全文获取类型
收费全文 | 38534篇 |
免费 | 1949篇 |
国内免费 | 147篇 |
专业分类
耳鼻咽喉 | 518篇 |
儿科学 | 916篇 |
妇产科学 | 746篇 |
基础医学 | 4890篇 |
口腔科学 | 2202篇 |
临床医学 | 2743篇 |
内科学 | 9930篇 |
皮肤病学 | 939篇 |
神经病学 | 3118篇 |
特种医学 | 797篇 |
外科学 | 5708篇 |
综合类 | 236篇 |
一般理论 | 13篇 |
预防医学 | 2836篇 |
眼科学 | 691篇 |
药学 | 2113篇 |
中国医学 | 135篇 |
肿瘤学 | 2099篇 |
出版年
2024年 | 30篇 |
2023年 | 266篇 |
2022年 | 624篇 |
2021年 | 1401篇 |
2020年 | 741篇 |
2019年 | 1093篇 |
2018年 | 1277篇 |
2017年 | 837篇 |
2016年 | 933篇 |
2015年 | 1063篇 |
2014年 | 1583篇 |
2013年 | 1921篇 |
2012年 | 3155篇 |
2011年 | 3277篇 |
2010年 | 1875篇 |
2009年 | 1571篇 |
2008年 | 2648篇 |
2007年 | 2665篇 |
2006年 | 2588篇 |
2005年 | 2506篇 |
2004年 | 2131篇 |
2003年 | 1922篇 |
2002年 | 1710篇 |
2001年 | 191篇 |
2000年 | 140篇 |
1999年 | 221篇 |
1998年 | 289篇 |
1997年 | 224篇 |
1996年 | 200篇 |
1995年 | 190篇 |
1994年 | 146篇 |
1993年 | 110篇 |
1992年 | 105篇 |
1991年 | 85篇 |
1990年 | 52篇 |
1989年 | 39篇 |
1988年 | 46篇 |
1987年 | 43篇 |
1986年 | 44篇 |
1985年 | 52篇 |
1984年 | 55篇 |
1983年 | 54篇 |
1982年 | 44篇 |
1981年 | 50篇 |
1980年 | 62篇 |
1979年 | 32篇 |
1978年 | 36篇 |
1977年 | 45篇 |
1976年 | 28篇 |
1974年 | 20篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
51.
Jos A. Terrn Enrique Hong Francisco J. Lpez-Muoz Carlos M. Villaln 《Autonomic & autacoid pharmacology》1994,14(3):165-175
1 The present study was designed to analyse the effect of the centrally-acting sympatho-inhibitory drugs, prazosin and ketanserin, on the increase in external carotid blood flow (external CBF) produced by 5-hydroxytryptamine (5-HT) in pentobarbital-anaesthetized dogs. 2 Intracarotid (i.c.) infusions of 5-HT (10 μ g min?1 during 1 min) produced an increase in external CBF without changes in mean arterial blood pressure or heart rate. This response to 5-HT was dose-dependently blocked by intravenous (i.v.) administration of prazosin (1, 3, 10, 30 and 100 μg kg?1) or ketanserin (10, 30, 100 and 300 μg kg?1). 3 Furthermore, 5-HT-induced increase in external CBF was inhibited by either the ganglionic blocking agent, mecamylamine (0.03, 0.1, 0.3, 1, 3 and 10 mg kg?1), the mixed 5-HT1-like and 5-HT2 receptor antagonist, methiothepin (3, 10 and 30 μ g kg?1) or the 5-HT1A ligand, spiroxatrine (10, 30, 100 and 300 μg kg?1). In contrast, the selective 5-HT2 and 5-HT1C receptor antagonist, ritanserin (30 and 100 μg kg?1, i.v.), was unable to block the above response to 5-HT. 4 It is concluded that the inhibition of 5-HT-induced increase in external CBF by prazosin, ketanserin, mecamylamine and spiroxatrine is due to a reduction in the sympathetic tone and not to a blockade of 5-HT receptors. 相似文献
52.
Ana T Timóteo Miguel Mendes Carlos T Aguiar Ana Barba?a Ricardo Seabra-Gomes 《Revista portuguesa de cardiologia》2004,23(12):1519-1530
BACKGROUND: The exercise test has a recognized lower risk of complications when used in the general population and in coronary artery diseased patients, but from a theoretical point of view should have a higher rate of complications when performed in patients with chronic heart failure (CHF). AIMS: To characterize and assess the type and incidence of complications during cardiopulmonary stress test (CPX) in patients with depressed left ventricular systolic function in comparison with a group of patients and individuals with normal function. METHODS: Retrospective analysis of the 334 consecutive CPX performed for risk stratification in 198 patients with a left ventricular ejection fraction below 40% (Group A) and 180 consecutive CPX performed in 78 subjects with normal function (Group B). The two groups were compared with respect to demographic data, CPX parameters and specific complications. Results: Major complications during the tests occurred only in 14 tests of Group A (4.2%, p = 0.012). Non-sustained ventricular tachycardia, <6 beats, occurred in 7 group A and 2 group B tests. The absence of coronary artery disease was the only independent predictor for complications. CONCLUSIONS: Major CPX complications occurred only in patients with impaired left ventricular systolic function. Heart failure patients showed a low probability (around 4%) for complications during CPX, significantly higher and more severe than the risk in the group of patients with normal ventricular function, allowing us to recommend that CPX in patients with heart failure should be performed in a hospital setting under the supervision of a physician with specific training. 相似文献
53.
Teresa Pelissier Carlos Paeile Rub n Soto-Moyano Hern n Saavedra Alejandro Hern ndez 《European journal of pharmacology》1990,190(3):287-293
The antinociceptive activity of the selective k opioid agonist U-50,488H, given intrathecally (i.t.) against chemically induced cutaneous pain in rats, was assessed from cumulative dose-response experiments and the formalin test. Three successive i.t. doses of 5, 10 and 35 nmol of U-50,488H produced a gradual reduction of pain scores which was statistically significant at all observation periods. This effect was antagonized significantly by 3 mg/kg i.p. of the opiate antagonists, naloxone and WIN 44,441-3. The analgesia profile showed a clear dose-response relationship. A dose producing 50% ‘maximum posible analgesia’ of 6.20 nmol (95% confidence interval: 3.05–12.59 nmol) was calculated. The results indicated that cutaneous pain of a chemical/inflammatory nature is highly sensitive to activation of k receptors of the spinal cord dorsal horn. 相似文献
54.
55.
Cristina Martins Marcelo Mazza do Nascimento Roberto Pecoits-Filho Cyntia Leinig Luiz Felipe Gon?alves Roseana Fuerbringer Peter Stenvinkel Bengt Lindholm Miguel Carlos Riella 《Journal of renal nutrition》2007,17(2):132-137
BACKGROUND: Insulin resistance (IR) and inflammation are associated with increased risk of cardiovascular disease in the general population. Continuous glucose absorption in peritoneal dialysis (PD) may induce hyperglycemia and hyperinsulinemia. METHODS: We evaluated IR in nondiabetic patients receiving PD, and analyzed the association between IR and systemic inflammation biomarkers by performing a cross-sectional study on ambulatory dialysis. A total of 25 nondiabetic patients receiving PD and 25 healthy individuals, matched for gender, age, and body mass index (BMI), were included. The PD group was composed of 11 men and 14 women, with a mean age of 47 +/- 14 years and mean BMI of 25.5 +/- 4.7 kg/m(2). The control group was composed of 10 men and 15 women, with a mean age of 45 +/- 12 years and BMI of 24.0 +/- 2.8 kg/m(2). RESULTS: IR was evaluated by the homeostasis model assessment method (HOMA-IR). Inflammation was assessed through high-sensitivity C-reactive protein (CRP) and fibrinogen. Body composition and truncal fat were evaluated by dual energy x-ray absorptiometry. HOMA-IR was significantly higher (P < .0001) in subjects receiving PD (4.9, range: 2.3-9.3 mmol/L x muU/mL) compared with healthy subjects (1.2, range: 0.4-4.8 mmol/L x muU/mL). As expected, compared with controls, patients receiving PD had significantly higher levels of insulin (26.5 +/- 7.5 muU/mL vs 6.3 +/- 3.4 muU/mL; P < .0001), CRP (6.3, range: 0.3-61.1 mg/L vs 2.4, range: 0.6-5.9 mg/L; P = .001), and fibrinogen (379 +/- 101 mg/dL vs 268 +/- 66 mg/dL; P < .0001). However, there were no significant differences in body and truncal fat mass between the groups. A significant correlation between HOMA-IR and fibrinogen (Rho = 0.48; P = .01) was observed. However, no correlation was found between HOMA-IR and CRP. Also, no significant correlations were found between HOMA-IR and body fat mass (Rho = 0.11), and between HOMA-IR and truncal fat mass (Rho = 0.19). CONCLUSIONS: Patients receiving PD demonstrate a state of IR that is associated with high circulating levels of fibrinogen. This suggests that hyperfibrinogenemia may be involved in the pathogenesis of IR in this setting. 相似文献
56.
57.
58.
Amr E Abbas F David Fortuin Bhavesh Patel Carlos A Moreno Nelson B Schiller Steven J Lester 《Journal of the American Society of Echocardiography》2004,17(8):834-838
BACKGROUND: Systemic vascular resistance (SVR) is an integral therapeutic component of patients with heart failure and shock. We hypothesized that the ratio of the peak mitral regurgitant velocity (MRV) (m/s) to left ventricular outflow time-velocity integral (TVI(LVOT)) (cm) by Doppler would provide a noninvasive correlate of SVR. METHODS: SVR was correlated to MRV/TVI(LVOT) in 33 patients undergoing right heart catheterization. Receiver operating characteristic curves were generated to determine the best-balanced sensitivity and specificity to identify SVR > 14 Wood units (WU) and <10 WU. RESULTS: MRV/TVI(LVOT) correlated well with SVR (r = 0.842, 95% confidence interval 0.7-0.92, P <.001, Y = 0.459 + 49.397*X). By receiver operating characteristics, MRV/TVI(LVOT) > 0.27 had a 70% sensitivity and a 77% specificity to identify SVR > 14 WU. MRV/TVI(LVOT) < 0.2 had a 92% sensitivity and a 88% specificity to identify SVR < 10 WU. CONCLUSION: Doppler echocardiography provides a reliable noninvasive assessment of SVR. 相似文献
59.
Robert Willer Farinazzo Vitral Carlos de Souza Telles Marcelo Reis Fraga Roberto Sotto Maior Fortes de Oliveira Orlando Motohiro Tanaka 《American journal of orthodontics and dentofacial orthopedics》2004,126(1):48-52
Thirty persons with Class II Division 1 subdivision malocclusions, ranging in age from 12 years 8 months to 42 years, underwent computed tomography of the temporomandibular joints. The images obtained from sagittal slices were used to assess the depth of the mandibular fossa, the angulation of the posterior wall of the articular tubercle, the condyle-fossa relationship, and the concentric position of the condyles associated with this malocclusion. Paired Student t tests were applied, and Pearson product moment correlations (r) were determined after measurements on both Class I and Class II sides were obtained. No statistically significant asymmetries were found in the depth of the mandibular fossa, the angulation of the posterior wall of the articular tubercle, or the condyle-fossa relationship. However, a statistically significant (P <.05) anterior positioning of the condyles was observed. 相似文献
60.
Cerebral Cortical Aquaporin-4 Expression in Brain Edema following Cardiac Arrest in Rats 总被引:14,自引:0,他引:14
Feng Xiao MD MS Thomas C. Arnold MD Shu Zhang MD Carlos Brown J. Steven Alexander PhD Donna L. Carden MD Steven A. Conrad MD PhD 《Academic emergency medicine》2004,11(10):1001-1007
OBJECTIVES: Brain edema occurs following clinical as well as experimental cardiac arrest (CA) and predicts a poor neurologic outcome. The objective of this study was to determine the expression of cerebral cortex aquaporin (AQP)-4, a member of a family of membrane water-channel proteins, in brain edema formation following normothermic or hypothermic CA. METHODS: Twenty-four rats were subjected to time-matched normothermic (N-Sham, 37.5 degrees C +/- 0.5 degrees C, n = 6) or hypothermic (H-Sham, 34 degrees C +/- 0.5 degrees C, n = 6) sham experiments and normothermic (N-CA, n = 6) or hypothermic (H-CA, n = 6) CA induced by asphyxiation for 8 minutes. Hypothermia was induced before CA. The animals were resuscitated with cardiopulmonary resuscitation, ventilation, and epinephrine administration. Brain edema was determined by brain wet-to-dry weight ratio at one hour of resuscitation. AQP4 immunoactivity in the cerebral cortex was determined using immunohistochemical staining and was semiquantified as an intensity of staining with an automated cell imaging system. RESULTS: Mild hypothermia in the sham experiments did not alter cerebral cortex AQP4 immunoactivity (mean +/- SD) (55.0 +/- 3.7 in H-Sham vs. 53.3 +/- 1.7 in N-Sham, p > 0.05). N-CA resulted in a significant increase in AQP4 immunoactivity (61.8 +/- 4.5) compared with N-Sham (p = 0.01) and H-Sham (p = 0.03). H-CA attenuated AQP4 compared with N-CA (53.4 +/- 1.3, p = 0.01). Brain wet-to-dry weight ratios were 4.41 +/- 0.07 in N-Sham, 4.40 +/- 0.08 in H-Sham (p > 0.05 vs. N-Sham), 4.55 +/- 0.04 in N-CA (p = 0.004 vs. N-Sham; p = 0.005 vs. H-Sham), and 4.43 +/- 0.09 in H-CA (p = 0.02 vs. N-CA; p > 0.05 vs. N-Sham and H-Sham). CONCLUSIONS: Cerebral cortical AQP4 expression is up-regulated after normothermic CA, which is attenuated by hypothermia induced before CA. 相似文献