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991.
Qiaoyan Guo Yan Lou Lihua Liu Ping Luo 《Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy》2020,24(4):352-360
Hemodialysis (HD) is the most important treatment for patients with end‐stage renal disease (ESRD). Thrombocytopenia is a potential treatment complication related to dialysis. Under normal circumstances, the platelet count would slightly decrease within the first hour of HD, but get restored towards the end of procedure. In most patients, the platelet count can be maintained within the normal range, and the occurrence of thrombocytopenia is relatively rare in clinical practice. Therefore, the possibility of thrombocytopenia in HD patients is often ignored. Moreover, thrombocytopenia might be misdiagnosed and mistreated. At present, almost all articles on the subject, apart from some case reports, focus on pseudothrombocytopenia and heparin‐induced thrombocytopenia. In this review, we summarized various underlying causes, mechanisms, and diagnostic approaches to thrombocytopenia in HD patients. The review aims to provide a guide for clinicians interested in the causes and adequate treatment of thrombocytopenia. 相似文献
992.
Mingjie Zhang Wenyi Luo Liping Wang Xi Chen Nan Bao Zhuoming Xu 《Congenital heart disease》2020,15(5):377-386
Background: This retrospective cohort study aimed to explore
the causes of death in children with congenital heart disease (CHD) after cardiac
surgery in one of the biggest cardiac centers for children with CHD in China.
Methods: A total of 26,856 children undergoing cardiac surgery from January
1, 2012 to December 31, 2019 were included. Based on the clinical data, the
causes of death were divided into ten categories and further compared among different periods, types of CHD and surgical procedures. Results: Of all patients,
513 (1.9%) died (median age 162 d, median weight 5.6 kg). The mortality in
2016–2019 was lower than that in 2012–2015 (1.4 ± 0.3% vs. 2.5 ± 0.3%, p =
0.005). A total of 42.5% of children died of heart failure, and 32.9% died of residual anatomic defects. Patients with transposition of the great arteries tended to
die from residual anatomic defects (21.9%), while those with double-outlet right
ventricle (20%) and single ventricle (20%) tended to die from pulmonary hypertension (PH) (p = 0.006). After biventricular repair, children tended to die from
heart failure (90.4%), while after single-ventricle repair, children tended to die
from PH (50%) (p < 0.0001). There is a negative correlation between mortality
and the ECMO implantation rate (r = −0.898, p = 0.002). Conclusions: Heart failure and residual anatomic defects were the main causes of death after cardiac surgery. The cause of death patterns differed among CHD types and surgical
strategies. ECMO may be a life-saving tool when other conventional therapies
do not work. 相似文献
993.
994.
995.
Miao-Yun Long Hong-Hao Li Xin-Zhi Pen Ming-Qing Huang Ding-Yuan Luo Pei-Shun Wang 《The Kaohsiung journal of medical sciences》2014,30(5):224-228
This study investigated the expression and role of chemokine receptor-4 (CXCR4) in bone marrow mesenchymal stem cells (BMSCs) from experimental rats with abdominal aortic aneurysms (AAA) for migration of BMSCs. Sprague–Dawley rats were divided into an experimental group and control group (n = 18 each). AAA was induced with 0.75 M solution infiltrate for 30 minutes, after which the abdomen was rinsed and closed. Saline was used in place of CaCl2 in the control group. CD34 and CD29 were detected by flow cytometry, the gene and protein expression of CXCR4 were detected by real-time polymerase chain reaction and western blot, respectively. The migration of BMSCs with stromal-derived factor-1 was detected by Transwell chamber. CD34 expression was negative and CD29 expression was positive. The gene and protein expression of CXCR4 were significantly higher in experimental group than them in control group (p < 0.05), the migration ability of BMSCs from the experimental group was significantly higher than that from the control group (p < 0.05). Stromal-derived factor -1/CXCR4 can enhance the migration of BMSCs in vitro in a rat AAA model. 相似文献
996.
Wei Xu Cijie Liu Dexuan Xiang Qionglin Luo You Shu Hongwei Lin Yangjian Hu Zaixing Zhang Yuejun Ouyang 《RSC advances》2019,9(59):34595
Two microporous organic polymer immobilized palladium (MOP-Pd) catalysts were prepared from benzene and 1,10-phenanthroline by Scholl coupling reaction and Friedel–Crafts reaction, respectively. The structure and composition of the catalyst were characterized by FT-IR, TGA, N2 sorption, SEM, TEM, ICP-AES and XPS. MOP-Pd catalysts were found to possess high specific surface areas, large pore volume and low skeletal bone density. Moreover, the immobilized catalyst also had advantages, such as readily available raw materials, chemical and thermal stability, and low synthetic cost. The Pd catalyst is an effective heterogeneous catalyst for carbon–carbon (C–C) coupling reactions, such as the Heck reaction and Suzuki–Miyaura reaction, affording good to high yields. In these reactions, the catalyst was easily recovered and reused five times without significant activity loss.Two microporous organic polymers were prepared from 1,10-phenanthroline by Scholl coupling reaction and Friedel–Crafts reaction, and applied to Heck reaction and Suzuki–Miyaura reaction as heterogeneous catalysts.Carbon–carbon (C–C) coupling reactions have become one of the most versatile and utilized reactions for the selective construction of C–C bonds for the formation of functionalised aromatics,1 natural products,2 pharmaceuticals,3 polymers4 and advanced materials.5 Many transition metals have been used as catalysts in these reactions, aided by a great variety of ligands ranging from simple, commercial phosphines to complex custom-made molecules.6 Among these transition metals, palladium plays a significant role in various cross-coupling reactions, such as Suzuki,7 Heck,8 Sonogashira,9 Stille,10 and Ullmann coupling reactions,11 due to their strong electrical and chemical properties.12 Over the past decades, various homogeneous catalytic systems have been developed for organic transformations,13 which often progress smoothly under the inert atmosphere in organic solvents, for example, toluene or tetrahydrofuran in the presence of soluble palladium complexes as catalysts. However, most homogeneous palladium catalysts suffer from drawbacks such as high-cost of phosphine ligands, use of various additives, difficult separation, metal leaching, recovery, recyclability, and the toxicity of phosphine ligands.Heterogeneous catalysis have attracted increasing attention as they have been proven to be useful for different organic reactions owning to their unique properties, such as high reactivity, stability, easy separation, purification and recyclability.14 Many active heterogeneous palladium catalysts have been developed and widely applied in the C–C coupling reactions.15 Palladium has been immobilized on various solid supporting materials, such as zeolite,16 silica,17 metal organic frameworks,18 and functionalized graphene oxide.19 However, a substantial decrease in activity and selectivity of the heterogeneous palladium catalysts is frequently observed because of their long diffusion pathway to catalytic sites and the difference of electron density on active sites. To address these problems, materials with larger interface and more active site are employed to support palladium as heterogeneous catalysts, such as palladium immobilized on hyper-crosslinked polymers were high activity in Suzuki–Miyaura coupling reaction.20Microporous organic polymers (MOPs) consists of purely organic elements have recently emerged as versatile platforms for heterogeneous catalysts thanks to their unique properties, including superior chemical, thermal and hydrothermal stability, synthetic diversity, low skeletal density and high surface area.20,21 More importantly, the bottom–up approach of MOPs provides an opportunity for the design of polymer frameworks with a range of functionalities into the porous structure to use as catalysts or ligands.22 Recently, Kaskel reported the incorporation of a thermally fragile imidazolium moiety into MOPs resulted in a heterogeneous organocatalyst active in carbene-catalyzed Umpolung reaction.23 Wang designed photocatalysts with microporous via the copolymerization from pyrene and dibenzothiophene-S,S-dioxide building blocks and tested the effect of the photocatalytic hydrogen evolution.24 Xu described the synthesis of microporous with N-heterocyclic carbenes by an external cross-linking reaction and applied it in Suzuki reaction.25 Zhou demonstrated for the first time that the microporous structure has a positive effect on controlling selectivities in the hydrosilylation of alkynes.26 Recently, we also reported three pyridine-functionalized N-heterocyclic carbene–palladium complexes and its application in Suzuki–Miyaura coupling reactions.271,10-phenanthroline is an ideal candidate of ligands due to its structural features such as two N-atom placed in juxta position to provide binding sites for metal cations.28 To utilize the unique structure feature, we employed it in the construction of MOPs via Scholl and Friedel–Crafts reaction, respectively. Therefore, this paper presents our recent studies on the synthesis of two heterogeneous palladium catalysts supported on MOPs through a simple and low-cost procedure. These catalysts displayed remarkable catalytic activity in C–C coupling reactions, including Suzuki–Miyaura reaction and Heck coupling reaction. The properties of simple preparation, wide application of this catalyst and good performance in C–C coupling reactions and adaptability with various substrates make it perfect catalytic option for C–C coupling reactions.The microporous network with 1,10-phenanthroline functional groups and incorporation of Pd metal were confirmed by Fourier transform infrared (FT-IR) spectroscopy. The FT-IR spectra of MOPs and MOPs-Pd (Fig. 1) displayed a series of bands around 2800–3100 cm−1, which were assigned to the C–H stretching band and in-of-plane bending vibrations of the aryl rings. The bands around 1550–1750 cm−1 were attributed to the –C N- stretching band. The bands around 1400–1450 and 850–700 cm−1 were corresponded to the benzene and 1,10-phenanthroline skeletal stretching and the C–H out-of-plane bending vibrations of the aryl rings, respectively. The bond around 1495 cm−1 in MOPs-I and MOPs-Pd-I is assigned to in-of-plane bending vibrations of CH2, which indicated that 1,10-phenanthroline and benzene were linked by CH2.Open in a separate windowFig. 1FT-IR spectra of MOPs and MOPs-Pd.The X-ray photoelectron spectroscopy (XPS) analysis of the MOPs-Pd is performed to investigate the coordination states of palladium species (Fig. 2). In Fig. 2, the Pd 3d XPS spectra of the MOPs-Pd-I catalysts reveal that Pd is present in the +2 oxidation state rather than in the metallic state. This is corresponding to the binding energy (B.E.) of 337.4 eV and 342.4 eV, which are assigned to be Pd 3d5/2 and 3d3/2 of Pd (+2), respectively. Compared with the PdCl2 (337.9 eV and 343.1 eV), the Pd2+ binding energy in the MOPs-Pd-I catalyst shifts negatively by 0.5 eV and 0.7 eV. This can be attributed to the effect of the coordination with 1,10-phenanthroline in microporous networks. The results show that Pd2+ can be immobilized successfully on the MOPs by coordinating to 1,10-phenanthroline rather than by physical adsorption of Pd2+ on the surface. XPS graphs of MOPs-Pd-II also reveal that Pd2+ is immobilized on MOPs materials.Open in a separate windowFig. 2XPS spectra of the MOPs-Pd.The surface area and pore structure of the MOPs and MOPs-Pd were investigated by nitrogen adsorption analyses at 77.3 K. In Fig. 3, the MOPs-Pd exhibits type I adsorption–desorption isotherms, which is similar to the isotherms exhibited by the parent MOPs polymers. The result implies that these microporous organic polymers and metalized polymers consist of both micropores and mesopores. The apparent Brunauer–Emmett–Teller surface areas (SBET) of MOPs-Pd are smaller than those of the non-metallized parent networks (Open in a separate windowFig. 3N2 adsorption–desorption isotherms and corresponding pore size distributions of MOPs and MOPs-Pd.Physical properties of MOPs and MOPs-Pd
Open in a separate windowaSurface area calculated from the nitrogen adsorption isotherm using the BET method.bThe micropore volume derived using a t-plot method based on the Halsey thickness equation.cTotal pore volume at P/P0 = 0.99.dData were obtained by inductively coupled plasma mass spectrometry (ICP-AES).The thermal stability of the MOPs and MOPs-Pd was also assessed by TGA. The TGA traces obtained from MOPs and MOPs-Pd are shown in Fig. 4. The data analysis has been performed, and results are also shown in Fig. 4. These results show that MOPs and MOPs-Pd exhibit good thermal stability in nitrogen. It is obvious to see that the T5% and T10% of the MOPs-II and MOPs-Pd-II are lower compared with MOPs-I and MOPs-Pd-I. This is because of the large amount CH2 in MOPs-I and MOPs-Pd-I.Open in a separate windowFig. 4TGA curves of MOPs and MOPs-Pd.MOPs and MOPs-Pd were subjected to SEM and TEM analyses, and the results are shown in Fig. 5 and and6.6. We can see a large number of pores in MOPs and MOPs-Pd from the SEM imagines, and uniformly distributed Pd nanoparticles in MOPs-Pd from the TEM images. No remarkable change in terms of the morphology of the materials occurs after loading the palladium species. Then, scanning electron microscopy elemental mapping was employed to investigate the composition of MOPs-Pd. The results are shown in ESI† (Section IV). Obviously, the metal Pd in MOPs-Pd-I and II are distributed in the support with a high degree of dispersion. Meanwhile, C, N, Pd and Cl are observed from these images, implying those are the major elements to construct the MOPs-Pd catalyst.Open in a separate windowFig. 5SEM image of MOPs and MOPs-Pd.Open in a separate windowFig. 6TEM image of MOPs and MOPs-Pd.Then, we investigated the activities of the MOPs-Pd catalysts to determine the potential relationships between the structure and catalyst activity. To check the catalytic activity of the MOPs-Pd in the Heck coupling reaction, iodobenzene 1a and ethyl acrylate 2a were taken as the model substrate in presence of MOPs-Pd catalyst for optimization of the reaction condition. First, the reaction of 1a with 2a was carried out in the present of Et3N with MOPs-Pd-I as catalysis in EtOH under reflex to afford 3a in 75% yield. Then, a series of experiments was carried out to screen the reaction conditions, including catalysis, base, solvent, and reaction temperature. The optimal results were obtained when the reaction of 1a with 2a was carried out in the present of Et3N with MOPs-Pd-I as catalysis in DMF at 120 °C for 1.5 h to afford 3a in 96% yield. Under the optimal conditions, we carried out a series of reactions of 1 with 2 aiming to determine its scope. As shown in Entry R1 R2 R3 3 Yieldb (%) 1 H H Et 3a 96 2 4-Me H Et 3b 98 3 4-MeO H Et 3c 97 4 4-Cl H Et 3d 95 5 4-NO2 H Et 3e 93 6 4-CN H Et 3f 93 7 3-Me H Et 3g 94 8 3,5-(Me)2 H Et 3h 97 9 H H Me 3i 98 10 3-Me H Me 3j 95 11 H H Bu 3k 97 12 3-Me H Bu 3l 94 13 H H H 3m 94 14 4-Me H H 3n 95 15 4-MeO Me Me 3o 90
Sample | S BET a [m2 g−1] | S Micro b [m2 g−1] | VMicroc [m3 g−1] | [Pd]d [wt%] |
---|---|---|---|---|
MOPs-I | 761 | 447 | 0.211 | — |
MOPs-Pd-I | 744 | 422 | 0.199 | 2.5 |
MOPs-II | 664 | 506 | 0.225 | — |
MOPs-Pd-II | 623 | 502 | 0.225 | 2.4 |