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101.
A program called “An Epidemiological Approach to Computerized Medical Diagnosis” (AEDMI) is presented. Using an interactive questionnaire, physician-patient interviews are conducted and a summary of the relevant clinical data is provided. Standard items, obained on a multi-centre basis, form a large-scale data base. Simultaneously, the reasoning of clinical experts in each real case is analyzed to obtain a knowledge-rules data base. The methodology of the program combines Bayesian systems, expert systems, and other new lines of researcg such as neural networks or case-based reasoning. The general concepts of clinical decision making aid systems are reviewed. This publication is aimed at obtaining international cooperation. 相似文献
102.
Jagodzinski PP Lecybył R Ignacak M Juszczyk J Trzeciak WH 《Journal of human genetics》2000,45(5):271-274
The chemokine receptor CCR5 constitutes a major co-receptor for the R5 strains of HIV-1, and a mutant allele of the CCR5 gene, especially in the homozygous form Δ32/Δ32, confers resistance against infection by the virus. The frequency of the
Δ32 allele was determined in blood donors from 16 provinces, covering the entire territory of Poland. Among 861 individuals
182 (21.1%) were carriers of the mutated allele; 7 of them (0.8 %) were homozygotes Δ32/Δ32, and 175 (20.3%) were heterozygotes
+/Δ32, resulting in a 10.9% frequency of the Δ32 allele. The highest frequencies of the mutated allele were found in the eastern
and western provinces, and the lowest frequencies of the Δ32 allele were detected in the provinces in the center of the country.
This pattern of distribution may reflect the migration of the population from the eastern territories of Poland to the western
part of the country after World War II.
Received: March 17, 2000 / Accepted: May 29, 2000 相似文献
103.
目的 了解我国女性输血后丙型肝炎病毒 (HCV)感染的慢性化规律和影响因素。方法 对河北省固安县 1989~ 1993年 4 1例女性慢性输血后丙型肝炎患者的现状进行调查 ,包括临床表现 ,血清生物化学指标 ,病毒学标志检测及B型超声检查。其中 ,HCVRNA的测定采用荧光定量PCR方法 ,抗 HIV ,抗 HCV和HBsAg测定采用酶联免疫吸附试验。结果 4 1例女性丙型肝炎患者平均年龄 (40± 7)岁 ,随访时间 10~ 15年 ,HCVRNA间隔半年两次检测 ,自然阴转率为 19 5 1% (8 4 1)。 30例(73% )现在有症状 ,以乏力最为常见 (77% )。总的丙氨酸转氨酶 (ALT)和 (或 )天冬氨酸转氨酶 (AST)异常率为 32 % (13 4 1) ,均为轻度异常 ,无中度和重度。B超轻度慢性肝炎占 83% (34 4 1) ,中度占 17%(7 4 1) ,无重度。结论 平均感染 (13± 1)年的女性输血后慢性丙型肝炎患者多数肝脏炎症轻微慢性感染进程中有部分感染者出现HCVRNA自发阴转。 相似文献
104.
105.
Prof. H. Hofmann Dr. C. Bothge Dr. S. Haselwarter Prof. L. Heinemann Dr. W. Barth Dr. E. Schüler Prof. U. Laaser Dr. M. Siegel Prof. F. C. Luft Die Intersalt-Forschungsgruppe aus BRD und DDR 《Journal of molecular medicine (Berlin, Germany)》1990,68(13):655-663
Summary The relationships between body mass index (BMI) and age, alcohol consumption, 24-hr urinary electrolyte excretion, and BP were studied in 588 subjects from three German centers participating inIntersalt, a highly standardized, previously reported protocol. Men and women aged 20–59 were sampled in Bernried, FRG; Cottbus, GDR; and Heidelberg, FRG. The subjects from the three centers did not differ in BMI, level of education, physical activity, cigarette- or alcohol-consumption patterns, or urinary Cl excretion. Mean Na excretion was 167, 147, and 172 mmol/24 hr in Bernried, Cottbus, and Heidelberg, while mean K excretion was 72, 55, and 73 mmol/24 hr, respectively. The excretion of these electrolytes was significantly lower in Cottbus than in Bernried or Heidelberg. BMI increased progressively in men with age; in women BMI plateaued until the 5th decade, after which it increased to equal that of men. In individual centers, the excretion of electrolytes was correlated with BML Sodium and chloride excretion were highly correlated. The data from each individual center were fitted to a multiple regression model. Age, BMI, sex, and alcohol consumption entered the model. 相似文献
106.
Heritability of C-Reactive Protein and Association with Apolipoprotein E Genotypes in Japanese Americans 总被引:1,自引:0,他引:1
M. A. Austin C. Zhang S. E. Humphries W. L. Chandler P. J. Talmud K. L. Edwards D. L. Leonetti M. J. Mcneely W. Y. Fujimoto 《Annals of human genetics》2004,68(3):179-188
Numerous studies have demonstrated that increased C‐reactive protein (CRP) levels predict coronary heart disease, stroke, peripheral vascular disease, and diabetes, and are associated with features of the metabolic syndrome. Only three previous studies have investigated the heritability of CRP levels, primarily in samples of Caucasian families.The purpose of the present study was to estimate the magnitude of genetic influences on CRP levels, and to examine potential associations between variation in the APOE gene and CRP levels, using a sample of 562 individual Japanese Americans from 68 extended kindreds. In general, correlation coefficients between first‐degree relatives for CRP were approximately 0.2, and spouse correlations did not differ from zero, consistent with genetic influences. Heritability estimates were approximately 0.3 (p < 0.01), even with adjustment for factors known to influence CRP levels. A significant relationship was seen between unadjusted CRP levels and APOE genotypes (p = 0.02), with the highest mean CRP level among ?2 carriers (1.20 mg/L), and nearly the same mean levels among ?3/?3 subjects and ?4 carriers (0.72 and 0.74 mg/L, respectively). However, this relationship was diminished with adjustment for covariates (p = 0.07). These results demonstrate the presence of both genetic and environmental effects on CRP levels among Asian Americans, and additional studies are needed to determine if the APOE gene contributes to these genetic influences. 相似文献
107.
108.
R. Saito S. Okugawa W. Kumita K. Sato T. Chida N. Okamura K. Moriya K. Koike 《Clinical microbiology and infection》2007,13(12):1204-1206
This study investigated the clinical characteristics of ciprofloxacin-resistant Proteus mirabilis isolates from urine samples associated with nosocomial infection or colonisation, and identified the risk-factors for ciprofloxacin resistance. Data for patients with ciprofloxacin-resistant P. mirabilis isolates (n=13) were compared with those for randomly selected patients with ciprofloxacin-susceptible P. mirabilis isolates (n=40) who were matched by temporal occurrence as control patients. The majority of ciprofloxacin-resistant P. mirabilis isolates were multiresistant, and ciprofloxacin resistance was associated significantly with previous use of fluoroquinolones and production of extended-spectrum beta-lactamases. 相似文献
109.
宫脂属线虫是鱼类寄生线虫的重要类群。本文从分类学、流行病学、生态学以及生活史等方面对宫脂属线虫的研究进展进行了论述。 相似文献
110.
The prevalence of TT virus (TTV) infection and its relationship to hepatitis in children 总被引:4,自引:0,他引:4
Iriyama M Kimura H Nishikawa K Yoshioka K Wakita T Nishimura N Shibata M Ozaki T Morishima T 《Medical microbiology and immunology》1999,188(2):83-89
TT virus (TTV) is a newly discovered virus from a patient with post-transfusion hepatitis. We investigated the frequency
and pathogenesis of TTV infection in children. A semi-nested PCR assay was used to amplify TTV-DNA in serum samples from 254
ambulatory children without liver disease, 20 with hepatitis of unknown etiology, and 18 transfusion recipients or hemophiliacs.
In positive samples, TTV-DNA was quantified by real-time quantitative PCR using a fluorescent probe. We detected TTV-DNA in
20% of children with hepatitis of unknown etiology, which was not statistically different from the 23% prevalence in ambulatory
children. In transfusion recipients or hemophiliacs, the frequency was higher (50%) than that in ambulatory children (P = 0.01). Among ambulatory children, TTV-DNA was frequently detected in children with acute gastroenteritis (36%). TTV-DNA
was detected in 10% of the infants under 6 months old, and 20% of the children from 7 to 12 months old. The prevalence was
constant after the age of 1 year; however, the copy number of TTV-DNA was significantly higher in children under 1 year of
age (mean: 105.4 versus 103.8 copies/ml, P= 0.008). Finally, TTV-DNA was quantified serially in three children with chronic hepatitis who were positive for TTV-DNA.
The presence or amount of TTV-DNA was unrelated to the serum alanine aminotransferase level. These results indicate that TTV
infection is common in children. The larger quantity of TTV-DNA in infants and the high prevalence of TTV in children of all
ages suggest that TTV may be transmitted in early childhood. Its relationship to hepatitis is doubtful in children.
Received: 8 April 1999 相似文献