全文获取类型
收费全文 | 24239篇 |
免费 | 1090篇 |
国内免费 | 160篇 |
专业分类
耳鼻咽喉 | 256篇 |
儿科学 | 667篇 |
妇产科学 | 462篇 |
基础医学 | 2919篇 |
口腔科学 | 739篇 |
临床医学 | 1751篇 |
内科学 | 6327篇 |
皮肤病学 | 321篇 |
神经病学 | 2185篇 |
特种医学 | 1027篇 |
外科学 | 3922篇 |
综合类 | 87篇 |
一般理论 | 10篇 |
预防医学 | 1236篇 |
眼科学 | 275篇 |
药学 | 1372篇 |
中国医学 | 57篇 |
肿瘤学 | 1876篇 |
出版年
2023年 | 202篇 |
2022年 | 440篇 |
2021年 | 829篇 |
2020年 | 451篇 |
2019年 | 656篇 |
2018年 | 868篇 |
2017年 | 561篇 |
2016年 | 634篇 |
2015年 | 748篇 |
2014年 | 991篇 |
2013年 | 1190篇 |
2012年 | 1959篇 |
2011年 | 1898篇 |
2010年 | 1150篇 |
2009年 | 985篇 |
2008年 | 1613篇 |
2007年 | 1569篇 |
2006年 | 1521篇 |
2005年 | 1419篇 |
2004年 | 1235篇 |
2003年 | 1129篇 |
2002年 | 1114篇 |
2001年 | 159篇 |
2000年 | 103篇 |
1999年 | 157篇 |
1998年 | 183篇 |
1997年 | 155篇 |
1996年 | 144篇 |
1995年 | 145篇 |
1994年 | 117篇 |
1993年 | 110篇 |
1992年 | 72篇 |
1991年 | 54篇 |
1990年 | 84篇 |
1989年 | 61篇 |
1988年 | 62篇 |
1987年 | 39篇 |
1986年 | 63篇 |
1985年 | 43篇 |
1984年 | 62篇 |
1983年 | 49篇 |
1982年 | 57篇 |
1981年 | 43篇 |
1980年 | 49篇 |
1979年 | 33篇 |
1978年 | 35篇 |
1977年 | 23篇 |
1973年 | 24篇 |
1972年 | 20篇 |
1970年 | 20篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
71.
Alberto Utrero-Rico Javier Ruiz-Hornillos Cecilia González-Cuadrado Claudia Geraldine Rita Berta Almoguera Pablo Minguez Antonio Herrero-González Mario Fernández-Ruiz Octavio Carretero Juan Carlos Taracido-Fernández Rosario López-Rodriguez Marta Corton José María Aguado Luisa María Villar Carmen Ayuso-García Estela Paz-Artal Rocio Laguna-Goya 《The Journal of allergy and clinical immunology》2021,147(5):1652-1661.e1
72.
Uterine smooth muscle tumors are usually spindle cell lesions, but a minority is composed of epithelioid cells. Foci of clear cells can be found in these latter tumors. Recently, it has been shown that some of these tumors can be positive for HMB45, and some authors have advocated calling these lesions perivascular epithelioid cell (PEC) tumors or PEComas. The case we describe here clearly shows that the so called PEC is just a smooth muscle cell capable of changing its immunophenotype. The patient involved is a 29-year-old black woman who was found to have an epithelioid leiomyosarcoma of the uterus in November 1995. She was treated with a simple hysterectomy and bilateral salpingo-oophorectomy. A metastatic lesion was found in her liver. She, therefore, also received chemotherapy and was free of disease until October 2002, when a recurrent tumor was detected in her spine. After undergoing resection of the lesion at 2 different times, in 2002 and 2003, the patient was treated with radiotherapy and is currently receiving chemotherapy. On microscopic examination, the tumor in the uterus and liver both proved to be an epithelioid leiomyosarcomas that was diffusely positive for smooth muscle actin. Approximately 15% of the cells had clear cytoplasm, but sections from 2 different blocks were completely negative for HMB45. However, although the tumors resected from the spine in 2002 and 2003 showed features similar to those of the uterine neoplasm, but with a lower percentage of cells positive for smooth muscle actin and more clear cells, several of the clear cells were positive for HMB45. To the best of our knowledge, this is the first case of a uterine smooth muscle cell tumor that became positive for HMB45 when it metastasized. 相似文献
73.
Munari L Charchat S Rodrigues L von Muhlen CA Baú AR Lavinsky L Bonorino C 《Journal of immunological methods》2003,283(1-2):155-161
A Western blot to detect anti-HSP70 autoantibodies has been reported to be of diagnostic value for immune-mediated hearing loss patients. While setting up this Western blot in our lab, we detected two main problems. First, some patients were positive for antibodies to a 70-kDa protein when tested against a whole cell lysate, but negative if the antigen used was purified HSP70. Second, if high amounts of purified HSP70 were loaded on the gel, both patients and healthy controls were positive. We have developed and optimized an ELISA as an alternative to the Western blot. This assay is more appropriate to identify positive and negative individuals because it is semi-quantitative. The ELISA is also more sensitive, requiring very low concentrations of the antigen and thus minimizing false positives. Finally, we demonstrated that immune-mediated hearing loss patients recognize mainly the native form of HSP70, a fact that potentially leads to false negatives when a denaturing Western blot assay is used for diagnosis. To test the diagnostic value of the ELISA, we performed a blind test with 70 hearing loss patients, as well as 30 healthy controls. A sensitivity of 84% and a specificity of 93% were obtained, superior to what has been reported so far for the Western blot. 相似文献
74.
Although breast carcinomas have been shown to produce various ectopic substances, including human chorionic gonadotropin, it is rare to identify morphologic differentiation compatible with the hormone produced by a tumor. Presently, only eight cases of breast carcinoma with focal choriocarcinomatous differentiation have been reported in the literature. This article describes the pathologic findings, immunohistochemical profile, and clinical course in two additional cases of this unusual variant of breast carcinoma. In the first case, the tumor had morphologic features suggestive of medullary carcinoma, and the patient is doing well 12 months after presentation. In the second case, the tumor was locally advanced at presentation with histologic features consistent with metaplastic carcinoma having squamous, sarcomatoid, and choriocarcinomatous elements. The patient presented with extensive multifocal metastases 6 months after the initial presentation and is not responding well to standard or experimental treatment regimen. Immunostaining for the beta subunit of human chorionic gonadotropin was localized mostly, but not entirely, to multinucleated syncytiotrophoblast-like giant cells within both tumors. 相似文献
75.
Recent advances in molecular pathology and other technologies such as proteomics present pathologists with the challenge of integrating the new information generated with high-throughput methods with current diagnostic models based mostly on histopathology and clinicopathologic correlations. Parallel developments in the field of medical informatics and bioinformatics provide the technical and mathematical methods to approach these problems in a rational manner. However, it remains unclear whether pathologists or other medical specialists will become primarily responsible for the development and maintenance of these multivariate and multidisciplinary diagnostic and prognostic models that are hoped to provide more accurate, individualized patient-based information. Evidence-based medicine (EBM) and medical decision analysis (MDA) are relatively new disciplines that use quantitative methods to assess the value of information, differentiate fact from myth, and integrate so-called best evidence into multivariate models for the assessment of prognosis, response to therapy, selection of laboratory tests, and other complex problems that influence individual patient care. We review from an epistemological viewpoint the current approach to information in pathology and describe some of the concepts developed by the practitioners of EBM and MDA. 相似文献
76.
Chromophobe renal cell carcinoma with sarcomatoid transformation 总被引:2,自引:0,他引:2
We present a rare case of a chromophobe renal cell carcinoma that progressed to a high-grade spindle cell sarcoma. The tumor affected a 50-year-old man who had presented with right upper quadrant discomfort and hematuria and subsequently underwent a right radical nephrectomy. Microscopically, the tumor was composed of two distinct components, a chromophobe renal cell carcinoma and a sarcomatoid component. The sarcomatoid component had exhibited aggressive behavior by spreading to a regional lymph node. This case report shows that chromophobe carcinoma can develop a sarcomatoid transformation with a high propensity for invasive growth and metastasis. 相似文献
77.
Asturias JA Eraso E Arilla MC Gómez-Bayón N Inácio F Martínez A 《International archives of allergy and immunology》2002,128(2):90-96
BACKGROUND: Gastropod consumption is quite frequent in the Mediterranean countries and cross-reactivities with crustaceans have been described, but the mechanism of this allergenic cross-reactivity has not been studied in detail. This study aimed to produce recombinant Helix aspersa (brown garden snail) tropomyosin and investigate its implication for cross-reactivity among invertebrates. METHODS: A tropomyosin-specific cDNA encoding H. aspersa tropomyosin was synthetized, and recombinant allergen was overexpressed in Escherichia coli as nonfusion protein. IgE-binding reactivity was studied by immunoblotting and immunoblot inhibition experiments with sera from snail-allergic patients. RESULTS: Cloned brown garden snail tropomyosin shares high homology with other edible mollusk tropomyosins (84-69% identity) as well as with those from arthropods (65-62%), and less homology with vertebrate ones (56% identity). Tropomyosin reacted with 18% of the sera from patients with snail allergy. Inhibition experiments, using natural and recombinant tropomyosins, showed different degrees of cross-reactivity between invertebrate tropomyosins. Sera from snail-allergic subjects recognized tropomyosins in both mollusks and crustacean extracts. CONCLUSIONS: Tropomyosin represents a minor allergen in snail extracts, but it is clearly involved in invertebrate cross-reactivity. 相似文献
78.
Inflammatory muscle diseases (IMD), including dermatomyositis (DM) and polymyositis (PM), affect skeletal muscle, leading to profound tissue modification. The etiology of IMD is unknown, but multiple steps of the disease pathogenesis have been identified. The main alterations involve the immune response. Cellular infiltrates found in the muscle provide strong evidence for the involvement of a preferential immune mechanism of muscle damage. The pathologic differences found between PM and DM indicate a different role played by cell-mediated and humoral immune alterations. It is well accepted that in the pathogenetic pathway both host genes and environmental factors are involved. Apoptosis, or programmed cell death, is a complex process that plays a key role in many physiological events. It regulates the turnover of immune cells and is one of the mechanisms involved in ensuring a competent, non-autoreactive repertoire of lymphocytes. Apoptosis as a mechanism of muscle fibre death has been described in several neuromuscular disorders and muscular dystrophies, and evidence of a lack of apoptosis in IMD suggests a failure of apoptotic clearance of inflammatory cells playing a role in the maintenance of chronic cytotoxic muscle fibre damage. Most likely, the failure of apoptosis seems to be the main hallmark of the pathogenesis of IMD. 相似文献
79.
Antonio López-Beltrán Alfonso S. Calañas Pilar Jimena Alberto L. Escudero Telma R. Campello Manuel Muñoz-Torres Fernando Escobar-Jiménez Rafael E. Carvia F. F. Nogales 《Virchows Archiv : an international journal of pathology》1997,431(2):149-151
Three further cases of mature benign cystic teratomas of the ovary associated with virilization are added to the three previously
reported in the literature. They were found in postmenopausal, obese, diabetic women aged 52, 61, and 67 years. The patients
presented with hirsutism and voice changes and clitoromegaly was present in one. Testosterone and androstenedione levels were
elevated but promptly regressed after removal of the tumours. Histologically, sheets of stromal luteinized cells were found
peripherally at the interface between the neoplasm and ovarian tissue. Luteinization of ovarian stroma induced by an unknown
factor related to diabetes mellitus is the origin of the virilization.
Received: 8 January 1997 / Accepted: 28 February 1997 相似文献
80.
The long pentraxin PTX3 up-regulates tissue factor in activated monocytes: another link between inflammation and clotting activation 总被引:4,自引:0,他引:4
Napoleone E di Santo A Peri G Mantovani A de Gaetano G Donati MB Lorenzet R 《Journal of leukocyte biology》2004,76(1):203-209
Pentraxin-3 (PTX3), an acute-phase protein that belongs to the family of the PTXs, is found elevated in septic shock and increased in patients with acute myocardial infarction. As tissue factor (TF) plays a key role in thrombosis and inflammation associated with atherosclerosis and as we have recently reported that PTX3 increases TF synthesis in endothelial cells, we tested whether PTX3 could modulate TF expression in monocytes. Monocytes from peripheral blood of healthy donors were incubated with highly purified PTX3 with or without lipopolysaccharide (LPS). Cells were then disrupted, and procoagulant activity was assessed by a one-stage clotting time. PTX3 enhanced TF activity and antigen from LPS-stimulated monocytes in a dose-dependent way. The effect was specific, as other PTXs, such as C-reactive protein and serum amyloid P component, were ineffective. Moreover, the increase in activity was specific for LPS, as in the presence of other TF-inducing agents such as interleukin-1beta and tumor necrosis factor alpha, PTX3 was not effective. The increase in TF activity requires mRNA synthesis, as assessed by polymerase chain reaction. The mechanism by which PTX3 modulates TF synthesis resides in an enhanced IkappaB, alpha phosphorylation and degradation and increased migration of the transacting factor c-Rel/p65 into the nucleus, as determined by Western blot and electro-mobility shift assay. These results show that PTX3 is an enhancer of the expression of TF by mononuclear cells. In the area of vascular injury, during the inflammatory response, cell-mediated fibrin deposition takes place. PTX3 increases TF expression, thus potentially playing a role in thrombogenesis and wound healing. 相似文献