首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   42727篇
  免费   2909篇
  国内免费   755篇
耳鼻咽喉   238篇
儿科学   1762篇
妇产科学   1162篇
基础医学   5929篇
口腔科学   1227篇
临床医学   2943篇
内科学   8830篇
皮肤病学   692篇
神经病学   3257篇
特种医学   1977篇
外国民族医学   4篇
外科学   5871篇
综合类   2667篇
现状与发展   3篇
预防医学   2950篇
眼科学   423篇
药学   3519篇
  27篇
中国医学   816篇
肿瘤学   2094篇
  2024年   85篇
  2023年   604篇
  2022年   1403篇
  2021年   1861篇
  2020年   1494篇
  2019年   2522篇
  2018年   2443篇
  2017年   1613篇
  2016年   1198篇
  2015年   1231篇
  2014年   2079篇
  2013年   2077篇
  2012年   1439篇
  2011年   1569篇
  2010年   1264篇
  2009年   1382篇
  2008年   1235篇
  2007年   1121篇
  2006年   1055篇
  2005年   859篇
  2004年   776篇
  2003年   782篇
  2002年   567篇
  2001年   525篇
  2000年   500篇
  1999年   463篇
  1998年   354篇
  1997年   321篇
  1996年   278篇
  1995年   204篇
  1994年   184篇
  1993年   132篇
  1992年   111篇
  1991年   120篇
  1990年   98篇
  1989年   99篇
  1988年   92篇
  1985年   1006篇
  1984年   1790篇
  1983年   1099篇
  1982年   1226篇
  1981年   1191篇
  1980年   984篇
  1979年   880篇
  1978年   800篇
  1977年   684篇
  1976年   789篇
  1975年   558篇
  1974年   496篇
  1973年   552篇
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
991.
Influenza D virus (IDV) was first described in 2011 and has been found to mainly circulate among cattle and swine populations worldwide. Nasal swab samples were collected from 100 Danish calf herds (83 dairy and 17 veal herds) from 2018–2020. Influenza D virus was detected in 12 of the herds. Samples with the lowest cycle quantification value were selected for full genome sequencing. A hemagglutinin-esterase fusion (HEF) gene sequence from a Danish IDV collected in 2015 was also included in this study. Phylogenetic analysis showed that viruses from seven of the IDV-positive herds belonged to the D/OK lineage and clustered together in the HEF tree with the IDV collected in 2015. Viruses from the four other herds belonged to the D/660 lineage, where three of the viruses clustered closely together, while the fourth virus was more phylogenetically distant in all gene segments. The high level of genetic similarity between viruses from two different herds involved in calf trading suggests that transmission occurred through the movement of calves. This study is, to our knowledge, the first to describe the characterization of IDV in calves in Denmark.  相似文献   
992.
993.

Background

Pressure Ulcers (PUs) are a severe form of skin and soft tissue lesions, caused by sustained deformation. PU development is complex and depends on different factors. Skin structure and function change during prolonged loading on PU predilection sites and surfaces being in direct contact with skin are likely to have an impact as well. Little is known about the influence of fabrics on skin function under pressure conditions.

Objectives

To investigate skin responses to sustained loading in a sitting position and possible differences between two fabrics.

Methods

Under controlled conditions 6 healthy females (median age 65.0 (61.0–67.8) years) followed a standardized immobilization protocol of a sitting position for 45 min on a spacer and on a cotton fabric. Before and after the loading period skin surface temperature, stratum corneum hydration, transepidermal water loss (TEWL), erythema, skin elasticity and ’relative elastic recovery‘ were measured at the gluteal areas.

Results

A 45 min sitting period caused increases of skin surface temperature and erythema independent of the fabric. Loading on spacer fabric showed a two times higher increase of TEWL compared to cotton. Stratum corneum hydration showed slight changes after loading, skin elasticity and ’relative elastic recovery’ remained stable.

Conclusions

Sitting on a hard surface causes skin barrier changes at the gluteal skin in terms of stratum corneum hydration and TEWL. These changes are influenced by the fabric which is in direct contact to the skin. There seems to be a dynamic interaction between skin and fabric properties especially in terms of temperature and humidity accumulation and transport.  相似文献   
994.
995.
目的:探讨盆腔脂肪过多症的影像诊断。材料与方法:回顾性分析6例盆腔脂肪过多症的影像学表现。6例均经CT和超声检查,其中3例还作了钡灌肠检查,2例行静脉肾盂造影检查。结果:(1)钡灌肠和静脉肾盂造影显示膀胱输尿管下段以及直肠、乙状结肠远端推移受压;(2)超声检查显示盆腔内良性、实性占位性病变;(3)CT扫描可显示出脂肪组织密度。结论:CT扫描诊断盆腔脂肪过多症可作为首选影像学检查方法。  相似文献   
996.
螺旋CT三维成像在颈椎损伤病变中的应用   总被引:28,自引:1,他引:28  
目的 探讨螺旋CT三维成像(MPR、SSD)在颈椎损伤中的应用价值。材料与方法 经X线和/或螺旋CT证实的颈椎损伤15例,行螺旋CT扫描,并作MPR和SSD成像,13例扫描参数为层厚3mm,床速4.5mm/s,重建间距1.5mm;2例为层厚5mm,床速5mm/s,重建间距2mm,SSD最低阈值选择150~180。结果 椎体及附件骨折10例,其中6例伴环齿关节脱位,1例椎体滑脱。椎体旋转脱位4例,成角滑脱1例。15例中3例椎管狭窄并硬脊膜受压。MPR结合轴位图像可完全明确骨折、脱位及椎管情况。SSD对颈椎表现骨折、椎体旋转及成角脱位显示良好,立体感强,但对椎体内骨裂或骨折、椎管内病变显示差。结论 颈椎损伤应首选CT检查。轴位图像、MPR及SSD联合应用,能明确病变性质,立体、直观、多方位提供临床医师所需信息,有利于治疗方案的选择。  相似文献   
997.
In this paper we present a summary of recent quantitative approaches used for the analysis of macro and microscopic images in mammary gland biology. The advantages and disadvantages of whole mount analysis, reconstruction of serial tissue sections and nucleus/cell segmentation of either conventional and confocal images are discussed, as are applications of quantitative image analysis, such as quantification of protein levels or vasculature measurements in normal tissue and cancer. Integration of quantitative imaging into the further study of the mammary gland holds the promise of better understanding its tissue complexity that evolves during development, differentiation and disease.  相似文献   
998.
目的探讨放线菌素D(ActD)在下调cFLIP表达水平增加大肠癌细胞凋亡中的作用。方法应用流式细胞仪(FCM)技术检测ActD预处理的人大肠癌细胞(SW620)凋亡水平、Fas受体及cFLIP蛋白表达的变化情况,并观察在ActD存在时,cFLIP蛋白对大肠癌细胞凋亡的影响。结果10μg/LActD作用于SW620细胞后,cFLIP蛋白的表达水平随着作用时间的延长而降低。ActD作用24h后,cFLIPI表达强度由94.4%下降到71.8%,此时1mg/L的抗Fas抗体诱导SW620细胞凋亡率达33.7%,但ActD本身对大肠癌细胞的凋亡及Fas受体表达无明显影响(P〉0.05)。结论低浓度放线菌素D可明显下调SW620细胞中cFLIP蛋白的表达水平并显著增加大肠癌细胞的凋亡率,ActD有可能成为靶向调节cFLIP蛋白在大肠癌细胞中表达的理想药物。  相似文献   
999.
Lumpectomy with microscopically clear margins is a safe and effective approach for surgical management of breast carcinoma. Margins are positive for tumor in 18–50% of lumpectomies, as it is not possible to accurately determine the shape or microscopic borders of a tumor preoperatively or intraoperatively. We examined the 3D microanatomy and growth patterns of common breast carcinoma subtypes to provide guidance for lumpectomy surgery. Prospective consent was obtained for the use of excess tissue from patients undergoing lumpectomy or mastectomy for breast carcinoma. Tissue blocks from nine breast carcinomas were serially sectioned. Hematoxylin and eosin‐stained slides at 100 μm intervals were scanned using a Nanozoomer (Hamamatsu, Japan) microscopic‐resolution scanner. Three‐dimensional reconstructions of tumors were created from scanned images using Reconstruct, open‐access software. Breast carcinoma subtypes demonstrated characteristic growth patterns within breast tissue, which may have implications for lumpectomy surgery. Invasive ductal carcinomas showed a spherical shape, with a spiculated surface representing tumor cells infiltrating into surrounding parenchyma. Ductal carcinoma in situ appeared to spread along the duct system, creating dilated, tortuous, tumor‐filled ducts. The invasive lobular carcinomas examined had a haphazard, linear, infiltrative growth pattern, different from the shape seen in ductal carcinomas. Our preliminary work suggests that invasive ductal and invasive lobular carcinomas appear to have distinct growth patterns in three dimensions and ductal carcinoma in situ appears to grow in a linear fashion along the duct network. The microanatomy studies described have the potential to guide refinements in breast lumpectomy technique.  相似文献   
1000.

Introduction

Deep facial burns leave conspicuous scar to the patients and affect their quality of life. Transparent facemask has been adopted for the prevention and treatment of facial hypertrophic scars for decades. Recently, with the advancement of 3D printing, the transparent facemask could facilitate the fitting of the facial contour. However, the effectiveness of the device and its biomechanical characteristics on pressure management of hypertrophic scar would need more objective evaluation.

Method

A biomechanical model of the transparent 3D-printed facemask was established through finite element analysis. Ten patients with extensive deep facial burns within 6 months were recruited for clinical study using 3D-printed facemask designed according to biomechanical model, and the interface pressure was measured on each patient. The patients in the treatment group (n = 5) was provided with the 3D-printed transparent face mask soon after initial scar assessment, while the delayed treatment group (n = 5) began the treatment one month after the initial scar assessment. The scar assessment was performed one month post intervention for both groups.

Results

The biomechanical modeling showed that the 3D, computer-generated facemask resulted in unbalanced pressure if design modifications were not incorporated to address these issues. The interface pressure between the facemask and patient’s face was optimized through individualized design adjustments and the addition of silicone lining. After optimization of pressure through additional lining, the mean thickness and hardness of the scars of all 10 patients were decreased significantly after 1-month of intervention. In the delayed treatment group, the mean thickness of the scars was increased within the month without intervention, but it was also decreased after intervention.

Conclusion

Facemask design and the silicone lining are important to ensure adequate compression pressure of 3D-printed transparent facemask. The intervention using the 3D-printed facemask appeared to show its efficacy to control the thickness and hardness of the facial hypertrophic scars.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号