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51.
PURPOSE: Abnormalities in the expression and signaling pathways downstream of epidermal growth factor receptor (EGFR) contribute to progression, invasion, and maintenance of the malignant phenotype in human cancers. Accordingly, biological agents, such as the EGFR-blocking antibody IMC-C225 have promising anticancer potential and are currently in various stages of clinical development. Because use of IMC-C225 is limited, at present, only for treatment of cancer with high EGFR expression, the goal of the present study was to determine the effect of IMC-C225 on the invasiveness of breast cancer cells with high and low levels of EGFR expression. EXPERIMENTAL DESIGN: The effect of IMC-C225 on invasion was studied using breast cancer cell lines with high and low levels of EGFR expression. RESULTS: The addition of EGF led to progressive stress fiber dissolution. In contrast, cells treated with IMC-C225 showed reduced invasiveness and increased stress-fiber formation. Interestingly, IMC-C225 pretreatment was accompanied by EGFR phosphorylation, as detected using an anti-phosphorylated tyrosine antibody (PY99), which correlated with phosphorylation of Vav2 guanine nucleotide exchange factor and activation of RhoA GTPase irrespective of EGFR level, and Vav2 interacted with EGFR only in IMC-C225-treated cells. The underlying mechanism involved an enhanced interaction between beta1 integrins and EGFR upon IMC-C225 treatment. CONCLUSION: Here, we defined a new mechanism for IMC-C225 that cross-links integrins with EGFR, leading to activation of RhoA and inhibition of breast cancer cell invasion irrespective of the level of EGFR in the cells, thus providing a rationale for using IMC-C225 in the metastatic setting independent of the levels of EGFR. 相似文献
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Gheorghe C Gheorghe L Iacob R Iacob S Simionov I Băncilă I 《Romanian journal of gastroenterology》2003,12(2):107-112
Radiation proctitis is a well-recognized complication following radiotherapy for pelvic malignancy. This study was designed to compare the efficacy and complications of argon plasma coagulation (APC) using the power setting of 50 W vs. 60 W in a group of patients with radiation proctitis. Forty-two patients were randomized to undergo APC using the electrical power setting of 60 W (23 patients, group A) or 50 W (19 patients, group B). Patients were asked to estimate the severity of major symptoms before and after APC using a scoring system graded 0-4. The score of major symptoms before and after APC, mean duration of the procedure, number of sessions, side effects/complications were noted. Statistical analysis was performed using Fisher's Exact Test and the 2-tailed p value less than 0.05 was considered statistically significant. A significant improvement of major symptoms was noted in all patients treated with APC, irrespective of the wattage we used, apart from the presence and severity of tenesmus. The mean number of treatment sessions to achieve control of bleeding was 1.34 for group A and 1.9 for group B and the mean time of treatment sessions was significantly shorter for group A (15 min vs. 17 min for group B). No significant differences in early side effects and long term complications between the two groups were evidenced. We can conclude that there is no statistical significance concerning efficacy and side effects of APC application between the 60W and 50W power setting, but the number of sessions and duration of the procedure tend to differ significantly. Rectal stenoses have been described only in patients treated with higher power settings. 相似文献
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Some patients with hemianopia due to striate cortex lesions show above chance ability in reporting visual stimuli presented in the blind visual field, a phenomenon commonly known as blindsight. Here we report a patient with a dense right hemianopia whose blindsight shows a temporal/nasal asymmetry. MP was tested in a two-alternative forced-choice localisation task, with either the right eye or the left eye patched in separate blocks. When targets appeared in the contralesional temporal hemifield, MP's localisation performance was extremely accurate, whilst she performed at chance with targets in the contralesional nasal hemifield. This is the first demonstration of a temporal/nasal asymmetry for blindsight in a forced-choice paradigm, and is consistent with blindsight in MP's hemianopic field being mediated by a subcortical, extrageniculate route. 相似文献
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Endoscopic third ventriculostomy in patients with cerebrospinal fluid infection and/or hemorrhage 总被引:11,自引:0,他引:11
Siomin V Cinalli G Grotenhuis A Golash A Oi S Kothbauer K Weiner H Roth J Beni-Adani L Pierre-Kahn A Takahashi Y Mallucci C Abbott R Wisoff J Constantini S 《Journal of neurosurgery》2002,97(3):519-524
OBJECT: In this study the authors evaluate the safety, efficacy, and indications for endoscopic third ventriculostomy (ETV) in patients with a history of subarachnoid hemorrhage or intraventricular hemorrhage (IVH) and/or cerebrospinal fluid (CSF) infection. METHODS: The charts of 101 patients from seven international medical centers were retrospectively reviewed; 46 patients had a history of hemorrhage, 42 had a history of CSF infection, and 13 had a history of both disorders. All patients experienced third ventricular hydrocephalus before endoscopy. The success rate for treatment in these three groups was 60.9, 64.3, and 23.1%, respectively. The follow-up period in successfully treated patients ranged from 0.6 to 10 years. Relatively minor complications were observed in 15 patients (14.9%), and there were no deaths. A higher rate of treatment failure was associated with three factors: classification in the combined infection/hemorrhage group, premature birth in the posthemorrhage group, and younger age in the postinfection group. A higher success rate was associated with a history of ventriculoperitoneal (VP) shunt placement before ETV in the posthemorrhage group, even among those who had been born prematurely, who were otherwise more prone to treatment failure. The 13 premature infants who had suffered an IVH and who had undergone VP shunt placement before ETV had a 100% success rate. The procedure was also successful in nine of 10 patients with primary aqueductal stenosis. CONCLUSIONS: Patients with obstructive hydrocephalus and a history of either hemorrhage or infection may be good candidates for ETV, with safety and success rates comparable with those in more general series of patients. Patients who have sustained both hemorrhage and infection are poor candidates for ETV, except in selected cases and as a treatment of last resort. In patients who have previously undergone shunt placement posthemorrhage, ETV is highly successful. It is also highly successful in patients with primary aqueductal stenosis, even in those with a history of hemorrhage or CSF infection. 相似文献
56.
Diculescu M Atanasiu C Arbănaş T Croitoru A Mihalcea A Becheanu G Costinean S Gheorghe L Capşa R 《Romanian journal of gastroenterology》2002,11(2):141-147
Carcinoid tumours are enigmatic, slow growing malignancies, which occur most frequently (74%) in the gastrointestinal tract. Symptoms of the carcinoid syndrome (flushing and diarrhoea) are infrequent, occurring in approximately 10% of the patients with small bowel carcinoid. A 45-year-old patient with multiple liver metastases, diagnosed in 1994 with nonHodgkin's lymphoma after undergoing surgery for a distal ileal tumour, was referred to us by the Department of Haematology. At that moment the issue of a differential diagnosis with a carcinoid tumour arose, due to the long evolution and lack of evidence to support the initial diagnosis. The carcinoid syndrome was in fact present (the patient experiencing flush after small amounts of alcohol and emotions) and also we identified elevated values of 5HIAA. Reevaluation of the histologic sections of the ileal tumour as well as an ultrasound guided fine needle aspiration of an intrahepatic lesion confirmed the diagnosis of "carcinoid tumour". This conclusion lead to new therapeutic options for this patient. One of the main therapeutic options used in treating multiple liver metastases from a carcinoid tumour is chemoembolization and this case offered an excellent opportunity to present this therapy. 相似文献
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Sentinel node biopsy in vulvar and vaginal melanoma: presentation of six cases and a literature review 总被引:4,自引:0,他引:4
Abramova L Parekh J Irvin WP Rice LW Taylor PT Anderson WA Slingluff CL 《Annals of surgical oncology》2002,9(9):840-846
Background Urogenital melanoma is a rare neoplasm with poor prognosis. Its management in the past involved radical vulvectomy and complete
bilateral inguinofemoral lymphadenectomy. Sentinel lymph node biopsy is an accurate low-morbidity procedure when used in the
context of cutaneous melanoma. However, prophylactic lymphadenectomy has not been shown to improve survival of melanoma patients.
We wanted to determine the feasibility of sentinel lymph node biopsy in patients with female urogenital melanoma as a staging
procedure.
Methods Six patients with vulvar or vaginal melanomas underwent preoperative lymphatic mapping with99mTc-labeled sulfur colloid followed by sentinel lymphadenectomy. In addition, we reviewed the literature on the application
of sentinel lymph node biopsy in urogenital tract melanomas.
Results One or more sentinel nodes were identified in all six patients by lymphoscintigraphy. All patients underwent sentinel lymphadenectomy,
except for one patient with a deep vaginal melanoma that drained to pelvic nodes. The five successful cases had unilateral
drainage patterns. None of the sentinel lymph nodes excised had tumor invasion. Combined with five other patients from the
published literature, the success rate of localizing sentinel lymph nodes in the patients with urogenital melanoma approaches
100%.
Conclusions This experience, plus reports of a small number of patients from three similar studies, supports the impression that sentinel
lymph node biopsy is feasible for vulvar and vaginal melanoma. 相似文献