全文获取类型
收费全文 | 59877篇 |
免费 | 4975篇 |
国内免费 | 154篇 |
专业分类
耳鼻咽喉 | 551篇 |
儿科学 | 1594篇 |
妇产科学 | 1149篇 |
基础医学 | 8010篇 |
口腔科学 | 1035篇 |
临床医学 | 6709篇 |
内科学 | 11248篇 |
皮肤病学 | 893篇 |
神经病学 | 5424篇 |
特种医学 | 2329篇 |
外科学 | 9868篇 |
综合类 | 870篇 |
一般理论 | 59篇 |
预防医学 | 5925篇 |
眼科学 | 1350篇 |
药学 | 4262篇 |
1篇 | |
中国医学 | 78篇 |
肿瘤学 | 3651篇 |
出版年
2023年 | 329篇 |
2022年 | 466篇 |
2021年 | 1197篇 |
2020年 | 688篇 |
2019年 | 1130篇 |
2018年 | 1357篇 |
2017年 | 981篇 |
2016年 | 1057篇 |
2015年 | 1277篇 |
2014年 | 1864篇 |
2013年 | 2595篇 |
2012年 | 3930篇 |
2011年 | 4022篇 |
2010年 | 2188篇 |
2009年 | 1946篇 |
2008年 | 3528篇 |
2007年 | 3804篇 |
2006年 | 3714篇 |
2005年 | 3620篇 |
2004年 | 3322篇 |
2003年 | 3159篇 |
2002年 | 2977篇 |
2001年 | 1004篇 |
2000年 | 971篇 |
1999年 | 948篇 |
1998年 | 686篇 |
1997年 | 565篇 |
1996年 | 537篇 |
1995年 | 563篇 |
1994年 | 464篇 |
1993年 | 427篇 |
1992年 | 651篇 |
1991年 | 584篇 |
1990年 | 637篇 |
1989年 | 576篇 |
1988年 | 527篇 |
1987年 | 478篇 |
1986年 | 463篇 |
1985年 | 525篇 |
1984年 | 440篇 |
1983年 | 360篇 |
1982年 | 297篇 |
1981年 | 272篇 |
1980年 | 239篇 |
1979年 | 290篇 |
1978年 | 279篇 |
1977年 | 212篇 |
1974年 | 239篇 |
1973年 | 230篇 |
1972年 | 217篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
81.
J. Wayne Streilein Scott Cousins Jo S. P. Williamson 《International ophthalmology》1990,14(5-6):317-325
Regulation of T cell-dependent immune responses is mediated in part by bone marrow-derived antigen presenting cells (APC) that (a) process and present antigens which engage the T cell receptor and (b) secrete cytokines that influence the threshold of T cell activation. The anterior chamber of the eye is lined by the corneal endothelium (which rests on a stroma and epithelium that is devoid of class II MHC + APC) and iris/ciliary body (which contain significant numbers of bone marrow-derived cells, one third of which are class II MHC +). When tested in vitro, these potential APCs fail to present antigens in a form that activates T cells. Moreover, iris/ciliary body cells actually suppress activation of T cells exposed to antigens on conventional APC. In addition, aqueous humor under normal circumstances contains factors (one of which is TGFB) that are potent inhibitors of antigen-driven T cell activation, but spare other aspects of T cell function. Evidence suggests that the bone marrow-derived cells in iris/ciliary body are the source of this factor. Thus, the anterior chamber contains powerful forces that can prevent induction and can suppress expression of T cell mediated immunity. It is proposed that these forces are responsible for immunologic privilege and anterior chamber associated immune deviation, and for suppressing pathologic proliferation and inflammation in the anterior segment of the eye. 相似文献
82.
Sintov Amnon Scott William A. Gallagher Kim P. Levy Robert J. 《Pharmaceutical research》1990,7(1):28-33
Epicardial antiarrhythmic drug administration was studied as a therapeutic approach for experimental ventricular tachycardia (VT) in an open-chest dog model. Lidocaine-polyurethane matrices (28%, w/w) were formulated as a model system. Matrices were placed on the left ventricular epicardium in each of 23 anesthetized open-chest dogs with ouabain-induced VT, to evaluate effectiveness in restoring sinus rhythm. Conversion occurred in all animals treated with matrices containing 300 mg or more of lidocaine after 1.5 to 7.0 min. The matrix lidocaine content correlated linearly with the time required for conversion to sinus rhythm (r = 0.75, P = 0.0002); irrespective of matrix size the myocardial/plasma lidocaine ratio was 20.1 ± 4.2 (mean ± SD) at the time of conversion. In a separate series of five dogs without ventricular tachycardia, systolic wall thickening measured with sonomicrometers after 5 min of controlled-release lidocaine administration (500- to 1000-mg matrix lidocaine content, 7.48 ± 3.49-mg/kg dose) was only minimally diminished (–14.1%) and this effect was observed only at the site of matrix placement on the anterior-apical epicardium. In contrast, intracoronary injection of 0.3 or 1.0 mg/kg of lidocaine-HCl resulted in complete elimination of wall thickening or replacement by systolic thinning. Thus epicardial administration of lidocaine from polyurethane matrices was an effective means of treating ouabain-induced ventricular tachycardia. Regional myocardial function in the vicinity of the matrices was modified to a very limited degree, supporting the view that the matrices can be used safely, without serious risk to ventricular contractile performance. 相似文献
83.
84.
J. Pepke-Zaba T. W. Higenbottam A. T. Dinh Xuan J. P. Scott T. A. H. English J. Wallwork 《Transplant international》1990,3(1):108-112
Abstract. Twenty-one patients were studied at rest and during exercise after heart transplantation to compare cardiac output measured by thermodilution and impedance cardiography. Exercise was performed on a bicycle ergometer over a limited range of work load (25 and 50 watt) whilst metabolic gas exchange was recorded. One patient was studied at rest whilst his circulation was maintained by a Jarvik-7 artificial heart. The values of cardiac output measured by impedance cardiography corresponded closely with the flow rate from the artificial heart. There was also close agreement between the impedance and thermodilution measurements of cardiac output at rest and during exercise. Both measurements followed the changes in heart rate and oxygen consumption. Both thermodilution and impedance cardiography methods elicited good reproducibility of cardiac output measurements at rest and during exercise. These observations suggest that the noninvasive and continuous record of cardiac output obtained by impedance cardiography can be used for the postoperative monitoring of heart transplant recipients. 相似文献
85.
86.
Oblique muscle palsies fixating with the paretic eye 总被引:1,自引:0,他引:1
Palsy of the superior oblique muscle is one of the most commonly occurring entities in strabismus; the clinical characteristics are easily recognizable. Isolated inferior oblique muscle palsy, although anatomically enigmatical, is also known to ophthalmologists. When a patient with an oblique muscle palsy chooses to fixate with the paretic eye, characteristic patterns of motility may be obscured. Patients with superior oblique muscle palsy or isolated inferior oblique muscle palsy who habitually fixate with the paretic eye, may present with limited elevation or depression respectively. In each case, limited motility exists secondary to decreased innervational input to the contralateral antagonist of the paretic muscle, or to a mechanical restriction caused by prolonged contracture of the yoke of the paretic muscle. Inhibitional palsy of the contralateral antagonists and the fallen and rising eye syndromes may present diagnostic dilemmas unless the underlying oblique muscle palsy is recognized. Proper diagnosis may be obtained with three clinical tests; the 3-step test, the comparison of ductions to versions, and forced ductions. 相似文献
87.
Expression of tau protein in non-neuronal cells can result in a redistribution of the microtubule cytoskeleton into thick bundles of tau-containing microtubules (Lewis et al.: Nature 342:498-505, 1989; Kanai et al.: J Cell Biol 109:1173-1184, 1989). We reconstituted microtubule bundles using purified tubulin and tau in order to study the assembly of these structures. Taxol-stabilized tubulin polymers were incubated with various concentrations of recombinant human tau and examined by electron microscopy. With increasing concentrations of tau 3 (tau isoform containing three microtubule binding domains) or tau 4 (isoform containing four microtubule binding domains) the microtubules changed orientation from a random distribution to loosely and tightly packed parallel arrays and then to thick cables. In contrast, tau 4L, the tau isoform containing four microtubule binding domains plus a 58-amino acid insert near the N-terminus, showed minimal bundling activity. tau 4-induced bundling could be inhibited by the addition of 0.5 M NaCl or 0.4 mM estramustine phosphate, conditions which are known to inhibit tau binding to microtubules. A tau construct that contained only the microtubule binding domains plus 19 amino acids to the C-terminus was fully capable of bundling microtubules. Phosphorylation of tau 3 with cAMP-dependent protein kinase had no effect on its ability to induce microtubule bundling. These results indicate that tau protein is directly capable of bundling microtubules in vitro, and suggests that different tau isoforms differ in their ability to bundle microtubule filaments. 相似文献
88.
Alex Westerband Joseph L. Mills Scott S. Berman Glenn C. Hunter 《Annals of vascular surgery》1997,11(1):14-19
n = 69) normal; Group B (n= 29), abnormal, severe defects; Group C (n= 56), abnormal, mild–moderate defect. RCA detected 32 defects in Group B: 10 internal carotid (ICA), seven endpoint flaps,
two kinks, one dissection; 16 external carotid (ECA), 10 severe endpoint defects and six total occlusion; six common carotid
(CCA), five irregular proximal shelfs, one web. Thirty of 32 defects were successfully repaired as confirmed by normal repeat
RCA studies; one ECA defect was not repaired and the ICA dissection was irreparable. In Group C, 67 mild–moderate defects
were identified, but not corrected. These included <30% stenosis in the ICA (12), ECA (18), CCA (24), and vein patch corrugation
or irregularity (13). For the entire series the postoperative ICA occlusion rate was 2% (3/154), stroke rate 2.6% (4/154),
and a subsequent >50% restenosis rate of 7% (11/154). The yield from routine carotid completion arteriograms was significant,
with 19% of studies identifying a severe defect that required repair. Although the difference in stroke rates and restenosis
between the different groups did not reach statistical significance, patients with normal intraoperative arteriograms initially
or after correction of a significant RCA defect had no early carotid occlusion (p= 0.05, Fisher's exact test) compared to patients with residual RCA defects. All early carotid occlusions occurred in patients
with unrepaired defects. We conclude that RCA is an important method of quality control after CEA and exerts a subtle, but
real, reduction in postoperative complications. 相似文献
89.
90.
W E Smiddy M R Sawusch T P O'Brien D R Scott S S Huang 《Journal of cataract and refractive surgery》1990,16(6):691-696
A surgical technique for implanting a posterior chamber intraocular lens (IOL) in eyes without capsular or zonular support is presented. A 10-0 polypropylene suture attached to a standard needle is tied to the apex of each haptic and passed transclerally through the ciliary sulcus to secure the haptics at the 3 o'clock and 9 o'clock meridians. This technique produced good visual results in six aphakic patients who were contact lens intolerant, two patients in whom capsular or zonular rupture at the time of cataract surgery precluded standard nonsuture fixation techniques, one patient who had intracapsular cataract extraction for a subluxated, cataractous lens, and one patient who had secondary IOL implantation in combination with penetrating keratoplasty for aphakic bullous keratopathy. Advantages over other techniques of posterior chamber lens implantation in the absence of capsular support include technical ease, avoidance of iris fixation, and more precise placement of scleral fixation sutures, thus minimizing IOL decentration. 相似文献