全文获取类型
收费全文 | 15039篇 |
免费 | 815篇 |
国内免费 | 80篇 |
专业分类
耳鼻咽喉 | 182篇 |
儿科学 | 276篇 |
妇产科学 | 224篇 |
基础医学 | 1862篇 |
口腔科学 | 1044篇 |
临床医学 | 1167篇 |
内科学 | 3595篇 |
皮肤病学 | 189篇 |
神经病学 | 1374篇 |
特种医学 | 346篇 |
外国民族医学 | 1篇 |
外科学 | 2597篇 |
综合类 | 44篇 |
一般理论 | 3篇 |
预防医学 | 1025篇 |
眼科学 | 366篇 |
药学 | 875篇 |
中国医学 | 63篇 |
肿瘤学 | 701篇 |
出版年
2024年 | 19篇 |
2023年 | 169篇 |
2022年 | 356篇 |
2021年 | 625篇 |
2020年 | 329篇 |
2019年 | 470篇 |
2018年 | 602篇 |
2017年 | 413篇 |
2016年 | 430篇 |
2015年 | 529篇 |
2014年 | 739篇 |
2013年 | 858篇 |
2012年 | 1370篇 |
2011年 | 1352篇 |
2010年 | 723篇 |
2009年 | 634篇 |
2008年 | 979篇 |
2007年 | 1023篇 |
2006年 | 892篇 |
2005年 | 799篇 |
2004年 | 659篇 |
2003年 | 566篇 |
2002年 | 476篇 |
2001年 | 84篇 |
2000年 | 58篇 |
1999年 | 57篇 |
1998年 | 61篇 |
1997年 | 54篇 |
1996年 | 39篇 |
1995年 | 29篇 |
1994年 | 33篇 |
1993年 | 20篇 |
1992年 | 31篇 |
1991年 | 36篇 |
1990年 | 26篇 |
1989年 | 25篇 |
1988年 | 37篇 |
1987年 | 31篇 |
1986年 | 31篇 |
1985年 | 16篇 |
1984年 | 21篇 |
1983年 | 19篇 |
1982年 | 21篇 |
1981年 | 13篇 |
1979年 | 22篇 |
1978年 | 11篇 |
1977年 | 14篇 |
1975年 | 13篇 |
1974年 | 15篇 |
1973年 | 13篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
31.
32.
Lorenzo Melani Richard Mills David Hassman Robert Lipetz Leslie Lipka Alexandre LeBeaut Ramachandran Suresh Pabak Mukhopadhyay Enrico Veltri 《European heart journal》2003,24(8):717-728
AIMS: To evaluate the efficacy and safety of ezetimibe 10 mg administered with pravastatin in patients with primary hypercholesterolemia. METHODS AND RESULTS: After dietary stabilization, 2-12 week screening/washout period, and 4-week, single-blind, placebo lead-in period, 538 patients with baseline LDL-C > or =3.8 to < or =6.5 mmol/l and TG < or =4.0 mmol/l were randomized to one of eight possible treatments administered daily for 12 weeks: ezetimibe 10mg; pravastatin 10, 20, or 40 mg; ezetimibe 10 mg plus pravastatin 10, 20, or 40 mg; or placebo. The primary efficacy endpoint was percent reduction in LDL-C from baseline to study endpoint for ezetimibe 10 mg plus pravastatin (pooled doses) compared to pravastatin alone (pooled doses) and ezetimibe alone. The combined use of ezetimibe and pravastatin resulted in significant incremental reductions in LDL-C and TG compared to pooled pravastatin alone (p<0.01). Coadministration therapy reduced LDL-C by 34-41%, TG by 21-23%, and increased HDL-C by 7.8-8.4%, depending on the dose of pravastatin. The combined regimen was well tolerated, with a safety profile similar to pravastatin alone and placebo. CONCLUSIONS: When coadministered with pravastatin, ezetimibe provided significant incremental reductions in LDL-C and TG and was well tolerated with a safety profile similar to pravastatin alone. 相似文献
33.
Basso A Rossolini G Viticchi C Zaia A Piantanelli L 《Archives of gerontology and geriatrics》1992,15(Z1):37-45
Extensive experimental evidence suggests that human lymphocytes may model the behavior of other tissues as far as beta-adrenoceptor characteristics are concerned. In fact, although lymphocytes bear only beta2-adrenoceptor subtype, they may mirror other tissues in various physiological and pathological conditions. In the present paper examples are given demonstrating receptor regulations after drug or surgical stimulus. Age-related changes have also been taken into account. Treatment with beta1-selective beta-blockers without or with intrinsic sympathomimetic activity induces, respectively, up- or down-regulation of beta-adrenoceptors of lymphocytes in agreement with other tissues, as suggested by clinical findings. Data on the influence of thyroidectomy are also in agreement with clinical observations and animal experimental findings on other tissues. Preliminary results on old subjects also suggest a possible role of the human lymphocyte in modelling other tissues or organs in relation to aging processes. The clinical application could be of paramount importance due to the impossibility to directly monitor the receptor status in most of human tissues. 相似文献
34.
Free-living, Amphizoic and Opportunistic Amebas 总被引:9,自引:0,他引:9
Augusto Julio Martinez Govinda S. Visvesvara 《Brain pathology (Zurich, Switzerland)》1997,7(1):583-598
Amebas belonging to the genera Naegleria, Acanthamoeba and Balamuthia are free-living, amphizoic and opportunistic protozoa that are ubiquitous in nature. These amebas are found in soil, water and air samples from all over the world. Human infection due to these amebas involving brain, skin, lung and eyes has increased significantly during the last 10 years. The epidemiology, immunology, protozoology, pathology, and clinical features of the infections produced by these protozoa differ strikingly. Infection by the pathogenic Naegleria fowleri is acquired by exposure to polluted water in ponds, swimming pools and man-made lakes. Raised temperatures during the hot summer months or warm water from power plants facilitate the growth of N. fowleri. N. fowleri is a thermophilic ameba that grows well in tropical and subtropical climates. The CNS infection, called Primary Amebic Meningoencephalitis (PAM), produced by N. fowleri is characterized by an acute fulminant meningoencephalitis leading to death 3–7 days after exposure. Victims are healthy, young individuals with a history of recent water-related sport activities. The portal of entry is the olfactory neuroepithelium. The pathologic changes are an acute hemorrhagic necrotizing meningoencephalitis with modest purulent exudate, mainly at the base of the brain, brainstem and cerebellum. Trophozoites can be seen within the CNS lesions located mainly around blood vessels. Thus far 179 cases have been reported; 81 in the USA alone. Balamuthia mandrillaris and several species of Acanthamoeba are pathogenic “opportunistic” free-living amebas which cause Granulomatous Amebic Encephalitis (GAE) in humans and animals. GAE is an infection, usually seen in debilitated, malnourished individuals, in patients undergoing immunosuppressive therapy for organ transplants and in Acquired Immunodeficiency Syndrome (AIDS). The granulomatous component is negligible, particularly in immunocompromised individuals. Pathologically these amebas produce a patchy, chronic or subacute granulomatous encephalitis with the presence of trophozoites and cysts. The portal of entry is probably through the respiratory tract or an ulceration of the skin reaching the CNS by hematogenous spread. As of October 1, 1996, 166 cases 1103 due to Acanthamoeba and 63 due to Balamothial of GAE have been reported from around the world. Of these 103 cases due to Acanthamoeba (72 have been reported in the USA alone, > 50 in AIDS). It is well known that several species of Acanthamoeba can also produce, chronic sight threatening ulceration of the cornea called Acanthamoeba keratitis (AK), mostly in contact lens wearers or in individuals with minor corneal abrasions. Hundreds of cases of AK have been documented world wide. 相似文献
35.
Pattyn A Simplicio N van Doorninck JH Goridis C Guillemot F Brunet JF 《Nature neuroscience》2004,7(6):589-595
36.
Kepley CL Andrews RP Brown DC Chigaev A Sklar LA Oliver JM Larson RS 《The Journal of allergy and clinical immunology》2002,110(3):469-475
BACKGROUND: Although soluble mediators released by basophils in tissue sites contribute to the chronic injury that occurs in hypersensitivity diseases, only limited information is available about how circulating basophils are recruited to tissues. In particular, the interaction of basophils with endothelium under conditions that mimic physiologic flow has not been explored. OBJECTIVE: We sought to identify adhesion molecules regulating the attachment of human basophils to IL-4-activated human umbilical vein endothelial cells (HUVECs) under flow conditions. METHODS: A parallel-plate flow chamber and blocking mAbs were used to define the adhesion molecules involved in the interactions of peripheral blood basophils (PBBs) and cord blood-derived basophils (CBDBs) with IL-4-activated HUVECs and with Chinese hamster ovary (CHO) cell transfectants expressing specific adhesion molecules. A fluorescent ligand specific for very late antigen 4 (VLA-4) was used to directly examine the VLA-4 affinity state of basophils. RESULTS: Flowing PBBs and CBDBs attached to activated HUVECs and to CHO cells expressing P- or E-selectin. However, only CBDBs attached to vascular cell adhesion molecule 1 (VCAM-1)-transfected CHO cells under flow conditions. The attachment of CBDBs to CHO cells was blocked by mAbs directed against E-selectin, P-selectin, and VCAM-1, whereas attachment of PBBs was blocked by E-selectin and P-selectin mAbs. Activating VLA-4 with Mn(2+) on PBBs resulted in adhesion to the VCAM-1-transfected CHO cells, indicating that VLA-4 activity on PBBs can be regulated, at least in part, through affinity changes. The Mn(2+)-induced upregulation of basophil VLA-4 affinity was demonstrated directly by using a fluorescent ligand for VLA-4 and flow cytometry. CONCLUSIONS: The interaction of human CBDBs and PBBs with endothelium under flow conditions is mediated in part by both P- and E-selectin. VLA-4 additionally contributes to the adhesion of flowing CBDBs. However, the affinity of VLA-4 is too low to support the adhesion under flow conditions of unstimulated PBBs. 相似文献
37.
38.
Sousa MM Ferrão J Fernandes R Guimarães A Geraldes JB Perdigoto R Tomé L Mota O Negrão L Furtado AL Saraiva MJ 《Laboratory investigation; a journal of technical methods and pathology》2004,84(7):865-873
Familial amyloid polyneuropathy (FAP) is characterized by deposition of mutated transthyretin (TTR) in the peripheral nervous system. Prior to amyloid fibrils, nonfibrillar TTR aggregates are deposited inducing oxidative stress with increased nitration (3-NT). As the major source of TTR is the liver, liver transplantation (LT) is used to halt FAP. Given the shortage of liver donors, domino LT (DLT) using FAP livers is performed. The correlation between TTR deposition in the skin and nerve was tested in biopsies from normal individuals, asymptomatic carriers (FAP 0) and FAP patients; in FAP 0, nonfibrillar TTR was observed both in the skin and nerve in the same individuals; in patients, amyloid was detected in both tissues. The occurrence of amyloidosis in recipients of FAP livers was evaluated 1-7 years after DLT: TTR deposition occurred in the skin 3 years after transplantation either as amyloid or aggregates; in one of the recipients, fibrillar TTR was present in the epineurium 6 years after DLT. Deposits were scarce and 3-NT immunostaining was irrelevant. Nerve biopsies from DLT recipients had no FAP-related neuropathy. Our findings suggest that TTR amyloid formation occurs faster than predicted and that TTR of liver origin can cross the blood-nerve barrier. Recipients of FAP livers should be under surveillance for TTR deposition and tissue damage. 相似文献
39.
The escape efficiency of two closely related species of frogs,Odontophrynus cultripes(2n=22) and the tetraploidO. americanus (4n=44), were compared in a shuttle box and under simulated naturalistic conditions.O. americanus was generally superior toO. cultripes, and females tended to outperform males within both species. The relative inefficiency ofO. cultripes escape behavior was examined in light of the animals' having an elaborate, passive defense mechanism in the form of well-marked venom glands. Escape efficiency was highly variable in both species. Possessing twice the amount of DNA, the tetraploid behavioral variation was paradoxically less than that of the diploid, but compatible with what has been found for morphological characters in other organisms.This research was carried out at the Instituto Butantan with the support of ongoing grants from the Brazilian CNPq, FAPESP, FEDIB, and PNUD while the first author was a visiting professor in the Departamento de Genética Humana, Instituto de Biociências, Universidade de São Paulo, under the auspices of the Programa Multinacional de Genética, Organization of American States. 相似文献
40.
Goujon D Zellweger M Radu A Grosjean P Weber BC van den Bergh H Monnier P Wagnières G 《Journal of biomedical optics》2003,8(1):17-25
The changes in the autofluorescence characteristics of the bronchial tissue is of crucial interest as a cancer diagnostic tool. Evidence exists that this native fluorescence or autofluorescence of bronchial tissues changes when they turn dysplastic and to carcinoma in situ. There is good agreement that the lesions display a decrease of autofluorescence in the green region of the spectrum under illumination with violet-light, and a relative increase in the red region of the spectrum is often reported. Imaging devices rely on this principle to detect early cancerous lesions in the bronchi. Based on a spectroscopic study, an industrial imaging prototype is developed to detect early cancerous lesions in collaboration with the firm Richard Wolf Endoskope GmbH, Germany. A preliminary clinical trial involving 20 patients with this spectrally optimized system shows that the autofluorescence can help to detect most lesions that would otherwise have remained invisible to an experienced endoscopist under white light illumination. A systematic off line analysis of the autofluorescence images pointed out that real-time decisional functions can be defined to reduce the number of false positive results. Using this method, a positive predictive value (PPV) of 75% is reached using autofluorescence only. Moreover, a PPV of 100% is obtained, when combining the white light (WL) mode and the autofluorescence (AF) mode, at the applied conditions. Furthermore, the sensitivity is estimated to be twice higher in the AF mode than in WL mode. 相似文献