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排序方式: 共有4132条查询结果,搜索用时 15 毫秒
71.
Clinical Significance of Fasting Serum Bile Acid in the Long-Term Observation of Chronic Liver Disease 总被引:4,自引:0,他引:4
Yukihiro Kishimoto Satoshi Hijiya Isamu Takeda 《The American journal of gastroenterology》1985,80(2):136-138
Fasting serum bile acid (FSBA) was serially measured by a fluorescent enzyme method in a follow-up study of 61 patients with chronic liver disease. In chronic inactive hepatitis, fluctuation of FSBA was within the normal range in both the exacerbated state and in remission. In chronic active hepatitis, FSBA was abnormally elevated in both states, but the difference was not significant. In chronic active hepatitis where FSBA was elevated in the remission state above its value in the exacerbated state, exacerbation of the disease occurred repeatedly during the follow-up period. In compensated liver cirrhosis progressing into the decompensated form, FSBA levels increased before a decrease in the serum values of albumin, cholesterol, and cholinesterase, and an elevation of bilirubin. In liver cirrhosis, FSBA levels increased above 100 microM, 1-4 months before the appearance of ascites. 相似文献
72.
Anorexia nervosa (AN) has recently become one of common disorders in adolescent girls. A chronic course of AN is related to morbidity, with one of the most serious medical complications being severe osteopenia. The prevalence of osteoporosis is estimated to be 40 % in AN during the follow up. The incidence of bone fracture in AN after the recovery of body weight is reported to be two to seven higher than that in healthy age-matched controls. Because adolescence is a critical time in terms of acquisition of peak bone mass, osteopenia during this time may be permanent. Adult woman with adolescence-onset AN has lower bone mineral density than that with adult-onset AN. In addition, bone mineral density (BMD) of AN has been shown to be influenced by several factors, including reduced body weight due to malnutrition, intake of calcium and vitamin D, and duration of estrogen deficiency. Among them, body weight is known to be the most important prognostic factor, both in a short and long period of years. Thus, medical doctor should monitor BMD in patients with AN throughout their life. 相似文献
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Hiromu Moriyama Moeko Tsutsuura Nana Kojima Yuki Mizukami Sho Tashiro Sumika Osa Yuki Enoki Kazuaki Taguchi Kazutaka Oda Satoshi Fujii Yoshiko Takahashi Yukihiro Hamada Toshimi Kimura Yoshio Takesue Kazuaki Matsumoto 《Journal of infection and chemotherapy》2021,27(5):781-785
We carried out a systematic review and meta-analysis exploring the relationship between vancomycin (VCM) trough concentrations and its effectiveness and nephrotoxicity in pediatric patients. We conducted our analysis using MEDLINE, Web of Sciences, and Cochrane Register of Controlled Trials as electronic databases (June 29, 2019). Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. We identified 16 studies that were eligible for the meta-analysis. A total of 351 and 3,266 patients were included in the analysis for effectiveness and nephrotoxicity, respectively. Pediatric MRSA infection patients with VCM trough concentrations ≥ 10 μg/mL had significantly lower treatment failure rates (OR 0.54, 95% CI 0.30–0.96). The incidence of nephrotoxicity was significantly higher in trough concentrations ≥ 15 μg/mL than when they were < 15 μg/mL (OR 3.02, 95% CI 2.08–4.38). We identified the optimal VCM trough concentrations associated with effectiveness and nephrotoxicity in pediatric patients with MRSA infection. Further prospective studies are needed to find optimal dosing and monitoring strategy on VCM in pediatric population. 相似文献
76.
77.
Varicose bleeding after liver transplantation in a patient with severe portosystemic shunts 总被引:1,自引:0,他引:1
Nosaka T Teramoto K Tanaka Y Igari T Takamatsu S Kawamura T Inoue Y Goseki N Arii S Iwai T Inomata Y Tanaka K 《Journal of gastroenterology》2003,38(7):700-703
Recipients for liver transplantation often have portosystemic shunts due to portal hypertension. It is an important problem whether such shunts should be ligated during operations. Ligating the shunts seems of benefit for increasing portal blood flow to the liver, but it is sometimes difficult technically, and it is invasive to the patient. We experienced a recipient with huge portosystemic shunts and no esophageal varices before living-related liver transplantation. Some shunts were ligated during operation to increase portal blood flow to the graft. Unfortunately, the patient suffered severe bleeding from esophagogastric varices after he underwent retransplantation owing to accidental liver failure. Based on our experience, extreme care should be exercised to avoid varicose bleeding after ligating the portosystemic shunts of liver transplantation patients. 相似文献
78.
Nuclear cyclin D1 overexpression is a critical event associated with cell proliferation and invasive growth in gallbladder carcinogenesis 总被引:2,自引:0,他引:2
Itoi T Shinohara Y Takeda K Nakamura K Takei K Sanada J Horibe T Saito T Kasuya K Ebihara Y 《Journal of gastroenterology》2000,35(2):142-149
Cyclin D1 overexpression is remarkably frequent in several human carcinomas and is believed to be a critical event in oncogenesis.
We examined cyclin D1 expression, p53 expression, and the Ki-67 labeling index by immunostaining in human gallbladder mucosa in conditions varying from normal
to malignant tissue. We also examined K-ras codon 12 mutations in these tissues with a two-step polymerase chain reaction. Nuclear cyclin D1 overexpression was observed
in 48% of carcinomas occurring independently of adenoma, but not in adenomas, carcinomas arising in adenomas, or nonneoplastic
lesions. Cytoplasmic cyclin D1 overexpression was observed in about 15% of abnormal specimens, irrespective of the type of
epithelial abnormality. Carcinomas showing nuclear cyclin D1 overexpression had significantly higher Ki-67 labeling indexes
than those with no overexpression. Moderately to poorly differentiated adenocarcinomas showed a higher incidence of nuclear
cyclin D1 overexpression than papillary to well differentiated carcinomas. Specimens with cyclin D1 overexpression showed
a high incidence of lymph permeation, venous permeation, and lymph node metastasis. We conclude that nuclear cyclin D1 overexpression
is a critical event importantly associated with cell proliferation and invasive growth in gallbladder carcinogenesis, and
that cyclin D1 immunostaining may become a useful marker for evaluating gallbladder carcinomas.
Received: March 9, 1999 / Accepted: July 23, 1999 相似文献
79.
Development of angiogenic cell and gene therapy by transplantation of umbilical cord blood with vascular endothelial growth factor gene. 总被引:11,自引:0,他引:11
Yukihiro Ikeda Noboru Fukuda Mika Wada Taro Matsumoto Aya Satomi Shin-Ichiro Yokoyama Satoshi Saito Koichi Matsumoto Katsuo Kanmatsuse Hideo Mugishima 《Hypertension research》2004,27(2):119-128
Endothelial progenitor cells (EPCs) are present in the mononuclear cells (MNCs) of umbilical cord blood and peripheral blood. To establish the efficiency of angiogenic cell and gene therapies, we transfected the human vascular endothelial growth factor (hVEGF) gene into cord blood MNCs to enhance endothelialization. MNCs from cord blood and peripheral blood were isolated and transfected with pCR3 expressing hVEGF165 or GFP by the Hemagglutinating Virus of Japan (HVJ)-envelope and the cells were cultured in endothelium basal medium-2. The number of attached cells from cord blood was higher than that from peripheral blood. Attached cells expressed Flk-1, VE-cadherin, PECAM-1, CD34, and Tie-2. The increase in the number of attached cells was transient with the transfection of vascular endothelial growth factor (VEGF) gene early in the experimental period. Flt-1 mRNA was not expressed early in the culture period, but was expressed at 2 weeks after separation. VEGF gene transfer into MNCs at 12 days after separation, i.e., when Flt-1 mRNA was expressed continuously, increased the number of attached cells. We evaluated the effects of the transplantation of cord blood MNCs expressing the hVEGF gene on regional blood flow in an ischemic area in a rat model of chronic hindlimb ischemia. Blood flow was significantly improved in nude rats that received transplanted control MNCs. Transplantation of cord blood MNCs transfected with the hVEGF gene yielded greater improvements in blood flow. These results indicate that the hVEGF gene enhances endothelialization of EPCs, and that the transplantation of cord blood MNCs transfected with the VEGF gene may be feasible for the treatment of ischemic diseases as a type of angiogenic cell and gene therapy. 相似文献
80.
Masahiro Goto Naoyuki Miyagawa Kaori Kikunaga Masaru Miura Yukihiro Hasegawa 《Clinical Pediatric Endocrinology》2015,24(3):69-75
Combination treatment with intravenous immunoglobulin (IVIG) plus prednisolone is
effective for prevention of cardiovascular complications in children with Kawasaki disease
(KD). However, administration of prednisolone for approximately 20 d in this regimen
causes adrenocortical suppression in a high proportion of treated children. To establish a
simple method to screen for this suppression, we performed a prospective study on 72
children with KD treated with this regimen in our institution from February 2012 to March
2014. By performing ROC analysis of 21 initial patients treated between February and June
2012, a serum cortisol value at 09:00 h of 5 mcg/dL was established as a threshold for
intact adrenocortical function, which is equivalent to a peak serum cortisol value of
higher than 15 mcg/dL in the CRH stimulation test. Then, we applied this screening test to
51 subsequent patients treated between July 2012 and March 2014. Approximately 90% of the
patients with morning serum cortisol values above 5 mcg/dL 2 to 6 mo after the cessation
of initial prednisolone treatment had peak serum cortisol values exceeding 15 mcg/dL,
suggesting the efficacy of this approach. 相似文献