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131.
急性脑梗死后血浆NO、NOS、ET含量的动态变化及尼莫地平对其影响 总被引:4,自引:0,他引:4
目的 观察急性脑梗死 (ACI)后血浆一氧化氮 (NO)、一氧化氮合成酶 (NOS)、内皮素 (ET)含量的动态变化 ,以及尼莫地平治疗后对其影响。方法 ACI患者 110例 ,随机分成尼莫地平组 (5 0例 ) (在常规治疗基础上用尼莫地平 )和常规治疗组 (6 0例 )。在发病后不同时点动态观察血浆NO、NOS、ET含量 ,并设 5 0例脑动脉硬化患者为对照组。结果 脑梗死后血浆ET含量显著升高 ,直至恢复期 ;NO、NOS先增高后下降 ;尼莫地平组和常规组比较ET有显著差异 (P <0 .0 1) ,NO、NOS差别不显著 (P >0 .0 5 )。结论 NO、NOS、ET参与并影响了ACI后复杂的病理生理过程 ;尼莫地平部分通过对ET含量的影响发挥其对脑梗死的治疗作用 相似文献
132.
133.
Gonzalo Varela Alessandro Brunelli Gaetano Rocco Rita Marasco Marcelo F Jiménez Valeria Sciarra José Luis Aranda Tindaro Gatani 《European journal of cardio-thoracic surgery》2006,30(4):644-648
OBJECTIVE: Scanty information can be found regarding ppoFEV1% correlation with true FEV1% in the immediate days after surgery, when most cardio-respiratory complications are developed. This prospective multicentric investigation aims to describe the evolution of FEV1 in a series of uneventful lobectomy cases before hospital discharge, and to identify factors associated with the variation of postoperative residual FEV1, with the ratio between the actual and the predicted postoperative FEV1 measured during the first 6 postoperative days. METHODS: One hundred and sixty-one patients submitted to lobectomy were prospectively enrolled in the study. Patients with chest wall resections and postoperative complications were excluded. Data from a total of 125 patients were thus used for the analysis. The following clinical variables were recorded: age, preoperative FEV1, ppoFEV1, presence of chronic obstructive pulmonary disease (COPD), surgical approach (VATS or muscle-sparing thoracotomy), side (right or left) and site (upper or lower) of resection, type of analgesia (epidural or intravenous), and daily visual analogue pain score (VAS). FEV1 was measured in every patient at hospital admission and daily until discharge or up to postoperative day 6. Random effects time-series cross-sectional regression analyses were performed to identify factors associated with variation of postoperative residual function (100-(preoperative FEV1-postoperative FEV1/preoperative FEV1 x 100)), and of FEV1 ratio ((actual postoperative FEV1 x 100)/ppoFEV1). For these analyses, the dependent variables (postoperative residual function and FEV1 ratio) and the pain score were analysed as panel longitudinal data. The regression analyses were subsequently validated by bootstrap procedure. RESULTS: FEV1% was lower at first postoperative day and increased gradually up to day 6 but mean values never reached ppoFEV1%. Pain scores decreased from day 1 to day 6. Preoperative FEV1 (p<0.0001) and postoperative pain score (p<0.0001) resulted independently and reliably inversely associated with postoperative residual FEV1 (model R2, 0.16). Preoperative FEV1 (p=0.001), postoperative pain score (p<0.0001), and epidural analgesia (p=0.04) resulted independently and reliably associated with postoperative FEV1 ratio (model R2, 0.13). CONCLUSION: Current methods of prediction of postoperative FEV1 greatly underestimated the real functional loss in the immediate postoperative period. Therefore, for the purpose of a more accurate risk stratification we need to correct the traditional prediction of postoperative FEV1. 相似文献
134.
卫生院改革中的"软法"运行现状及功能实现 总被引:1,自引:0,他引:1
乡镇卫生院改革是一项关乎农村稳定、农民安康的工程。从既有的工作轨迹及发展趋势来看,这项改革是在以“两办(中共中央办公厅、国务院办公 相似文献
135.
136.
Exposure of murine erythroleukemia cells (MELCs) to nicotinamide (NA) or its synthetic analog N′-methylnicotinamide (N′-MN) reduces cell growth and induces terminal differentiation, marked by increased heme and globin accumulation. On the contrary, 1-methylnicotinamide (1-MN), the primary metabolite of excess NA, was found to stimulate cell growth and reduce spontaneous differentiation of cultured MELCs. Log phase MELCs exhibited up to 50% higher cell density above untreated cells when cultured for up to 96 h with 2.5 mM 1-MN. When combined with NA or several chemically-unrelated inducers of hemoglobin synthesis in cultured MELCs, 1-MN reduced the globin mRNA levels and heme accumulation by 40–80%. 1-MN was able to inhibit heme production if present during only the first 24–48 h after NA exposure. Pre-treatment with 1-MN could not confer resistance of cells to effects of NA, suggesting the inhibition is reversible. Commitment to differentiate in semisolid medium by the most potent inducer, 5 mM N′-MN, was inhibited up to 95% by 2.5 mM concentrations of 1-MN. It appears that 1-MN has opposing effects on growth and induction of differentiation than those seen in MELC cultures exposed to NA or N′-MN. 相似文献
137.
Toll样受体2胞外域及其氨基端和羧基端片段的克隆与序列分析 总被引:1,自引:1,他引:0
目的:为研究TLR2胞外域在肽聚糖诱导的信号转导中的功能,构建TLR2胞外域及其氨基端和羧基端片段真核表达载体。方法:提取HL-60细胞总RNA,以RT-PCR方法获取了TLR2胞外域cDNA片段,将其与pGEM-T Easy载体连接,转化E.coli JM109,建立了TLR2胞外域的cDNA克隆;籍此,又相继克隆了胞外域的氨基端和羧基端片段,然后将这三个片段克隆到真核表达载体pcDNA3中。结果:序列分析表明,与GenBank中的人TLR2全长cDNA序列比较,仅4个碱基不同,同源性为0.998。结论:成功获得了HL-60细胞TLR2胞外域及其氨基端和羧基端片段的克隆。 相似文献
138.
M. Jiménez-Mejías C. Pichardo-Guerrero F. Márquez-Rivas D. Martín-Lozano T. Prados J. Pachón 《European journal of clinical microbiology & infectious diseases》2002,21(3):212-214
Described here is a case of meningitis caused by multidrug-resistant Acinetobacter baumannii susceptible only to colistin, which was treated successfully with intravenous colistin sulfomethate sodium (5 mg/kg/day).
The levels of colistin in serum and cerebrospinal fluid and the pharmacokinetic/pharmacodynamic parameters of colistin were
determined. In this case, intravenously administered colistin penetrated cerebrospinal fluid (25% of serum levels) at levels
sustaining bactericidal concentrations.
Electronic Publication 相似文献
139.
140.
目的:探讨蛋白激酶C(PKC)与神经元凋亡的可能机制,方法:采用大鼠全脑缺血模型,观察脑缺血/再灌流后PKC活性,FOS表达及神经元凋亡的变化。结果:脑缺血/再灌流可以导致PKC的移位激活伴FOS表达及神经元凋亡的增加;用蛋白激酶C抑制剂灯盏花可以阻止上述变化。结论:蛋白激酶C的激活可能通过促进FOS表达参与了脑缺血/再灌流诱导的神经元凋亡。 相似文献