全文获取类型
收费全文 | 31015篇 |
免费 | 1839篇 |
国内免费 | 857篇 |
专业分类
耳鼻咽喉 | 122篇 |
儿科学 | 662篇 |
妇产科学 | 513篇 |
基础医学 | 4786篇 |
口腔科学 | 556篇 |
临床医学 | 2072篇 |
内科学 | 4298篇 |
皮肤病学 | 316篇 |
神经病学 | 2059篇 |
特种医学 | 577篇 |
外国民族医学 | 10篇 |
外科学 | 2332篇 |
综合类 | 3883篇 |
现状与发展 | 4篇 |
一般理论 | 1篇 |
预防医学 | 1348篇 |
眼科学 | 382篇 |
药学 | 6012篇 |
11篇 | |
中国医学 | 1750篇 |
肿瘤学 | 2017篇 |
出版年
2023年 | 418篇 |
2022年 | 616篇 |
2021年 | 1080篇 |
2020年 | 1164篇 |
2019年 | 966篇 |
2018年 | 911篇 |
2017年 | 1045篇 |
2016年 | 1161篇 |
2015年 | 1003篇 |
2014年 | 2246篇 |
2013年 | 3205篇 |
2012年 | 2531篇 |
2011年 | 2449篇 |
2010年 | 1894篇 |
2009年 | 1769篇 |
2008年 | 1511篇 |
2007年 | 1113篇 |
2006年 | 1050篇 |
2005年 | 945篇 |
2004年 | 770篇 |
2003年 | 637篇 |
2002年 | 505篇 |
2001年 | 385篇 |
2000年 | 284篇 |
1999年 | 263篇 |
1998年 | 265篇 |
1997年 | 248篇 |
1996年 | 275篇 |
1995年 | 184篇 |
1994年 | 174篇 |
1993年 | 127篇 |
1992年 | 141篇 |
1991年 | 116篇 |
1990年 | 99篇 |
1989年 | 109篇 |
1988年 | 100篇 |
1987年 | 70篇 |
1986年 | 79篇 |
1985年 | 240篇 |
1984年 | 258篇 |
1983年 | 180篇 |
1982年 | 207篇 |
1981年 | 153篇 |
1980年 | 164篇 |
1979年 | 121篇 |
1978年 | 103篇 |
1977年 | 80篇 |
1976年 | 86篇 |
1975年 | 62篇 |
1973年 | 52篇 |
排序方式: 共有10000条查询结果,搜索用时 265 毫秒
51.
Monocyte adhesion molecule expression in interstitial inflammation in patients with renal failure. 总被引:2,自引:0,他引:2
Elham Dadfar Joachim Lundahl Stefan H Jacobson 《Nephrology, dialysis, transplantation》2004,19(3):614-622
BACKGROUND: Patients with renal failure have an increased susceptibility to infections. We therefore studied the recruitment of monocytes and their expression of adhesion molecules CD11b and CD62L at the site of interstitial inflammation in patients with renal failure. Furthermore, we studied if the capacity of monocytes to up-regulate CD11b in interstitial inflammation was determined by the interstitial concentration of chemotactic factors. METHODS: Three intensities of interstitial inflammation (0, intermediate and intense) were established in skin blister chambers. Leukocyte count, CD11b/CD62L expression, monocyte chemotactic protein-1 (MCP-1) and blister activity in terms of CD11b mobilization were determined. RESULTS: The CD62L expression on monocytes was lower in the peripheral circulation in patients with renal failure compared with healthy subjects (P<0.005 and P<0.001). At the site of interstitial inflammation patients had a higher expression of CD62L (intermediate, P<0.05; intense, P<0.005). Furthermore, monocytes from patients had an impaired capacity to mobilize CD11b both in the peripheral circulation (P<0.005) and at the intermediate and intense sites of interstitial inflammation (P<0.005 and P<0.001, respectively) compared with cells collected from healthy subjects. We incubated monocytes in blister exudates, in order to explore whether this phenomenon is caused by cellular factors and/or to the interstitial concentration of chemotactic mediators. The expression of CD11b on monocytes from healthy blood donors incubated in blister exudates from either patients or healthy subjects in vitro was similar. The interstitial concentration of MCP-1 at the site of intermediate inflammation was significantly lower in patients with renal failure compared with the corresponding blister exudate collected from healthy subjects (P<0.05), but no differences were observed at the site of intense inflammation. Furthermore, neutralizing the action of MCP-1 in blister exudates with monoclonal antibodies did not have any impact on monocyte CD11b expression following incubation in blister exudates. CONCLUSION: These studies indicate that the impaired capacity of monocytes to mobilize CD11b at the site of inflammation in patients with renal failure is more dependent on constitutive cellular factors than the concentration of CD11b mobilizing factors in the interstitium. 相似文献
52.
Kazutoshi Hori Kunio Uematsu Hitoshi Yasoshima Aklhiko Yamada Kazunari Sakurai Munehiko Ohya 《Pathology international》1997,47(9):592-599
Testicular seminoma with elevated serum human chorionic gonadotropin level (hCG-positive seminoma) is regarded as more malignant than marker-negative seminoma, although Its prognosis is still unclear. To clarify the malignant potential of seminoma with hCG production, the serum levels of the beta subunit of hCG (β-hCG) and lactic acid dehydrogenase (LDH) were examined in 35 and 40 patients, respectively, and the Immunohistochemical expression of β-hCG examined in 45 tumors. The elevation of the LDH serum level correlated to the Invasive status, metestatic status and poor outcome, while that of the serum β-hCG level correlated only to the metastatic status. Immunohistochemical expression of β-hCG was observed in syncytiotrophoblastic giant cells in 11 tumors and a few mononuclear seminoma cells In 36 tumors. Expression was not associated with the malignancy potential, except where the expression In mononuclear cells Inversely correlated to the invasive status. These results suggest that most seminomas produce a slight amount of hCG; that an elevated hCG serum level Indicates the pressnce of metastatic tumors and mainly reflects an increase in tumor volume but not in cellular malignancy potential; and that the LDH serum level, rather than hCG, is more useful as a prognostic indicator for patients with seminoma. 相似文献
53.
目的:比较正常肝组织与肝癌AH 109A,吉田肉瘤中谷氨酸脱氢酶,胆碱氧化酶和葡萄糖-6-磷酸酶的活力对~(67)Ga摄取与积累的影响;方法:制备~(67)Ga枸橼酸溶液给大鼠静注后处死大鼠,制备亚细胞悬液,液闪计数器测定放射活度.结果:~(67)Ga的放射活性在正常肝组织溶酶体中(55%积聚)显著高于肝癌AH109A(32%积聚)和吉田肉瘤(18%)积聚.谷氨酸脱氢酶的活力在正常肝组织,肝癌和吉田肉瘤分别是1830±s 320 U·L~(-1),23±s 6 U·L~(-1)和7±s 2 U·L~(-1);胆碱氧化酶的活力分别是46±s 10 U·L~(-1),25.0±s 0.4 U·L~(-1),2.0±0.4 U·L~(-1);葡萄糖-6-磷酸酶活力分别是2550±s 180 U·L~(-1),84±s 14 U·L~(-1),78±s13 U·L~(-1).结论:正常肝组织中溶酶体酶活力很强,对~(67)Ga的积累起较大作用.癌变组织酶活力降低而作用减弱.吉田肉瘤细胞无肝细胞特点,其溶酶体对~(67)Ga积累作用不大. 相似文献
54.
S. Leskinen-Kallio 《Clinical physiology and functional imaging》1994,14(3):329-335
Summary. The particular advantages of positron emission tomography (PET) technique are that it has higher sensitivity, higher resolution, and a higher quality of image than that found in conventional nuclear medicine. The possibility of quantification and the wide range of useful tracers have raised expectations of this new method. To date, most of the human PET cancer studies have been performed with [18F]fluorodeoxyglucose (FDG) or [11CJmethionine. These are good imaging agents for tumours. However, more specific radiopharmaceuticals are required if other features of tumour metabolism are to be observed, f11Thymidine may prove to be a good tracer for quantitative measurements of tumour proliferation and [18F]misonidazole has been suggested for imaging of hypoxia. 相似文献
55.
56.
Alan L Whone Sarah Von Spiczak Mark Edwards Enza-Maria Valente Alexander Hammers Kailash P Bhatia David J Brooks 《Movement disorders》2004,19(12):1498-1503
The opioid transmitters enkephalin and dynorphin are known to regulate pallidal output and consequently cortical excitability. Indeed, abnormal basal ganglia opioid transmission has been reported in several involuntary movement disorders, including levodopa-induced dyskinesias in Parkinson's disease (PD), tardive dyskinesias/dystonia, Huntington's disease, and Tourette's syndrome. Moreover, a previous 11C-diprenorphine PET study investigating levodopa-induced dyskinesias found reduced opioid receptor availability in PD with but not without dyskinesias. We wished to investigate if a similar alteration in basal ganglia opioid binding was present in DYT1 primary torsion dystonia (PTD). Regional cerebral 11C-diprenorphine binding was investigated in 7 manifesting carriers of the DYT1 gene and 15 age-matched normal controls using a region-of-interest (ROI) approach and statistical parametric mapping (SPM). No difference in regional mean 11C-diprenorphine binding was found between DYT1-PTD and controls, and no correlation between the severity of dystonia and opioid binding was seen. We conclude that aberrant opioid transmission is unlikely to be present in DYT1-PTD and altered opioid transmission is not a common mechanism underlying all disorders of involuntary movement. 相似文献
57.
目的 探索LDH实验检测细胞活力的可行性。方法 原代培养骨髓细胞和软骨细胞,用LDH实验测定上述两组细胞的活力,并与镜下活体观察到细胞的生长状况相比较。与目前比较成熟的测定细胞活力的MTS实验的测得的值相比较。结果 LDH实验对上述两组细胞的活力的测定结果与镜下活体观察到的结果相符合。与MTS实验的测得的结果经统计学处理无显著差异。结论 LDH实验可用于细胞活力的直接测定,而对活细胞的生存、繁殖无影响。 相似文献
58.
目的:探讨邻苯二甲酸二乙基己酯(DEHP)对新生小鼠睾丸及Leyd ig细胞形态结构及功能的影响。方法:DEHP分别以低、中、高3组剂量[100、200、500 mg/(kg.d)]灌胃作用于怀孕12 d到产后3 d(GD12~PND3)的KM母鼠,观察DEHP对新生雄性仔鼠体重、睾丸重量、Leyd ig细胞形态结构和3β-羟基类固醇脱氢酶(3-βHSD)活性、酶反应面积的影响。结果:DEHP作用于母鼠后,其雄性子代幼鼠体重和睾丸重量减轻,睾丸Leyd ig细胞形态、超微结构发生改变;高剂量组Leyd ig细胞数量明显增多;低、中剂量组睾酮合成关键酶3β-HSD酶活性下降,酶反应面积减小,但高剂量组在仔鼠出生后15 d时酶活性降低[(吸光度值(0.154±0.011)vs空白对照组(0.222±0.013),P<0.01],而酶反应面积增大[(6 303.0±745.6)μm2vs空白对照组(5 091.4±214.4)μm2,P<0.01)]。结论:DEHP能影响新生雄性小鼠体重、睾丸重量、Leyd ig细胞的形态结构和3β-HSD活性,具有抗雄激素效应。 相似文献
59.
目的 探讨肿瘤标志物乳酸脱氢酶(LDH)在急性白血病早期诊断中的临床价值。方法 应用受试者工作特性曲线(ROC曲线)及其曲线下面积(AUC)抛物线估算法(以金标准计算准确度和敏感度),对51例急性白血病的早期患者及部分经治疗后缓解的患者、61例非急性白血病患者、61例健康体检者进行了LDH的检测及分析。结果 AUC为0.954,其可信区间为0.935-0.973,其下限0.935远离0.5,经治疗缓解的白血病患者LDH检验结果与治疗前数据经t检验证实<0.0001。结论 LDH对急性白血病的早期诊断以及治疗效果与预后的评估均有着重要及较好的临床价值。 相似文献
60.
Biochemical and ultrastructural alterations produced by miconazole and econazole in Trypanosoma cruzi 总被引:6,自引:0,他引:6
R Docampo S N Moreno J F Turrens A M Katzin S M Gonzalez-Cappa A O Stoppani 《Molecular and biochemical parasitology》1981,3(3):169-180
Miconazole and econazole, two fungicide imidazole derivatives, completely inhibited growth of Trypanosoma cruzi (Tulahuen strain) at concentrations of about 20 muM. Culturing of T. cruzi in the presence of lower doses of imidazole derivatives produced: decrease of 5,7-diene sterol content in epimastigotes (including ergosterol); disappearance of the nuclear chromatin, vacuolization and decrease in the electron density of the cytoplasm; selective surface alterations as revealed by an increased response to wheat-germ- and phytohemagglutinin. At variance with the effect of miconazole on Candida (De Nollin et al. (1977) Antimicrobial. Agents Chemother. 11, 500-513), miconazole and econazole, under the experimental conditions used, did not increase the rate of hydrogen peroxide generation by T. cruzi. 相似文献