全文获取类型
收费全文 | 32461篇 |
免费 | 1746篇 |
国内免费 | 405篇 |
专业分类
耳鼻咽喉 | 232篇 |
儿科学 | 775篇 |
妇产科学 | 160篇 |
基础医学 | 2719篇 |
口腔科学 | 85篇 |
临床医学 | 4870篇 |
内科学 | 8398篇 |
皮肤病学 | 79篇 |
神经病学 | 4474篇 |
特种医学 | 1101篇 |
外科学 | 3183篇 |
综合类 | 3363篇 |
预防医学 | 800篇 |
眼科学 | 891篇 |
药学 | 2021篇 |
10篇 | |
中国医学 | 935篇 |
肿瘤学 | 516篇 |
出版年
2023年 | 422篇 |
2022年 | 852篇 |
2021年 | 1227篇 |
2020年 | 1055篇 |
2019年 | 1126篇 |
2018年 | 1185篇 |
2017年 | 1048篇 |
2016年 | 921篇 |
2015年 | 1057篇 |
2014年 | 2143篇 |
2013年 | 2193篇 |
2012年 | 1599篇 |
2011年 | 1821篇 |
2010年 | 1468篇 |
2009年 | 1525篇 |
2008年 | 1546篇 |
2007年 | 1467篇 |
2006年 | 1386篇 |
2005年 | 1077篇 |
2004年 | 947篇 |
2003年 | 758篇 |
2002年 | 691篇 |
2001年 | 591篇 |
2000年 | 495篇 |
1999年 | 452篇 |
1998年 | 419篇 |
1997年 | 447篇 |
1996年 | 460篇 |
1995年 | 365篇 |
1994年 | 332篇 |
1993年 | 312篇 |
1992年 | 302篇 |
1991年 | 248篇 |
1990年 | 204篇 |
1989年 | 188篇 |
1988年 | 191篇 |
1987年 | 168篇 |
1986年 | 159篇 |
1985年 | 218篇 |
1984年 | 239篇 |
1983年 | 132篇 |
1982年 | 168篇 |
1981年 | 140篇 |
1980年 | 145篇 |
1979年 | 106篇 |
1978年 | 77篇 |
1977年 | 91篇 |
1976年 | 93篇 |
1975年 | 76篇 |
1973年 | 65篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
81.
对TOCP染毒母鸡进行为期7周的神经电生理监测,结果表明,TOCP主要影响远端周围神经,导致坐骨神经远端MCV和SCV减慢及腓肠肌EMG失神经样改变,而胫后神经H反射及重复电刺激无明显异常。 相似文献
82.
Membrane flow within the myelin sheath in IDPN neuropathy 总被引:1,自引:0,他引:1
A. E. BLAUROCK M. B. GENTER ST CLAIR D. G. GRAHAM 《Neuropathology and applied neurobiology》1991,17(4):309-321
This report describes some aspects of beta,beta'-iminodipropionitrile (IDPN) neuropathy in rats as observed by ultrastructural methods and X-ray diffraction. Light microscopy shows gross swelling of the axons in proximal lumbar spinal roots 8 days after intraperitoneal injection of IDPN. Mean axon cross-sectional area and mean axon perimeter increased to 280% and 160% of their control values, respectively. At the same time, myelin membrane packing was not visibly disturbed. In addition, X-ray diffraction patterns, recorded under physiological conditions, demonstrate that the myelin lipid bilayer thickness and widths of the aqueous spaces between bilayers did not change. Related observations are made on posterior tibial nerve (PNS myelin) and ventral spinal cord (CNS myelin). The various observations together are interpreted in terms of a fluid myelin membrane. It is proposed that the myelin membrane flows during axon swelling even though normal membrane-membrane contacts are maintained within the sheath. Membrane flow and slippage between membranes are explained in terms of a molecular model of the myelin multilayer. 相似文献
83.
Paediatric cardiac arrest and resuscitation provided by physician-staffed emergency care units 总被引:1,自引:0,他引:1
P. SUOMINEN R. KORPELA M. KUISMA T. SILFVAST K. T. OLKKOLA 《Acta anaesthesiologica Scandinavica》1997,41(2):260-265
Background: Most paediatric cardiac arrest studies have been conducted in the USA, where paramedics provide prehospital emergency care. We wanted to study the outcome of paediatric cardiac arrest patients in an emergency medical system which is based on physician staffed emergency care units.
Methods: We analysed retrospectively the files of 100 prehospital cardiac arrest patients from Southern Finland during a 10-year study period. The patients were less than 16 years of age.
Results: Fifty patients were declared dead on the scene (DOS) without attempted resuscitation, and cardiopulmonary resuscitation (CPR) was initiated in 50 patients. The sudden infant death syndrome was the most common cause of arrest in the DOS patients (68%) as well as in those receiving CPR (36%). Asystole was the initial cardiac rhythm in 70% of the patients in whom CPR was attempted. Resuscitation was successful in 13 patients, 8 of whom were ultimately discharged. Six of the patients survived with mild or no disability and 4 of them had near-drowning aetiology. In multivariate analysis, the short duration of CPR (≤15 min) was the only factor significantly associated with better survival.
Conclusions: Although prehospital care was provided by physicians, the overall rate of survival was found to be equally poor as reported from systems with paramedics. The only major difference between physician- and paramedic-staffed emergency care units is the ability of physicians to refrain from resuscitation already on the scene when prognosis is poor. 相似文献
Methods: We analysed retrospectively the files of 100 prehospital cardiac arrest patients from Southern Finland during a 10-year study period. The patients were less than 16 years of age.
Results: Fifty patients were declared dead on the scene (DOS) without attempted resuscitation, and cardiopulmonary resuscitation (CPR) was initiated in 50 patients. The sudden infant death syndrome was the most common cause of arrest in the DOS patients (68%) as well as in those receiving CPR (36%). Asystole was the initial cardiac rhythm in 70% of the patients in whom CPR was attempted. Resuscitation was successful in 13 patients, 8 of whom were ultimately discharged. Six of the patients survived with mild or no disability and 4 of them had near-drowning aetiology. In multivariate analysis, the short duration of CPR (≤15 min) was the only factor significantly associated with better survival.
Conclusions: Although prehospital care was provided by physicians, the overall rate of survival was found to be equally poor as reported from systems with paramedics. The only major difference between physician- and paramedic-staffed emergency care units is the ability of physicians to refrain from resuscitation already on the scene when prognosis is poor. 相似文献
84.
P. H. E. Hilkens J. Verweij Ch. J. Vecht G. Stoter M. J. van den Bent 《Annals of oncology》1997,8(2):187-190
Background: Docetaxel, a semi-synthetic taxane may cause a usuallymild sensory neuropathy. We describe the clinical characteristics of fivepatients who developed a more severe neuropathy following treatment withdocetaxel.Patients and methods: All patients were treated in phase II studieswith 100 mg/m2 docetaxel in three weekly cycles, withoutsteroid administration.Results: The clinical picture in these patients was dominated by asensory neuropathy, but in one case severe weakness was present. Anotherpatient developed Lhermitte's sign. Signs and symptoms are usually reversibleafter discontinuation of docetaxel administration, but in three patientssymptoms worsened for some time after the end of treatment before improvementoccurred.Conclusion: Severe docetaxel neuropathy may especially occurfollowing treatment with cumulative dosage over 600 mg/m2; inpatients treated with this dosage a moderate or severe neuropathy may not berare. 相似文献
85.
Anders Franco-Cereceda 《Naunyn-Schmiedeberg's archives of pharmacology》1989,340(2):180-184
Summary (1) The possible influence of Prostaglandins (PG) E1 and I2 as well as ischaemia, ouabain and bradykinin on the outflow of calcitonin gene-related peptide (CGRP)- and neuropeptide Y (NPY)-like immunoreactivity (LI) from the guinea-pig heart was studied in vitro. (2) Exposure to PGE1 (10–5 M), but not PGI2 (10–5 M), induced an increased outflow, suggesting release of CGRP-LI. PGE1 simultaneously increased the contractile force and heart rate while no effects were observed on perfusate volume or outflow of NPY-LI. PGI2 had no effect on contractile parameters or coronary flow. In separate experiments on capsaicin-pretreated animals, the stimulatory effects of PGE1 on heart rate and contractile force remained unchanged while no increased CGRP-LI outflow was detectable. (3) Ouabain, bradykinin and reperfusion after total stop-flow ischaemia was associated with an indomethacin-resistant increase in perfusate levels of CGRP-LI but not of NPY-LI. While ouabain markedly increased the contractile force, exposure to bradykinin or ischaemia did not induce any clear-cut changes in contractile force or heart rate. (4) Capsaicin-exposure evoked a markedly increased outflow of CGRP-LI but not of NPY-LI in combination with an increase in heart rate and a decrease in contractile force. Repeated administration of capsaicin induced tachyphylaxis. The stimulatory effects of capsaicin on CGRP-LI outflow and heart rate, but not the negative inotropic effect, did not occur in capsaicin-pretreated animals. (5) It is concluded that PGE1, but not PGI2, can activate cardiac capsaicin-sensitive fibres as revealed by increased outflow of CGRP-LI. The cardiostimulatory effects induced by PGE1 are not related to CGRP release, however. A possible prostaglandin link in the CGRP-LI released by ouabain, bradykinin or ischaemia seems unlikely.
Send offprint requests to: A. Franco-Cereceda at the above address 相似文献
86.
病毒性心肌炎心肌肌钙蛋白Ⅰ检测的临床意义 总被引:1,自引:0,他引:1
目的:对病毒性心肌炎患儿血中肌钙蛋白I(cTn I)含量进行检测,探讨与临床的关系。方法:采用放射免疫法对24例病毒性心肌炎患儿血中cTn I进行定量检测,同时检测血清心肌酶谱的改变情况,并就两种指标进行相关性探讨。结果:病毒性心肌炎患儿血中cTn I含量明显增高(4.5±2.2 )vs(2.3±0.3)ng/ml,P<0.01),并与CKMB,LDH_1的含量呈明显的正相关。结论:cTnl I是诊断病毒性心肌炎的敏感指标,可以反映出心肌受损的程度。 相似文献
87.
88.
89.
Takashi Ito Ryuji Sakakibara MD Tatsuya Yamamoto Tomoyuki Uchiyama Zhi Liu Masato Asahina Morihiro Higashi Kimihito Arai Shoichi Ito Yusuke Awa Kaori Yamamoto Mika Kinou Tomonori Yamanishi Takamichi Hattori 《Clinical autonomic research》2006,16(1):66-71
Abstract Uro-neurological assessment was performed in four patients with small-fiber neuropathy due to amyloidosis (2 transthyretin-type/2
immunoglobulin light-chain-type). Voiding difficulties were due to detrusor weakness and impaired bladder sensation. In two
patients cholinesterase inhibition treatment caused urge incontinence, indicating detrusor denervation supersensitivity. The
underlying mechanisms of urinary dysfunction seem to involve postganglionic cholinergic and afferent somatic nerves. 相似文献
90.
L Madacsy A Yasar T Tulassay A Körner J Kelemen M Hóbor M Miltényi 《Acta paediatrica (Oslo, Norway : 1992)》1994,83(4):414-417
Twenty-four-hour blood pressure and heart rate measurements were carried out in 14 newly diagnosed diabetics and in 28 diabetics with 5–13 years' duration of the disease; 8 healthy children were used as controls. Mean arterial blood pressure increased at night in 5, decreased slightly (less than 10%) in 5 and decreased markedly (more than 10%) in 18 diabetics with longer duration of the disease. The diurnal-nocturnal differences in heart rates were significantly lower in diabetics with relative "nocturnal hypertension" compared to the control group ( p < 0.05). A significant negative correlation was found between maximal arterial blood pressure during physical exercise and the diurnal-nocturnal differences in mean arterial blood pressure in diabetics ( r =−0.58; p < 0.02). In conclusion, we found elevated nocturnal blood pressure in a subgroup of children with longer duration of diabetes and without increased albumin excretion. However, longitudinal studies of blood pressure profiles are needed to identify the candidates for diabetic vasculopathy among diabetic children. 相似文献