全文获取类型
收费全文 | 346211篇 |
免费 | 28957篇 |
国内免费 | 4137篇 |
专业分类
耳鼻咽喉 | 3831篇 |
儿科学 | 9309篇 |
妇产科学 | 9501篇 |
基础医学 | 94611篇 |
口腔科学 | 11658篇 |
临床医学 | 25136篇 |
内科学 | 55167篇 |
皮肤病学 | 11911篇 |
神经病学 | 18136篇 |
特种医学 | 10620篇 |
外国民族医学 | 75篇 |
外科学 | 44792篇 |
综合类 | 10963篇 |
现状与发展 | 19篇 |
一般理论 | 21篇 |
预防医学 | 7025篇 |
眼科学 | 3904篇 |
药学 | 10360篇 |
26篇 | |
中国医学 | 570篇 |
肿瘤学 | 51670篇 |
出版年
2023年 | 6005篇 |
2022年 | 8848篇 |
2021年 | 11070篇 |
2020年 | 11021篇 |
2019年 | 8052篇 |
2018年 | 10007篇 |
2017年 | 10141篇 |
2016年 | 10598篇 |
2015年 | 12174篇 |
2014年 | 21340篇 |
2013年 | 19328篇 |
2012年 | 15276篇 |
2011年 | 16320篇 |
2010年 | 17065篇 |
2009年 | 16000篇 |
2008年 | 12662篇 |
2007年 | 12919篇 |
2006年 | 11819篇 |
2005年 | 11002篇 |
2004年 | 10007篇 |
2003年 | 9485篇 |
2002年 | 9281篇 |
2001年 | 9299篇 |
2000年 | 8899篇 |
1999年 | 8418篇 |
1998年 | 5149篇 |
1997年 | 4311篇 |
1996年 | 4347篇 |
1995年 | 3784篇 |
1994年 | 3375篇 |
1993年 | 3113篇 |
1992年 | 6500篇 |
1991年 | 6383篇 |
1990年 | 6246篇 |
1989年 | 5902篇 |
1988年 | 5742篇 |
1987年 | 3357篇 |
1986年 | 1578篇 |
1985年 | 1996篇 |
1984年 | 1925篇 |
1983年 | 1680篇 |
1982年 | 1594篇 |
1981年 | 1397篇 |
1980年 | 1335篇 |
1979年 | 1261篇 |
1978年 | 1188篇 |
1977年 | 955篇 |
1976年 | 859篇 |
1974年 | 889篇 |
1973年 | 854篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
991.
Hideya Ohnishi Kazuyoshi Nishihara Keiyoshi Tamae Shoshu Mitsuyama Ryuji Abe Satoshi Toyoshima Eiji Abe 《Surgery today》1996,26(11):929-932
Granular cell tumors (GCT) are rare neoplasms, and only 173 cases of benign GCT of the breast have been documented. We report herein the cases of two patients with this tumor and discuss the methods of diagnosis and treatment. The first patient was a 60-year-old woman who presented with a firm ill-defined mass in her left breast. Mammography showed a dense shadow with spicula and skin thickness, and ultrasonography revealed a hypoechoic mass with an irregular border. Radical mastectomy was performed under the wrong preoperative diagnosis of breast cancer. The second patient was a 31-year-old woman who presented with an elastic-hard mass in her left breast. Mammography showed a well-demarcated dense mass, and ultrasonography revealed a well-defined hypoechoic mass with a large depth-width ratio. Fine-needle aspiration cytology (FNAC) showed a large number of histiocytic cells with abundant granular cytoplasm. An excisional biopsy was performed, and histological examination confirmed a diagnosis of GCT. GCT is benign, but often misdiagnosed as breast cancer both clinically and radiologically. Therefore, histological examination is essential for making a correct diagnosis, while FNAC is also useful. Local resection is still the treatment of choice, and surgeons should do their utmost to avoid performing needless radical mastectomy. 相似文献
992.
应用放射免疫测定法,对20例胃肠癌患者进行了血清癌胚抗原(CEA)测定,并应用免疫组化法对其中16例癌组织中的CEA进行了检测.检测结果,血清CEA阳性6例,癌组织CEA阳性9例.低分化癌的血清CEA显著高于高分化癌(P<0.05).血清CEA与癌灶部位、癌组织CEA与分化程度及血清CEA均无关(P>0.05).提示血清CEA的含量与癌组织的分化程度有关,血清CEA与癌组织内的CEA无平行关系.作者并对其机制及检测CEA的意义进行讨论. 相似文献
993.
Kath R.; Hoftken K.; Otte C.; Metz K.; Scheulen M. E.; Hulskamp F.; Seeber S. 《Annals of oncology》1993,4(7):585-590
BACKGROUND:: A soluble 105 kD neu-related protein is detectable in conditionedmedium from breast cancer cells expressing the neu-oncogeneproduct and in serum of nude mice bearing tumors that overexpressneu-oncogene PATIENTS AND METHODS:: In 100 patients with primary (n - 33) relapse-free (n - 6) andmetastatic (n - 61) breast carcinoma the serum levels of thesoluble new-related protein were investigated by ELISA techniques.Median age was 57 years, range 2689 years. RESULTS:: The neu-protein serum levels were below 40 HNU/ml (human neu-antigenunit) in 72 patients and 40 or more HNU/ml in 28 patients. In30 patients with primary breast carcinoma, tested before mastectomy,all serum- neu-protein samples were negative. However, 26 of61 metastazised patients (43%) were serum-neu-protein-positive.In disseminated disease (n 61), serum-neu-protein-positivitywas more likely to be seen in patients with visceral metastases(18/33 54%), than in patients with nonvisceral metastases(8/28 28%). Furthermore, monitoring of the serum-neu-proteinlevels reflected clinical course. For 53 patients original paraffin-embeddedtumor material was available for studying immunohistochemicalneu-protein expression. In 39/53 (73%) patients immunohistochemicaland ELISA data showed corresponding results. In 27/30 (90%)patients, from whom sera and tissue could be obtained at thesame time at primary mastectomy, results of immunohistochemistryin primary tumor and serum ELISA were negative and mutuallyconfirmatory. However, the other three patients were positivefor immunohistochemical neu-protein expression in primary tumorbut negative for serum-neu-protein expression. CONCLUSIONS:: Our results suggest that patients with advanced breast cancerand an elevated serum-neu-protein level may have a poor clinicaloutcome. This test might be a useful tool for monitoring patientswith advanced breast carcinoma, but not those with early disease.Further prospective studies are warranted to elucidate the questionof whether this test can contribute to determining prognosisand treatment strategies. breast carcinoma, c-erb-B2, HER-2, neu, oncogene, pl85 相似文献
994.
Immunoglobulin Gene Rearrangement in Plasma Cell Dyscrasias: Detection of Small Clonal Cell Populations in Peripheral Blood and Bone Marrow 总被引:1,自引:0,他引:1
Falko Fend Katharina Weyrer Johannes Drach Andrea Schwaiger Florian Umlauft Kurt Grü newald 《Leukemia & lymphoma》1993,10(3):223-229
The bone marrow (BM) and peripheral blood (PB) samples of 71 patients with plasma cell dyscrasias were analysed by the Southern blot technique for the presence of clonal immunoglobulin (Ig) gene rearrangements. 53% of BM samples examined were archival material such as air dried BM slides or frozen trephine biopsies. The results were related to bone marrow plasmacytosis as determined by cytology and flow cytometry, and other clinical parameters. Clonal Ig gene rearrangements were found in BM samples of 45 (83%) of 54 MM patients and in 3 of 6 patients with monoclonal gammopathy of unknown significance (MGUS). Clonal cell populations in the PB were detected in 11 (30%) of 37 examined MM patients, but in none of the patients with MGUS or solitary plasmacytoma of bone. PB involvement was associated with progressive disease. Circulating monoclonal cells were significantly associated with higher M-protein levels (p 0.05). Thus, circulating clonal precursor cells are encountered more frequently in active MM. 相似文献
995.
T. Urano Y. Shibayama K. Fukunishi K. Nariyama N. Ohsawa 《Virchows Archiv : an international journal of pathology》1996,427(6):607-612
We examined the effect of interruption of pulmonary arterial flow and inadequate ventilation on the development of pulmonary infarction in rats. Pulmonary arterial flow was blocked by the injection of agar into the inferior vena cava and inadequate ventilation was produced by obstructing the left main bronchus with a polypropylene tip. Histological and angiographic examination of the lung demonstrated that: pulmonary artery embolism alone does not induce pulmonary infarction; obstruction of a bronchus does not induce significant changes, but that pulmonary infarction develops when pulmonary artery embolism and obstruction of a bronchus occur simultaneously. It has been thought that pulmonary infarction is caused by acute obstruction of a pulmonary artery, however, the alveolar walls are supplied with oxygen by both the pulmonary circulation and by ventilation. Interruption of pulmonary arterial flow alone is probably not sufficient to induce pulmonary infarction, which is probably caused by deficiency of oxygen supply to the alveolar walls by a synergy between interruption of pulmonary arterial flow and inadequate ventilation. 相似文献
996.
WHITE FIBROUS PAPULOSIS OF THE NECK 总被引:2,自引:0,他引:2
997.
998.
999.
Twenty-eight osteosarcomas (OS) of the jaw were reported. There were 15 male and 13 female patients (age range, 9 to 68 years; mean, 36.9 years); 57.1% of the patients were older than 30 years of age. Swelling was the most frequent symptom; it was reported on an average of 6 months before diagnosis. Most of the tumors of the maxilla (eight patients) occurred in the alveolar ridge (six of eight). In the mandible (20 patients), the body was the preferred site (11 of 20). Radiographically most of the lesions were either lytic and sclerotic or only lytic. Histologically, 12 cases (42.9%) were osteoblastic osteosarcoma, ten (35.8%) were chondroblastic, four (14.3%) were fibroblastic, and two (7%) were round cell OS. Of the 28 cases, three (10.7%) were low grade, and 25 (89.3%) were high grade. Thirteen patients had intralesional surgery, and 13 had marginal surgery as their initial treatment. Recurrence was the rule in the first group, and it was 69% in the second group. Twenty patients (71%) died, and eight are alive. Of these, two are alive with disease. In the six patients who are alive and disease-free, all but one had marginal to wide surgical margins at the time of the first procedure or wide margins at the time of the recurrences along with chemotherapy or radiation therapy. In the patient in which the surgical margins were marginal, the lesion was small 2.5 X 2 cm. This patient was alive without evidence of disease after 9 years of follow-up. 相似文献
1000.
To create a model for studying the regional variation in the histologic structure of left ventricular myocardium and the representativity of samples from endomyocardium in predicting the state of myocardium as a whole, 12 human hearts (3 normal and 9 pathological) were investigated with histoquantitative methods. Ten small endomyocardial areas representing biopsy sites (mean area on section 0.94 mm2) were delineated from each heart. The volume fractions of myocardial fibers (VVMY), interstitial space (VVINT) and connective tissue (VVCT) were determined with a point counting method on these areas. Also the mean fiber diameter was measured. The results were compared with the results from three full thickness samples (mean area 3 cm2) from each heart. The values for fiber diameter estimates were almost identical in endomyocardial samples and full thickness samples. On the other hand, VVCT was significantly higher and VVMY lower in endomyocardial samples. The coefficient of variation (10 endomyocardial areas) was 8.3% for fiber diameter, 17.8% for VVMY and 77.5% for VVCT. When estimates of the regional variation within the heart area are available, it is possible to create a model for the prediction of the number of endomyocardial biopsies needed to reach a given accuracy and probability of measurements. The representativity and clinical value of endomyocardial biopsies are discussed on the basis of this statistical approach. 相似文献