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71.
目的 评价七叶皂苷钠注射液治疗慢性喘息型支气管炎和支气管哮喘的有效性与安全性。方法 将 84例慢性喘息型支气管炎和支气管哮喘患者随机分为 2组 :观察组用七叶皂苷钠 2 0mg加入生理盐水 4 0mL中缓慢静脉注射 ,每日 2次 ;对照组用甲基强的松龙 4 0mg加入生理盐水 4 0mL中静脉注射 ,每日 1次。 2组疗程均为 5d。结果 2组肺功能改善情况、临床疗效和综合疗效均无显著性差异 (P均 >0 .0 5 ) ,观察组和对照组不良反应发生率分别为12 %和 2 1% ,经相应对症处理后不影响治疗。结论 七叶皂苷钠治疗喘息患者安全、有效。 相似文献
72.
73.
T. Saito Z. J. Zhang Y. Manabe T. Ohtsubo H. Saito 《European archives of oto-rhino-laryngology》1997,254(6):281-286
The effect of sodium thiosulfate (STS) on the pharmacokinetics and ototoxicity of cisplatin (CDDP) was investigated in guinea
pigs. Animals received three intramuscular injections of 7.5 mg/kg CDDP separated by intervals of 5 days with or without STS
(1,000 mg/kg) administered intraperitoneally immediately and 1 h after each injection of CDDP or 3 and 6 h later. When administered
alone, CDDP caused total outer hair cell (OHC) loss in the basal and second turns of the cochlea. In the group administered
CDDP and STS, damage to the OHCs was mild when STS was given concurrently, but was severe when STS was given 3 and 6 h later.
Pharmacokinetics measured as free and total platinum (Pt) concentrations in plasma and total Pt concentration in perilymph
was not affected after administration of STS with CDDP. These results suggest that an inactive Pt-thiosulfate complex is formed
in plasma and is measured as a free Pt component which enters the perilymph via the blood-cochlear barrier. Two possible mechanisms
are proposed by which STS reduces ototoxicity: entry of CDDP into target cells such as OHCs and striai marginal cells or binding
to intracellular macromolecules of these cells is prevented. 相似文献
74.
Shin-ichiro Masunaga M.D. Ph.D. Koji Ono M.D. Ph.D. Yoshinori Sakurai D.Eng. Masao Takagaki M.D. Ph.D. Toru Kobayashi D.Eng. Minoru Suzuki M.D. Yuko Kinashi M.D. Ph.D. Mitsuhiko Akaboshi Ph.D. 《International journal of radiation oncology, biology, physics》1998,41(5):365
Purpose: Response of quiescent (Q) and total tumor cells in solid tumors to neutron irradiation with three different cadmium (Cd) ratios was examined. The role of Q cells in tumor control was also discussed.Methods and Materials: C3H/He mice bearing SCC VII tumors received continuous administration of 5-bromo-2′-deoxyuridine (BrdU) for 5 days using implanted mini-osmotic pumps to label all proliferating (P) cells. Thirty minutes after intraperitoneal injection of sodium borocaptate-10B (BSH), or 3 h after oral administration of dl-p-boronophenylalanine-10B (BPA), the tumors were irradiated with neutrons, or those without 10B-compounds were irradiated with gamma rays. This neutron irradiation was performed using neutrons with three different cadmium (Cd) ratios. The tumors were then excised, minced, and trypsinized. The tumor cell suspensions were incubated with cytochalasin-B (a cytokinesis-blocker), and the micronucleus (MN) frequency in cells without BrdU labeling (Q cells) was determined using immunofluorescence staining for BrdU. The MN frequency in total (P + Q) tumor cells was determined from tumors that were not pretreated with BrdU. The sensitivity to neutrons was evaluated in terms of the frequency of induced micronuclei in binuclear tumor cells (MN frequency).Results: Without 10B-compounds, the MN frequency in Q cells was lower than that in the total cell population. The sensitivity difference between total and Q cells was reduced by neutron irradiation. Relative biological effectiveness (RBE) of neutrons compared with gamma rays was larger in Q cells than in total cells, and the RBE values for low-Cd-ratio neutrons tended to be larger than those for high-Cd-ratio neutrons. With 10B-compounds, MN frequency for each cell population was increased, especially for total cells. This increase in MN frequency was marked when high-Cd-ratio neutrons were used. BPA increased the MN frequency for total tumor cells more than BSH. Nevertheless, the sensitivity of Q cells treated with BPA was lower than that in BSH-treated Q cells. This tendency was clearly observed in high-Cd-ratio neutrons.Conclusion: From the viewpoint of enhancing the Q-cell sensitivity, tumors should be irradiated with high-Cd-ratio neutrons after BSH administration. However, normal tissue reaction remains to be examined because of its low tumor-to-normal tissue and tumor-to-blood biodistribution ratios. 相似文献
75.
七叶皂苷钠的临床应用、不良反应及药理学研究 总被引:8,自引:0,他引:8
目的:了解文献报道有关注射用七叶皂苷钠的各种临床应用、不良反应,为临床合理用药提供参考。方法:对国内近几年来应用注射用七叶皂苷钠的临床应用、不良反应进行整理归纳和分析。结果:注射用七叶皂苷钠的临床应用主要有脑梗塞、格-巴综合征和面神经炎等。不良反应主要有静脉炎、过敏反应和肾损害等。结论:注射用七叶皂苷钠因其独特的药理作用,在临床上仍然是不可缺少的药物。临床医师、药师应提高警惕,加强对其不良反应的监测和防治以确保用药安全。 相似文献
76.
注射用阿莫西林/舒巴坦在5种输液中的配伍稳定性考察 总被引:2,自引:0,他引:2
目的考察注射用阿莫西林/舒巴坦于不同温度下在5种输液中的配伍稳定性。方法将阿莫西林/舒巴坦分别加入到5%葡萄糖注射液、复方氯化钠注射液、葡萄糖氯化钠注射液、0.9%氯化纳注射液、10%葡萄糖注射液中混合;采用高效液相色谱法在4oC、25oC、37qC下测定配伍前后不同时间舒巴坦与阿莫西林的含量,同时观察液体外观并测定pH值。结果阿莫西林/舒巴坦在0.9%氯化纳注射液、复方氯化钠注射液中较稳定,在含葡萄糖的输液中pH、含量下降均较快。结论阿莫西林/舒巴坦可以与0.9%氯化纳注射液、复方氯化钠注射液配伍使用。 相似文献
77.
七叶皂苷钠佐治脑出血的研究 总被引:4,自引:0,他引:4
目的观察七叶皂苷钠治疗脑出血脑水肿的疗效及安全性。方法将40例脑出血患者随机分为2组,治疗组21例,对照组20例,均应用甘露醇脱水降颅压,治疗组加用七叶皂苷钠。治疗前后进行神经功能评分,CT下测量水肿体积。结果治疗后治疗组神经功能评分明显高于对照组(P<0.05),治疗组水肿产生量明显少于对照组(P<0.05)。结论脑出血急性期加用七叶皂苷钠可以抑制脑水肿的形成,提高脑出血患者神经功能评分。 相似文献
78.
Diffusion-weighted magnetic resonance imaging (DWI) with calculation of the apparent diffusion coefficient (ADC) of water is a widely used noninvasive method to measure movement of water from the extracellular to the intracellular compartment during cerebral ischemia. Lamotrigine, a neuronal Na(+) channel blocker, has been shown to attenuate the increase in extracellular concentrations of excitatory amino acids (EAA) during ischemia and to improve neurological and histological outcome. Because of its proven ability to reduce EAA levels during ischemia, lamotrigine should also minimize excitotoxic-induced increases in intracellular water content and therefore attenuate changes in the ADC. In this study, we sought to determine the effect of lamotrigine on intra- and extracellular water shifts during transient global cerebral ischemia. Fifteen New Zealand white rabbits were anesthetized and randomized to one of three groups: a control group, a lamotrigine-treated group, or a sham group. After being positioned in the bore of the magnet, a 12-min 50-s period of global cerebral ischemia was induced by inflating a neck tourniquet. During ischemia and early reperfusion there was a similar and significant decrease of the ADC in both the lamotrigine and control group. The ADC in the sham ischemia group remained at baseline throughout the experiment. Lamotrigine-mediated blockade of voltage-gated sodium channels did not prevent the intracellular movement of water during 12 min 50 s of global ischemia, as measured by the ADC, suggesting that the ADC decline may not be mediated by voltage-gated sodium influx and glutamate release. 相似文献
79.
A possible role for nerve growth factor in the augmentation of sodium channels in models of chronic pain 总被引:5,自引:0,他引:5
Inflammation induces an upregulation of sodium channels in sensory neurons. This most likely occurs as a result of the retrograde transport of cytochemical mediators released during the inflammatory response. The purpose of this study was to determine the effect of the subcutaneous administration of one such mediator, nerve growth factor (NGF), on the production of sodium channels in neurons of the rat dorsal root ganglion. For this, hindpaw withdrawal from either a thermal or mechanical stimulus was measured in rats at selected intervals for up to 2 weeks following injections of NGF. Sodium channel augmentation was then examined in dorsal root ganglia using site-specific, anti-sodium channel antibodies. Both thermal and mechanical allodynia was observed between 3 and 12 h post-injection. The hyperalgesic response returned to baseline by approximately 24 h post-injection. Sodium channel labeling was found to increase dramatically in the small neurons of the associated dorsal root ganglia beginning at 23 h, reached maximum intensity by 1 week, and persisted for up to 3 months post-injection. Pre-blocking NGF with anti-NGF prevented the NGF-induced decrease in paw withdrawal latencies and significantly reduced the intensity of sodium channel labeling. The results indicate that NGF is an important mediator both in the development of acute hyperalgesia and in the stimulation of sodium channel production in dorsal root ganglia during inflammation. 相似文献
80.
Changes in sodium, potassium, and water content in brain tissue are important in the progression of pathology that follows ischemic stroke. Determining these parameters regionally in rodent models of experimental ischemia has been limited because typical tissue weights of more than 35 mg are too large. Identifying ischemic tissue to direct tissue sampling towards ischemic cortex is also represents a difficult generally unresolved area. We suggest that larger differences between normal and ischemic cortex of sodium, potassium, and water content than previously observed can be obtained from directed sampling of 2-mg brain tissue in a model of focal cerebral ischemia. In five rats, the middle cerebral artery and both common carotid arteries were occluded for 4.9+/-0.13 h (mean+/-SEM). Punch-sampling of 1-mm diameter tissue cores for water content (H(2)O%) by the wet-dry method, and [Na(+)] and [K(+)] by flame photometry, was guided by the observation of a subtle change in the surface reflectivity of ischemic cortex of quickly dried, 20-microm frozen brain sections, that was confirmed by MAP2 immunohistochemistry. The ratio of the lesion areas as determined by the reflective change and MAP2 immunoreactivity was 0.96+/-0.03 (n=5). In ischemic cortex H(2)O% was 79.9%+/-0.8%, [Na(+)] was 550+/-25 mEq/kg dry-weight, and [K(+)] 94.2+/-19.2 mEq/kg dry-weight (n=5), all significantly different from the values in border zone cortex, and in cortex contralateral to ischemic cortex and border zone (for all samples n=60, mean wet weight 2.037+/-0.046 mg). Differences between ischemic and normal cortex were 5.4+/-1.1%, 317+/-21 mEq/kg dry-weight, -304+/-27 mEq/kg dry-weight (n=5) for H(2)O%, [Na(+)], and [K(+)]. These differences between ischemic and normal cortex are 1.4-2.5, 1-3.11, and 1.4-3.5 times greater, respectively, than previous results obtained using samples weighing 35 mg or more. These results extend the association of sodium and potassium with ischemic brain edema in the rodent model, and show that these classical measurements can keep pace with the regionality of histochemical and morphological methods. 相似文献