为丰富的静脉丛,最宽可达7mm,但常因ICA扭曲而闭塞。无颅神经穿越海绵窦内侧腔,ICA是扩大经蝶入路探查海绵窦遇到的第一个主要结构。结论扩大经蝶入路进入海绵窦内侧腔是安全可行的。 相似文献
13.
妇科疾病中人乳头瘤病毒感染的分子流行病学调查 总被引:1,自引:0,他引:1
目的:探讨各种妇科疾病与人乳头瘤病毒感染的关系,建立不同妇科疾病和不同年龄段妇女人乳头瘤病毒感染的流行病学资料库。方法:应用反向点杂交技术分别对疾病组1 512例病人标本和正常组500例标本进行HPV检测,所得数据用SPSS 13.0软件包进行统计分析。结果:正常组500例标本中,阳性标本101例,感染率为20.2%,疾病组1 512例标本中,阳性标本523例,感染率为34.6%,其中双重感染82例,占阳性标本的15.7%,多重感染34例,占阳性标本的6.5%,而高危感染340例,感染率为22.5%,占阳性标本的65.0%,其中单纯HPV16亚型感染155例,占所有阳性标本的29.6%;不同年龄段、不同性生活史、不同妇科疾病以及不同首次性生活年龄的HPV感染检出率都有显著性差异。结论:正常组和疾病组的HPV感染率有显著性差异(2χ=36.37,P<0.01)。在HPV感染的普查中可以有重点的选择高危人群,这样更加有针对性,从而大大降低普查成本。 相似文献
14.
丙型肝炎(HC)86例,经临床观察发现其临床特点是:①潜伏期长短不一,长者120d短者26d,平均40.5±14.5d。②起病缓慢而隐匿。③病状轻,体征不明显,病程长。④肝功能损害程度与症状、体征不一致,往往不能及时诊治。⑤肝功能恢复慢,ALT、AST有持续升高或反复异常。⑥治疗:用治疗肝炎的常用药物仅对改善症状有一定作用,对缩短病程及肝功能恢复无效。 相似文献
15.
目的:探讨线粒体呼吸链细胞色素C氧化酶(COX)活性异常在老年性聋发病中的作用机制.方法:免疫组化法检测老年性聋大鼠耳蜗COX活性.结果:与正常对照组相比,实验组老年性聋大鼠耳蜗中COX活性降低.结论:耳蜗组织中COX活性降低在老年性聋的发病中起一定作用. 相似文献
16.
The significance of epithelial differentiation in mixed mesodermal tumors of the uterus. A clinicopathologic and immunohistochemical study 总被引:6,自引:0,他引:6
Mixed mesodermal tumors and carcinosarcomas of the uterus are classified as sarcomas. However, in other sites, malignant biphasic tumors may be classified as carcinomas, mesotheliomas, or sarcomas. In order to clarify their behavior and patterns of differentiation, we performed a clinicopathologic and immunohistochemical study of 22 cases aimed at analyzing the pattern of spread and histologic appearance of the metastasis, as well as the distribution of intermediate filaments in the primary tumor and the metastasis. Four monoclonal antibodies (Mabs) were used to detect epithelial lineage, three that recognize keratin (AE1/AE3, CAM5.2, MAK6) and one that recognizes epithelial membrane antigen (EMA). A Mab against vimentin was also used. Metastases involved the omentum, pelvic peritoneum, ovaries, fallopian tubes, pelvic or para-aortic lymph nodes, liver parenchyma, and tonsil. These metastases were composed of carcinoma only. Lymphatic/vascular invasion was identified in 11 cases; it consisted exclusively of carcinoma. In all 12 cases evaluated immunohistochemically, keratin and EMA were identified in the majority of the cells in the epithelial component and in a more focal distribution in the spindle cell component in 11 (92%). Vimentin was detected in the majority of spindle cells in nine cases (75%) and in a more focal distribution in the epithelial component in six cases (50%). In the spindle cell component, keratin and EMA were present in widely scattered individual spindle-shaped and rounded cells, within solid clusters of rounded cells, and in nests of cells with small lumens. The distribution of keratin, EMA, and vimentin in the metastases (carcinoma in all instances) was similar to the epithelial component in the primary tumor. Our findings indicate that the epithelial component of these tumors invades lymphatic/vascular spaces and metastasizes, whereas the spindle cell component has limited metastatic potential, if any. Since the behavior of these neoplasms is dictated by the epithelial element, we believe that mixed mesodermal tumors of the uterus should be classified as carcinomas rather than sarcomas. 相似文献
17.
甲氧基红霉素对卡马西平药物动力学的影响 总被引:2,自引:0,他引:2
应用荧光偏振免疫法,测定6只家兔po卡马西平及连续多次po用搓甲氧基红霉素后po卡马西平的血清卡马西平浓度,用3p87程序包按二室模型对数据进行处理并进行统计学分析。 相似文献
18.
Tadimeti S. Rao Karen D. Lariosa-Willingham Fen-Fen Lin Naichen Yu Chui-Se Tham Jerold Chun Michael Webb 《International journal of developmental neuroscience》2004,22(3):131-135
Reactive gliosis is an aspect of neural plasticity and growth factor (GF) stimulation of astrocytes in vitro is widely regarded as a model system to study astrocyte plasticity. Astrocytes express receptors for several ligands including lysophosphatidic acid (LPA) and sphingosine-1-phosphate (S1P), agonists for the G-protein-coupled lysophospholipid receptors (lpRs). Activation of lpRs by LPA or S1P leads to multiple pharmacological effects including the influx of calcium, phosphoinositide (PI) hydrolysis, phosphorylation of extracellular receptor regulated kinase (ERK), release of arachidonic acid, and induces mitogenesis. Treatment of astrocytes in vitro with a growth factor cocktail (containing epidermal growth factor [EGF], basic fibroblast growth factor [bFGF] and insulin) led to a marked attenuation of lpR-induced PI hydrolysis. In contrast, under identical conditions, GF treatment led to marked potentiation of PI hydrolysis downstream of activation of another abundantly expressed G-protein coupled receptor, mGluR5. Quantitative gene expression analysis of GF-treated or control astrocytes by TaqMan RT-PCR indicated that GF treatment did not change gene expression of lpa1 and s1p1, but increased gene expression of s1p5 which is expressed at very low levels in basal conditions. These results suggest that GF differentially affected PLC activation downstream of mGluR5 versus lpR activation and that the changes in mRNA levels of lpRs do not account for marked attenuation of agonist-induced phosphoinositide turnover. 相似文献
19.
Seung Min Lee Seung Kyung Hann Soo II Chun Seung Hung Lee Yoon-Kee Park 《The Journal of dermatology》1994,21(2):106-110
A 25-year-old female has had brown to erythematous telangiectatic patches and grouped papules on her face, neck, arm, and trunk since childhood following B.C.G. vaccination. Histopathologically, the lesions consisted of hyperkeratosis, slight acanthosis, tuberculoid granulomas with some Langerhans type giant cells in the mid-dermis. Although various forms of cutaneous tuberculosis after B.C.G. vaccination have been reported, it was difficult for us to assign the patient's skin lesion to any specific disease entity. Remission of her cutaneous lesions occurred clinically and histopathologically after treatment with isoniazid and rifampin. 相似文献
20.