全文获取类型
收费全文 | 13753篇 |
免费 | 1072篇 |
国内免费 | 353篇 |
专业分类
耳鼻咽喉 | 38篇 |
儿科学 | 171篇 |
妇产科学 | 206篇 |
基础医学 | 1055篇 |
口腔科学 | 624篇 |
临床医学 | 1528篇 |
内科学 | 1679篇 |
皮肤病学 | 65篇 |
神经病学 | 1118篇 |
特种医学 | 270篇 |
外国民族医学 | 1篇 |
外科学 | 1067篇 |
综合类 | 1421篇 |
预防医学 | 1829篇 |
眼科学 | 102篇 |
药学 | 2817篇 |
6篇 | |
中国医学 | 921篇 |
肿瘤学 | 260篇 |
出版年
2024年 | 24篇 |
2023年 | 192篇 |
2022年 | 254篇 |
2021年 | 422篇 |
2020年 | 467篇 |
2019年 | 472篇 |
2018年 | 413篇 |
2017年 | 429篇 |
2016年 | 471篇 |
2015年 | 443篇 |
2014年 | 829篇 |
2013年 | 1020篇 |
2012年 | 712篇 |
2011年 | 775篇 |
2010年 | 683篇 |
2009年 | 600篇 |
2008年 | 666篇 |
2007年 | 630篇 |
2006年 | 514篇 |
2005年 | 508篇 |
2004年 | 484篇 |
2003年 | 495篇 |
2002年 | 421篇 |
2001年 | 343篇 |
2000年 | 310篇 |
1999年 | 261篇 |
1998年 | 297篇 |
1997年 | 260篇 |
1996年 | 241篇 |
1995年 | 152篇 |
1994年 | 141篇 |
1993年 | 124篇 |
1992年 | 116篇 |
1991年 | 120篇 |
1990年 | 112篇 |
1989年 | 81篇 |
1988年 | 76篇 |
1987年 | 75篇 |
1986年 | 72篇 |
1985年 | 76篇 |
1984年 | 71篇 |
1983年 | 57篇 |
1982年 | 45篇 |
1981年 | 43篇 |
1980年 | 37篇 |
1979年 | 37篇 |
1978年 | 30篇 |
1977年 | 16篇 |
1976年 | 14篇 |
1973年 | 15篇 |
排序方式: 共有10000条查询结果,搜索用时 31 毫秒
91.
兴奋性氨基酸类神经毒剂与粉防己碱(tetrandrine,Tet)共同作用于原代培养胎鼠大脑皮层神经元24小时,发现107,106mol·L1Tet明显降低50μmol·L1谷氨酸(glutamate,Glu),300μmol·L1βNmethylaminoLalanine(BMAA,NMDA受体激动剂)和20μmol·L1βNoxalylaminoLalanine(BOAA,nonNMDA受体激动剂)导致的培养液乳酸脱氢酶(lactatedehydrogenase,LDH)活性的增高;细胞形态损害减轻,细胞数量增加。对20μmol·L1NMDA介导的神经元损伤改变无影响。提示Tet对某些Glu类神经毒剂引起的胎鼠大脑皮层神经元损伤有一定保护作用,其机制可能是抑制细胞膜上的Na+通道开放,阻止膜去极化而影响电压依赖性Ca2+通道启动。对NMDA受体可能亦有一定作用。 相似文献
92.
P. M. Grasby T. Sharp T. Allen P. A. T. Kelly D. G. Grahame-Smith 《Psychopharmacology》1992,106(1):97-101
The azospirones gepirone (10 mg/kg), ipsapirone (10 mg/kg) and buspirone (10 mg/kg) were examined for their effect on regional cerebral glucose utilization in conscious rats using quantitative 2-deoxyglucose autoradiography. All three 5-HT1A partial agonists reduced glucose utilization in the hippocampus and dentate gyrus by 20–25% and increased glucose utilization by 38–65% in the lateral habenular nucleus; an important relay between striatal/limbic areas and the mid-brain raphe nuclei. The findings emphasize the potential importance of the hippocampus as a site of action for 5-HT1A receptor active drugs in vivo and also suggest that functional activity in the striatal/limbichabenular-raphe pathway may be influenced by gepirone, ipsapirone and buspirone. 相似文献
93.
论AB类医疗设备使用率考核方法 总被引:2,自引:1,他引:1
对AB类医疗设备使用率的考核是了解设备使用情况和效益的有效方法。本文通过几年来对南京总医院AB类医疗设备使用率的年度考核,摸索总结出一套行之有效的考核方法,为今后新型医疗设备使用率考核提供了可循的依据。 相似文献
94.
95.
The Na+–Ca2+ exchange (NCX) system plays a pivotal role in regulating intracellular Ca2+ concentration in cardiomyocytes, neuronal cells, kidney and a variety of other cells. It performs a particularly important function in regulating cardiac contractility and electrical activity. One of the leading NCX inhibitors is KB‐R9743 (KBR) that appears to exhibit selectivity for Ca2+‐influx‐mode NCX activity (reverse mode of NCX). In this article we reviewed pharmacology of KBR and provide a brief summary of studies with other NCX inhibitors, such as SEA0400 (SEA) and SN‐6 (SN). Potential clinical usefulness of KBR and other NCX inhibitors is still controversial but the reviewed findings may be helpful in designing more selective and clinically useful NCX inhibitors for the treatment of cardiac, neuronal and kidney diseases. 相似文献
96.
97.
Summary: A study was conducted to determine whether calcium blockers (CCB) have renoprotective effects, and if so to elucidate the mechanisms of such effects.
A total of 30 uninephrectomized (UNX) spontaneously hypertensive rats (SHR), 5 weeks of age, were divided into three groups. Group 1 was fed a diet containing 0.01% manidipine and 8% NaCl, while groups 2 and 3 were fed diets containing only 8 and 0.5% NaCl, respectively. Feeding of these diets began 7 days after UNX (experimental day 0). Bodyweight, urinary protein /24 h, urinary sodium excretion/24 h, and food intake were measured at certain time intervals.
At time of death (day 9 or 21), estimations of inulin clearance (Cin) and morphological evaluations, determination of glomerular sclerosis index (GSI), tubulointerstitial index (TII) and glomerular volume were performed.
Urinary protein was significantly higher in groups 1 and 2 than in group 3 from day 7 onward, but did not differ between the former two groups. Cin in group 2 was higher than in groups 1 and 3 on day 9, but declined to lower levels than in groups 1 and 3 by day 21. There was no difference in Cin between group 1 and group 3 on day 21. Morphometry (GSI and TII) revealed that renal lesions were more progressive in group 2 than in group 1. Glomeruli in group 2 were markedly larger than those in group 1, but no difference in glomerular volume was noted between groups 1 and 3.
Our findings suggest that CCB prevent progression of renal injury induced by accelerated hypertension in UNX SHR. the mechanisms of prevention may, at least in part, be related to suppression of glomerular hypertrophy. Inhibition of renal injury can be achieved without significant reduction of proteinuria. 相似文献
A total of 30 uninephrectomized (UNX) spontaneously hypertensive rats (SHR), 5 weeks of age, were divided into three groups. Group 1 was fed a diet containing 0.01% manidipine and 8% NaCl, while groups 2 and 3 were fed diets containing only 8 and 0.5% NaCl, respectively. Feeding of these diets began 7 days after UNX (experimental day 0). Bodyweight, urinary protein /24 h, urinary sodium excretion/24 h, and food intake were measured at certain time intervals.
At time of death (day 9 or 21), estimations of inulin clearance (Cin) and morphological evaluations, determination of glomerular sclerosis index (GSI), tubulointerstitial index (TII) and glomerular volume were performed.
Urinary protein was significantly higher in groups 1 and 2 than in group 3 from day 7 onward, but did not differ between the former two groups. Cin in group 2 was higher than in groups 1 and 3 on day 9, but declined to lower levels than in groups 1 and 3 by day 21. There was no difference in Cin between group 1 and group 3 on day 21. Morphometry (GSI and TII) revealed that renal lesions were more progressive in group 2 than in group 1. Glomeruli in group 2 were markedly larger than those in group 1, but no difference in glomerular volume was noted between groups 1 and 3.
Our findings suggest that CCB prevent progression of renal injury induced by accelerated hypertension in UNX SHR. the mechanisms of prevention may, at least in part, be related to suppression of glomerular hypertrophy. Inhibition of renal injury can be achieved without significant reduction of proteinuria. 相似文献
98.
P M Srivastava P Calafiore R J MacIsaac D L Hare G Jerums L M Burrell 《Diabetic medicine》2004,21(8):945-950
BACKGROUND: Patients with diabetes mellitus have a high incidence of coronary heart disease and congestive heart failure (CHF). Thiazolidinediones (TZD) are a new class of pharmacological agents for the treatment of Type 2 diabetes mellitus, which have many beneficial cardiovascular effects. Peripheral oedema and weight gain have been reported in 4.8% of subjects on TZDs alone, with a higher incidence noted in those receiving combination insulin therapy (up to 15%), but there is limited data on the occurrence of CHF. METHODS AND RESULTS: In this paper, we report on six cases of TZD-induced fluid retention with symptoms and signs of peripheral oedema and/or CHF that occurred in subjects attending our diabetic clinic. The predominant finding in all cases was of diastolic dysfunction. All subjects were obese and hypertensive, with 5/6 having the additional risk factor of LVH, 5/6 subjects had microvascular complications, whilst 3/6 were also on insulin therapy. CONCLUSION: We suggest that obese, hypertensive diabetics may benefit from echocardiographic screening prior to commencement of TZDs, as these agents may exacerbate underlying undiagnosed left ventricular diastolic dysfunction. 相似文献
99.
心肌缺血再灌注损伤时细胞核被膜钙泵活性特征的研究 总被引:1,自引:0,他引:1
目的 研究心肌缺血再灌注损伤时Ca2 + 、ATP、ADP和AMP对细胞核被膜钙泵 (Ca2 + ATPase)活性的调节。方法 采用大鼠心肌缺血再灌注模型 ,密度梯度分离纯化细胞核 ,定磷法测定Ca2 + ATPase活性。结果 与正常大鼠相比 ,缺血再灌注损伤动物血浆MDA和FFA显著升高 (P <0 0 1) ;细胞核Ca2 + ATPase活性下降 ,对Ca2 + 亲和力降低 ;ADP、AMP对核Ca2 + ATPase活性的影响明显减弱 ;ATP对Ca2 + ATPase的作用在 [ATP]小于 1 0mmol L时 ,与正常细胞Ca2 + AT Pase活性无显著差异 ,浓度增至 2 0mmol L时 ,活性低于正常细胞 ,ATP浓度继续增加 ,核Ca2 + ATPase活性快速增加。结论 心肌缺血再灌注损伤时Ca2 + 、ATP、ADP、AMP对心肌细胞核Ca2 + ATPase活性的影响发生了明显改变 ,其病理生理意义值得进一步探讨。 相似文献
100.
Tomohiko Ai M. Horie Kazuhiko Obayashi Shigetake Sasayama 《Pflügers Archiv : European journal of physiology》1998,436(2):168-174
To examine mechanism(s) underlying the accentuated antagonism by angiotensin II (A-II) on twitch tension, we recorded L-type
Ca2+ currents (I
Ca,L) using conventional patch-clamp techniques in single, guinea-pig, ventricular myocytes. I
Ca,L was recorded by a step-pulse protocol after eliminating K+ conductances (internal Cs+ plus tetraethylammonium chloride and K+-free extracellular solution). A-II (100 nM) did not affect basal I
Ca,L, but inhibited I
Ca,L that had been enhanced (approximately 200% of control) by (ISO, isoproterenol 100 nM). The inhibitory action of A-II was
concentration dependent (concentration eliciting 50% inhibition 88±9 pM, n=41) and the ISO-enhanced component of I
Ca,L was completely blocked by A-II at concentrations above 10 nM. CV-11974 (500 nM), an A-II type-1 receptor (AT1) antagonist, prevented the inhibitory action of A-II. Pre-incubation with pertussis toxin (PTX) abolished the inhibitory
effect of A-II. A-II also inhibited the I
Ca,L enhanced by histamine (500 nM) and forskolin (1 μM), but failed to affect I
Ca,L enhanced by intracellular cyclic adenosine monophosphate (1 mM). The inhibitory action of A-II may therefore involve AT1 receptors/PTX-sensitive, guanine nucleotide-binding (G) proteins (Gi)/adenylate cyclase and partially explains the A-II-dependent
accentuated antagonism of inotropy. 相似文献