全文获取类型
收费全文 | 28719篇 |
免费 | 2092篇 |
国内免费 | 1117篇 |
专业分类
耳鼻咽喉 | 288篇 |
儿科学 | 229篇 |
妇产科学 | 197篇 |
基础医学 | 6123篇 |
口腔科学 | 675篇 |
临床医学 | 2647篇 |
内科学 | 3806篇 |
皮肤病学 | 154篇 |
神经病学 | 3585篇 |
特种医学 | 1438篇 |
外国民族医学 | 1篇 |
外科学 | 3738篇 |
综合类 | 3180篇 |
现状与发展 | 6篇 |
预防医学 | 1029篇 |
眼科学 | 595篇 |
药学 | 2933篇 |
3篇 | |
中国医学 | 969篇 |
肿瘤学 | 332篇 |
出版年
2024年 | 91篇 |
2023年 | 392篇 |
2022年 | 762篇 |
2021年 | 979篇 |
2020年 | 926篇 |
2019年 | 836篇 |
2018年 | 864篇 |
2017年 | 801篇 |
2016年 | 735篇 |
2015年 | 817篇 |
2014年 | 1379篇 |
2013年 | 1605篇 |
2012年 | 1308篇 |
2011年 | 1470篇 |
2010年 | 1249篇 |
2009年 | 1219篇 |
2008年 | 1236篇 |
2007年 | 1318篇 |
2006年 | 1197篇 |
2005年 | 1055篇 |
2004年 | 1013篇 |
2003年 | 994篇 |
2002年 | 821篇 |
2001年 | 710篇 |
2000年 | 607篇 |
1999年 | 567篇 |
1998年 | 630篇 |
1997年 | 655篇 |
1996年 | 573篇 |
1995年 | 487篇 |
1994年 | 445篇 |
1993年 | 406篇 |
1992年 | 391篇 |
1991年 | 384篇 |
1990年 | 323篇 |
1989年 | 292篇 |
1988年 | 264篇 |
1987年 | 230篇 |
1986年 | 185篇 |
1985年 | 252篇 |
1984年 | 221篇 |
1983年 | 124篇 |
1982年 | 200篇 |
1981年 | 180篇 |
1980年 | 142篇 |
1979年 | 127篇 |
1978年 | 122篇 |
1977年 | 103篇 |
1976年 | 101篇 |
1975年 | 41篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
101.
Mark A. Bullimore Bernard Gilmartin 《Documenta ophthalmologica. Advances in ophthalmology》1988,69(4):385-397
The accommodative response of 12 emmetropic subjects was measured for an array of numbers located at -1,-3 and -5 dioptres using an objective infra-red optometer. Responses were compared for passive (reading numbers) and active (adding numbers) conditions. The imposition of mental effort induced a significant increase in mean response for the -1 D stimulus, a response equivalent to the passive condition at -3 D and a reduction in response at -5 D. Mental effort induced similar responses for the -1 D and -3 D locations when sympathetic innervation to the ciliary muscle was blocked with the beta-receptor antagonist timolol maleate. Responses for the -5 D location were, however, significantly increased. It is proposed that sympathetic inhibition can modify the effect of mental effort on near accommodative responses. 相似文献
102.
Three Swedish patients with proximal muscle weakness, myotonia and lack of CTG expansion on genetical analysis are presented. Clinical neurological and neurophysiological examination and muscle biopsy were performed. There was an indication of autosomal dominant inheritance in 2 of the 3 patients. The main symptoms and clinical findings in the 3 patients were weakness of the proximal muscles, myotonia, muscle stiffness, muscle pain and muscle atrophy. Neurophysiological examination showed myotonic bursts and muscle biopsy snowed a variation of fibre sizes, an increased number of muscle fibres with centralized nuclei and scattered atrophic muscle fibres. Laboratory data showed elevated CK, GT and LD in 1 patient. Before genetical analysis was performed, all 3 patients had been diagnosed as atypical cases of myotonic dystrophy. However, the symptoms, clinical signs, laboratory data, electrophysiological and muscle biopsy findings were compatible with proximal myotonic myopathy (PROMM). 相似文献
103.
采用一种改进的方法,从100g猪心室肌中提取心肌肌球蛋白370mg,并进一步分离和纯化其亚基成分,分别得到肌球蛋白轻链24mg和重链210mg,核酸含量<1%,不含有肌动蛋白、原肌球蛋白、肌钙蛋白及其它杂蛋白;SDSPAGE显示,猪心肌球蛋白重链为200~220KD一条带,肌球蛋白轻链则为27kd、21.4kd、19kd三条带;纯化猪心肌球蛋白的Ca2+激活ATP酶活性为0.24μmolPi/(mg·min),但其分离后的亚基则无此活性。 相似文献
104.
Rodney Harrison Michael J. Bronskill R. Mark Henkelman 《Magnetic resonance in medicine》1995,33(4):490-496
T2 relaxation makes an important contribution to tissue contrast in magnetic resonance (MR) imaging. Many tissues are known to exhibit multicomponent T2 relaxation that suggests some compartmental segregation of mobile protons on a T2 timescale. Magnetization transfer (MT) is another relaxation mechanism that can be used to produce tissue contrast in MR imaging. The MT process depends strongly on water-macromolecular interactions. To investigate the relationship between multicomponent T2 relaxation and the MT process, multiecho T2 measurements have been combined with MT measurements for freshly excised samples of cardiac muscle, striated muscle, and white matter. For muscle, short T2 components show greater MT than long T2 components, consistent with the belief that they represent distinct water environments. For white matter, quantitative MT measurements were identical for the two major T2 components, apparently because of exchange between the T2 compartments on a timescale characteristic of the MT experiment. Implications for accurate modeling of MT in tissue and the use of MT for MR image contrast are discussed. 相似文献
105.
A. J. Bullock R. A. Duquette N. Buttell S. Wray 《Pflügers Archiv : European journal of physiology》1998,435(4):575-577
Intracellular pH (pHi) is known to modulate contraction. Neonatal tissues can differ from adult tissue in contractile response to stimuli known
to alter pHi e.g. hypoxia. Changes of pH are attenuated by buffering, thus any difference in buffering power (β) between tissues could
affect their functional response to pHi perturbation. Similarly the extent to which any extracellular pH (pHo) alteration is transmitted into a pHi change will also influence function. We have therefore determined the intrinsic β and effect of pHo change on pHi in neonatal and adult ureteric, uterine and gastric smooth muscles using the pH-sensitive fluorophore carboxy-SNARF. β was
found to be similar in the three adult tissues, but there were significant differences between neonatal tissues. In contrast,
we found little difference in the amount of pHi change produced by pHo change between neonatal and adult tissues from the same smooth muscle, but a difference between smooth muscles. These data
highlight significant differences between smooth muscles and their developmental state, which may contribute to different
degrees of protection when pH is perturbed.
Received: 17 October 1997 / Received after revision: 27 November 1997 / Accepted: 28 November 1997 相似文献
106.
G. Bogeski N. P. Lean P. D. Kitchener A. Timar-Peregrin G. J. Sanger† A. D. Shafton & J. B. Furness 《Neurogastroenterology and motility》2003,15(4):417-425
Distension of the intestine is commonly used to elicit reflex responses at other sites in the gastrointestinal tract, and also to evaluate pain of intestinal origin. The sensory neurones, that initiate the reflexes or pain responses, react to the forces generated in the wall of the intestine. Thus, the responses of the intestine at the site of distension, particularly changes in contractile activity, influence the signals from the gut. In the present work we have analysed the relationship between distension and pressure changes in the jejunum of the rat, in vivo. Isovolumic distension for 5 min caused an initial pressure increase which declined quickly in the first 30 s, and then declined more slowly. Phasic pressure increases were superimposed on the baseline pressure change. Hexamethonium blocked the phasic pressure increases, whereas the initial rapid and subsequent slower pressure decline during distension persisted. Inhibition of nitric oxide synthase (NOS) increased intraluminal pressure and caused increased frequency and irregularity of phasic pressure increases. However, the decline in jejunal pressure during distension was not changed by inhibition of NOS. The pressure decline during isovolumic distension was similar whether saline or paraffin oil were used to distend the intestine, indicating that the decline was not due to increased hydrostatic pressure causing water and electrolyte to cross the mucosal epithelium from the lumen to the intestinal interstitium. Hyoscine had no significant effect on the pressure profile when the intestine was distended. However, when the systemic or the local circulation of the jejunum was infused with nicardipine, the pressure that was achieved during isovolumic distension was less, although the rate of change in pressure during the slow decline was similar. It is concluded that distension evokes phasic pressure increases in the jejunum, that are nerve-mediated, and increases the tension in the wall through a stretch-activated increase in contractile force generated by the circular muscle. The decline in pressure during maintained distension is primarily a consequence of visco-elastic properties of the wall of the intestine. 相似文献
107.
Primary leiomyosarcoma of the thyroid gland 总被引:1,自引:0,他引:1
Osamu Ozaki Kiminori Sugino Takashi Mimura Kunihiko Ito Seiichi Tamai Yasuhiro Hosoda 《Surgery today》1997,27(2):177-180
Primary leiomyosarcoma of the thyroid gland is extremely rare, and to the best of our knowledge only five well-documented
cases have been reported in the world literature. We herein report a 58-year-old female patient with primary leiomyosarcoma
of the thyroid who was successfully treated by total thyroidectomy with a modified neck dissection. Immunohistochemically,
the tumor cells showed positive reactivity to α-smooth muscle actin and vimentin. Radical surgery was thus considered to be
essential in the treatment of this rare but rather aggressive malignancy. 相似文献
108.
Richard J. Lederman 《Muscle & nerve》1994,17(6):569-577
Over the past 10–15 years, there has been increasing interest in the health problems of performing artists. In this review, I will discuss the major playing-related disorders seen in instrumental musicians. Among the 672 instrumentalists evaluated, the major diagnoses identified included musculoskeletal disorders in 64%, peripheral nerve problems in 22.5%. and focal dystonia in 7%. Sixty percent of instrumentalists were female although males predominate in the group with focal dystonia. The average age of those evaluated was 32 years. Among musculoskeletal disorders overuse syndrome is the most common. Frequent peripheral nerve disorders include thoracic outlet syndrome, carpal tunnel syndrome, and ulnar neuropathy. A characteristic distribution of symptoms and signs is identified for each instrument group. Electrodiagnostic studies are an important part of the evaluation of these disorders. With carefully designed treatment, the majority of instrumental musicians can be returned to full and pain-free playing activities. The success rate is highest in some entrapment neuropathies but remains low in focal dystonia. © 1994 John Wiley & Sons, Inc. 相似文献
109.
Previous study has shown that α2D-adrenoceptors are involved in modulation of peristalsis in the rat ileum. The aim of the present study was to determine the
tissue location of α-adrenoceptors in the rat ileum by using a recently devised method. The pre-synaptic α-adrenoceptors were
characterised by measuring the potencies of agonists to inhibit transmurally-evoked (1 ms pulses, 10 Hz, 8-10 s trains) contractions
of the longitudinal and circular muscles and the affinities of antagonists. Post synaptic α-adrenoceptors were identified
by screening agonists and antagonists in carbachol-contracted tissues. In the circular muscle the order of potencies for inhibiting
transmurally-induced contraction was: clonidine ≥ oxymetazoline ≥ UK 14,304 ≥ guanfacine > talipexole > phenylephrine > azepexole.
The potency ratios relative to clonidine correlated to those previously derived using the rat ileum peristaltic reflex preparation.
Most of the α-adrenoceptor agonists, however, caused only small inhibitions of the longitudinal muscle contraction in response
to transmural stimulation, except phenylephrine and azepexole. RX 821002, yohimbine, rauwolscine, BRL 44408, phentolamine,
idazoxan, ARC 239, and prazosin inhibited the effect of clonidine on the circular muscle response with apparent pKB values best correlated with pKB or pKi values derived from the rat ileum peristaltic reflex preparation and other tissues known to have the α2D-subtype. The rank order of potencies at inhibiting carbachol-induced responses of both muscle layers was: phenylephrine ≥
oxymetazoline > clonidine ≥ talipexole > azepexole >> guanfacine. UK 14,304 was inactive up to 10 μM. The EC50 value of each agonist on the longitudinal muscle was not significantly different to the corresponding value on the circular
muscle. Prazosin was more potent than yohimbine at inhibiting the relaxant effect of phenylephrine in both muscle layers of
carbachol-contracted tissues. It is concluded that the recently identified α2D-adrenoceptors of the rat ileum are located on cholinergic neurons controlling circular muscle contraction. The study also
demonstrated the presence of postsynaptic α1-adrenoceptors involved in mediating relaxation in both muscle layers.
Received: 4 November 1996 / Accepted: 10 April 1997 相似文献
110.
Viktoria Werkström Lars Ny Katarina Persson K.-E. Andersson 《Naunyn-Schmiedeberg's archives of pharmacology》1997,356(2):151-158
Neuronal regulation of smooth muscle tone in the female pig urethra has mainly been studied in vitro using electrical field
stimulation (EFS) of nerves. Excitatory control is considered to be exerted by released noradrenaline, whereas inhibitory
control is non-adrenergic non-cholinergic (NANC), and mediated by nitric oxide (NO), and an as yet unidentified agent. We
investigated the functional and morphological effects of α-latrotoxin (αLTX), a spider neurotoxin believed to cause massive
release of vesicle-stored neurotransmitters, on spontaneously developed urethral smooth muscle tone. The effects were compared
to those of EFS and high potassium. In the presence of the NO-synthesis inhibitor Nω-nitro-L-arginine (L-NOARG: 0.3 mM) both αLTX and EFS evoked contractions. After treatment with scopolamine and phentolamine,
no contraction was observed, and under these conditions αLTX and EFS induced relaxation. At low frequencies (<12 Hz), the
EFS-induced relaxations were rapid, whereas at higher frequencies (>12 Hz), they were biphasic, consisting of a rapid first
phase followed by a more long-lasting second phase. L-NOARG abolished the relaxations at low frequencies, as well as the first
phase of the biphasic relaxation. The second phase was not affected by treatment with L-NOARG, but 0.1 μM ω-conotoxin GVIA,
blocker of N-type voltage-operated calcium- channels (VOCCs), markedly reduced or abolished the response. In the presence
of L-NOARG or ω-conotoxin GVIA, the αLTX-induced relaxation was significantly decreased, and the combination of L-NOARG and
ω-conotoxin GVIA further reduced or abolished the relaxation. In preparationstreated with tetrodotoxin or scorpion venom,
believed to inactivate nerves by acting on sodium channels, αLTX and EFS had no effects. αLTX-induced relaxation was not associated
with changes in cyclic GMP or cyclic AMP content. High (80 mM) potassium solution induced a triphasic response of the preparation.
A transient relaxation was followed by a restoration of tone, and then by a persistent relaxation. The persistent relaxation
was slightly reduced by scorpion venom or L-NOARG, but reduced by 50% by a combination of L-NOARG and ω-conotoxin GVIA. Ultrastructural
analysis of the urethral circular smooth muscle layer revealed a moderate amount of nerve profiles supplying the smooth muscle.
In control preparations, the nerve profiles contained both small synaptic vesicles and large dense core vesicles. αLTX caused
a major loss of both types of vesicle. The present data suggest that αLTX has the ability to release not only adrenergic and
cholinergic transmitters, but also NANC mediators of relaxation, including NO, from nerve terminals in the urethra.
Received: 13 January 1997 / Accepted: 17 April 1997 相似文献