全文获取类型
收费全文 | 8276篇 |
免费 | 403篇 |
国内免费 | 95篇 |
专业分类
耳鼻咽喉 | 66篇 |
儿科学 | 249篇 |
妇产科学 | 176篇 |
基础医学 | 963篇 |
口腔科学 | 170篇 |
临床医学 | 611篇 |
内科学 | 2222篇 |
皮肤病学 | 260篇 |
神经病学 | 812篇 |
特种医学 | 299篇 |
外科学 | 1405篇 |
综合类 | 22篇 |
预防医学 | 365篇 |
眼科学 | 68篇 |
药学 | 412篇 |
中国医学 | 7篇 |
肿瘤学 | 667篇 |
出版年
2024年 | 10篇 |
2023年 | 74篇 |
2022年 | 157篇 |
2021年 | 270篇 |
2020年 | 153篇 |
2019年 | 190篇 |
2018年 | 229篇 |
2017年 | 170篇 |
2016年 | 220篇 |
2015年 | 246篇 |
2014年 | 302篇 |
2013年 | 410篇 |
2012年 | 597篇 |
2011年 | 627篇 |
2010年 | 363篇 |
2009年 | 334篇 |
2008年 | 514篇 |
2007年 | 503篇 |
2006年 | 513篇 |
2005年 | 503篇 |
2004年 | 476篇 |
2003年 | 420篇 |
2002年 | 345篇 |
2001年 | 79篇 |
2000年 | 82篇 |
1999年 | 82篇 |
1998年 | 76篇 |
1997年 | 61篇 |
1996年 | 52篇 |
1995年 | 51篇 |
1994年 | 46篇 |
1993年 | 37篇 |
1992年 | 40篇 |
1991年 | 44篇 |
1990年 | 42篇 |
1989年 | 40篇 |
1988年 | 39篇 |
1987年 | 42篇 |
1986年 | 30篇 |
1985年 | 34篇 |
1984年 | 28篇 |
1983年 | 19篇 |
1982年 | 20篇 |
1981年 | 17篇 |
1980年 | 13篇 |
1979年 | 22篇 |
1976年 | 13篇 |
1974年 | 13篇 |
1970年 | 12篇 |
1967年 | 9篇 |
排序方式: 共有8774条查询结果,搜索用时 0 毫秒
21.
Mario Zama Simona Gallo Luigino Santecchia Ettore Bertozzi Antonio Zaccara Alessandro Trucchi Antonella Nahom Pietro Bagolan Cosmoferruccio De Stefano 《British journal of plastic surgery》2004,57(8):749-753
Omphalocele is the most common congenital defect of the abdominal wall. Mortality rate is between 20 and 70% and early closure of the abdominal wall, within 10 days of life, is vital to the successful outcome of the surgical treatment. The authors describe the use of two bipedicled flaps of abdominal skin to correct the defect of the midline as soon as the reduction of all viscera has been accomplished. 相似文献
22.
Salvatore Metafora Gianfranco Peluso Gianpietro Ravagnan Magda Marchese Michele di Pietro Aldo Mancini Nicola Panza Antonio Fusco Raffaele Porta 《Medical oncology (Northwood, London, England)》1988,5(4):223-231
Transglutaminase (TGase) activity was reduced in intact mitogen-stimulated human peripheral blood lymphocytes (PBL) when compared to intact resting PBL. Moreover, a treatment of the same quiescent immunocompetent cells with purified liver TGase and Ca2+ completely suppressed the mitogen-induced blast transformation. A decrease in TGase activity in neoplastically transformed seminal vesicle epithelial cells with respect to their normal parent counterpart was also observed. Our data support the notion of a possible implication of TGase in cell proliferation and transformation. 相似文献
23.
Lillington DM Kingston JE Coen PG Price E Hungerford J Domizio P Young BD Onadim Z 《Genes, chromosomes & cancer》2003,36(2):121-128
Forty-nine primary retinoblastoma (Rb) tumors were analyzed by the use of comparative genomic hybridization (CGH), and clinical/histological correlations were performed. Adverse histological factors were present in 13 patients. Chromosomal imbalance was a frequent phenomenon, seen in 96% of the tumors. Gain of 6p represented the most frequent event (69% of the tumors), whereas +1q was observed in 57%, confirming that these abnormalities are key secondary events in retinoblastoma tumor progression. Loss of 13q and 16 was significantly associated with tumors displaying adverse histo-prognostic factors, whereas -16q was significantly associated with tumors without adverse features. In three patients who developed an extra-ocular relapse, the tumors showed -13q and 2/3 had -5q, suggesting that these abnormalities may be associated with metastasis. Children >or= 36 months of age at enucleation tended to have more CGH abnormalities per tumor than children < 12 months (median numbers 11 vs. 3). In addition, +1q, +13q, -16, and -16q were more frequent in children with an older age at enucleation. Identical CGH changes were found in both tumors from one patient with bilateral tumors, suggesting a common origin. It is possible that tumors displaying loss of 13q and 5q indicate those patients who may suffer an adverse outcome and who would require alternative or more intensive therapy. CGH analysis on larger cohorts and in prospective clinical trials will be invaluable in determining whether a genetic classification of retinoblastoma represents a reliable measure of prognosis. 相似文献
24.
Immunolocalization of Fas and Fas ligand in the ovaries of women with polycystic ovary syndrome: relationship to apoptosis 总被引:6,自引:0,他引:6
Cataldo NA Dumesic DA Goldsmith PC Jaffe RB 《Human reproduction (Oxford, England)》2000,15(9):1889-1897
Both Fas (APO-1, CD95), an apoptosis-inducing receptor, and its ligand, Fas ligand (FasL, CD95L), have been localized to the ovary. Granulosa cell apoptosis occurs in antral follicular atresia. In polycystic ovary syndrome (PCOS), antral follicles accumulate with some atretic features. The ovarian expression of Fas and FasL was examined in PCOS by immunohistochemistry and correlated with immunodetection of apoptotic cells. Fas immunostaining was present in pre-antral follicle oocytes, some primary and secondary pre-antral follicle granulosa cells, and both granulosa and theca of antral follicles. Thecal staining persisted with advancing atresia, while granulosa staining declined. In antral follicles, abundant Fas-positive cells co-localized with scattered nuclei immunopositive for apoptosis. Ovarian vascular myocytes were strongly Fas-immunopositive. FasL immunostaining was present in pre-antral follicles in oocytes and variably in granulosa. In antral follicles, granulosa and thecal FasL staining increased with advancing atresia. Normal control ovaries showed follicular Fas and FasL staining patterns similar to those in PCOS, but vascular staining was less prominent. In one healthy follicle, Fas immunostaining was seen in the oocyte and weakly in mural granulosa and theca interna. The results suggest that in PCOS, an alteration in Fas-mediated apoptosis, does not cause abnormal folliculogenesis, but may promote ovarian vascular remodelling. 相似文献
25.
Outbreak of Saccharomyces cerevisiae subtype boulardii fungemia in patients neighboring those treated with a probiotic preparation of the organism 总被引:5,自引:0,他引:5 下载免费PDF全文
Cassone M Serra P Mondello F Girolamo A Scafetti S Pistella E Venditti M 《Journal of clinical microbiology》2003,41(11):5340-5343
We report an outbreak of Saccharomyces cerevisiae subtype boulardii fungemia among three intensive care unit roommates of patients receiving lyophilized preparations of this fungus. The fungemia was probably due to central venous catheter contamination and resolved after fluconazole treatment. The need for stringent application of proper hygiene when using a probiotic preparation of this organism is emphasized. 相似文献
26.
J. L. Hedrick K. Carter M. Sanchez R. Di Pietro S. Swanson S. Jayaraman J. G. McGrath 《Macromolecular chemistry and physics.》1997,198(2):549-559
A new route for the synthesis of high glass transition temperature, thermally stable polymer foams has been developed, using compositionally asymmetric microphase-separated block copolymers where the minor component (poly(propylene oxide)) is thermally labile and the major component (polyimide) is thermally stable. The minor component decomposes to low molecular weight species upon heating, and the decomposition products diffuse out of the film, leaving behind pores embedded in a matrix of the thermally stable component. In this study, the polyimide block was crosslinked with ethynyl functionalities to obtain a stable porous structure. The decomposition of the propylene oxide in the block copolymer was studied by thermogravimetric, dynamic mechanical and thermomechanical analyses. Mild conditions were required to avoid rapid depolymerization of the propylene oxide and plasticization of the polyimide matrix. The foams showed pore sizes with diameters up to a micrometer in size as well as the expected reduction in the mass density. 相似文献
27.
Rolla G Nebiolo F Marsico P Guida G Bigo P Riva G Zanotta S 《International archives of allergy and immunology》2004,135(4):293-295
BACKGROUND: The European tick, Argas reflexus, is an urban pest parasitizing urban pigeons and may cause a wide range of allergic reactions. METHODS: Specific IgE to A. reflexus, SDS-PAGE and IgE immunoblotting, performed with tick extract, were carried out in the sera of 6 patients who reported allergic reactions after tick bite. RESULTS: Specific IgE to A. reflexus (RAST class ranging from 1 to 3) were detected in the sera of 6 patients who reported allergic reactions (urticaria and angioedema in 2 and anaphylaxis in the other 4 patients) after tick bite. IgE reactivity to two bands of 22 and 40 kDa were identified in the patient sera. CONCLUSIONS: Allergy to A. reflexus has to be considered in allergic patients living in buildings where pigeons have their nests. The powerful sensitizing property of tick allergen is underlined by the observation that none of our patients was atopic. 相似文献
28.
Macrophages and dendritic cells (DCs) are antigen-presenting cells (APCs), and the direct involvement of both cell types in the immune response to Salmonella has been identified. In this study we analysed the phenotypic and functional changes that take place in murine macrophages and DCs in response to live and heat-killed Salmonella enterica serovar Typhimurium. Both types of cell secreted proinflammatory cytokines and nitric oxide (NO) in response to live and heat-killed salmonellae. Bacterial stimulation also resulted in up-regulation of costimulatory molecules on macrophages and DCs. The expression of major histocompatibility complex (MHC) class II molecules by macrophages and DCs was differentially regulated by interferon (IFN)-gamma and salmonellae. Live and heat-killed salmonellae as well as lipopolysaccharide (LPS) inhibited the up-regulation of MHC class II expression induced by IFN-gamma on macrophages but not on DCs. Macrophages as well as DCs presented Salmonella-derived antigen to CD4 T cells, although DCs were much more efficient than macrophages at stimulating CD4 T-cell cytokine release. Macrophages are effective in the uptake and killing of bacteria whilst DCs specialize in antigen presentation. This study showed that the viability of salmonellae was not essential for activation of APCs but, unlike live bacteria, prolonged contact with heat-killed bacteria was necessary to obtain maximal expression of the activation markers studied. 相似文献
29.
Giammanco GM Vitale G Mansueto S Capra G Caleca MP Ammatuna P 《Journal of clinical microbiology》2005,43(12):6027-6031
A retrospective analysis by molecular-sequence-based techniques was performed to correctly identify the etiological agent of 24 Mediterranean spotted fever cases occurring in Western Sicily, Italy, from 1987 to 2001. Restriction analysis of a 632-bp PCR-amplified portion of the ompA gene allowed presumptive identification of five clinical isolates as belonging to Rickettsia conorii subsp. israelensis, the etiological agent of Israeli spotted fever (ISF). The remaining 19 rickettsial isolates were Rickettsia conorii subsp. conorii, the only pathogenic rickettsia of the spotted fever group reported in Italy until the present. Sequence analysis of the ompA gene confirmed the identification of all the R. conorii subsp. israelensis isolates and demonstrated that rickettsiosis caused by R. conorii subsp. israelensis can be traced back to 1991 in Sicily. The recorded clinical data of the five ISF patients support the idea that these strains could correlate to more-severe forms of human disease. Three of five patients experienced severe disease, and one of them died. 相似文献
30.
di Gioia CR Ciallella C d'Amati G Parroni E Nardone AM Gallo P 《Archives of pathology & laboratory medicine》2003,127(9):e367-e370
An infant with normal facies and none of the extracardiac anomalies usually associated with Williams syndrome presented at birth with an echocardiographic pattern of supravalvular pulmonary stenosis and displastic pulmonary valve. A clinical reappraisal was planned at 3 months of age, but the girl died suddenly at home at 2 months of age. At autopsy, both ventricles were hypertrophic, and the valves showed mild dysplasia. The walls of the great arteries were thick, with a "washed leather" consistency, but there was no gross evidence of discrete stenosis. The histologic mosaic appearance of the media of the great arteries, due to elastosis and extreme disarray of the elastic lamellae, prompted a postmortem diagnosis of supravalvar aortic stenosis and suggested a diagnosis of Williams syndrome, which was subsequently confirmed by fluorescence in situ hybridization. Pediatricians and pathologists should be alerted that Williams syndrome in the newborn may present as an isolated supravalvular pulmonary stenosis, whereas supravalvular aortic stenosis becomes clinically significant only a few months later. 相似文献