全文获取类型
收费全文 | 15513篇 |
免费 | 944篇 |
国内免费 | 362篇 |
专业分类
耳鼻咽喉 | 153篇 |
儿科学 | 429篇 |
妇产科学 | 390篇 |
基础医学 | 1017篇 |
口腔科学 | 223篇 |
临床医学 | 1827篇 |
内科学 | 2208篇 |
皮肤病学 | 113篇 |
神经病学 | 991篇 |
特种医学 | 377篇 |
外科学 | 1619篇 |
综合类 | 2876篇 |
预防医学 | 1598篇 |
眼科学 | 187篇 |
药学 | 1336篇 |
13篇 | |
中国医学 | 578篇 |
肿瘤学 | 884篇 |
出版年
2024年 | 32篇 |
2023年 | 313篇 |
2022年 | 573篇 |
2021年 | 751篇 |
2020年 | 752篇 |
2019年 | 594篇 |
2018年 | 609篇 |
2017年 | 564篇 |
2016年 | 622篇 |
2015年 | 632篇 |
2014年 | 1411篇 |
2013年 | 1297篇 |
2012年 | 1132篇 |
2011年 | 1152篇 |
2010年 | 877篇 |
2009年 | 785篇 |
2008年 | 776篇 |
2007年 | 659篇 |
2006年 | 563篇 |
2005年 | 419篇 |
2004年 | 321篇 |
2003年 | 236篇 |
2002年 | 249篇 |
2001年 | 194篇 |
2000年 | 174篇 |
1999年 | 148篇 |
1998年 | 128篇 |
1997年 | 85篇 |
1996年 | 80篇 |
1995年 | 70篇 |
1994年 | 70篇 |
1993年 | 53篇 |
1992年 | 51篇 |
1991年 | 49篇 |
1990年 | 39篇 |
1989年 | 35篇 |
1988年 | 38篇 |
1987年 | 32篇 |
1986年 | 21篇 |
1985年 | 35篇 |
1984年 | 26篇 |
1983年 | 22篇 |
1982年 | 26篇 |
1981年 | 14篇 |
1980年 | 17篇 |
1979年 | 25篇 |
1978年 | 17篇 |
1977年 | 10篇 |
1976年 | 8篇 |
1973年 | 8篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
41.
Dana R. Brock 《Early child development and care》1990,57(1):101-108
Research on children's early writing development in the past has focused primarily on product and process. In reviewing the more recent research on early writing development, however, a new focus of context emerges. Occurrences of literacy are now being observed in the home, the school, and the community. With this new emphasis, comes the task of defining context. A definition of context reflects theoretical perspectives, areas of research interests, and types of methodologies employed in conducting research. Therefore, the purpose of this article is to address the following aspects of context: #op1#cp multidiscipline perspectives and definitions of context, #op2#cp contextual shifts observed between the home and the school, #op3#cp contextual factors present when learning how to write, and #op4#cp pedagogical implications for curriculum development. 相似文献
42.
老年痴呆症的发生与AB以及Tau蛋白的错误折叠密切相关,是蛋白质折叠相关的疾病,早期诊断是预防老年痴呆症的首要任务,而综合治疗是人类对抗老年痴呆症的必然举措。 相似文献
43.
目的单因素观察吸入性损伤或烧伤后血清免疫反应性降钙素(iCT)的变化,分析其诊断意义。方法将24只犬随机分为单纯吸入性损伤后中度(A)、重度(B)、特重度损伤(C)组及单纯重度烧伤(D)组,每组6只。吸人性损伤犬均在伤后6 h行纤维支气管镜检查,以明确其损伤程度。分别于不同时相点抽取犬静脉血检测iCT含量,抽取动脉血做血气分析。结果(1)经纤维支气管镜检查,证实A、B、C组犬符合吸入性损伤的预期程度。(2)与伤前值(38±22)ng/L比较,各组吸人性损伤犬iCT含量在伤后1 h均明显升高(P<0.05),伤后4 h明显高于D组(P(0.05),其中A组于24 h达峰值(453±224)ng/L,B、C组在48 h内呈进行性升高。D组犬iCT含量在伤后2 h开始持续升高,至伤后48 h为(125±41)ng/L。(3)血气分析结果显示,与伤前值(109±8)mm Hg (1 mm Hg=0.133 kPa)比较,A、D两组氧分压(PaO2)伤后各时相点无明显差异(P>0.05),B、C组犬从伤后8 h和伤后4 h开始持续下降,分别为(65±6)、(71±9)mm Hg。与二氧化碳分压(PaCO2)的伤前值(38±5)mm Hg比较,C组犬伤后24 h PaCO2开始升高[(52±11)mm Hg]。结论在吸入性损伤后8 h内,iCT的变化明显早于血气分析指标,其诊断意义接近纤维支气管镜检查。 相似文献
44.
强直性脊柱炎股骨近段形态学改变对全髋关节置换术假体选择的意义 总被引:1,自引:1,他引:0
目的分析强直性脊柱炎股骨近段的形态学改变,及其改变对全髋关节置换术假体选择的意义。方法1999年1月~2004年6月,将13例(16髋)强直性脊柱炎患者设为选择组,患者均已出现关节强直,需行全髋关节置换术。另16例(19髋)为对照组,为非强直性脊柱炎患者而拟行全髋关节置换术。两组患者均摄髋关节正侧位X线片,测量Singh指数、髓腔张开指数、皮质形态指数及皮质骨指数,并进行统计学分析。结果选择组Singh指数、髓腔张开指数及皮质形态指数分别为3.81±0.54、2.63±0.41及2.02±0.38,对照组分别为4.63±0.62、3.03±0.27及2.76±0.28,两组比较差异均有统计学意义(P<0.05)。选择组皮质骨指数为1.69±0.69,对照组为2.12±0.24,两组比较差异无统计学意义(P>0.05)。选择组患者髓腔呈烟囱型10例13髋,普通型3例3髋;对照组烟囱型3例3髋,普通型13例16髋。结论强直性脊柱炎的全髋关节置换术应采用骨水泥型人工关节假体,并根据患者髓腔形态使用定制型骨水泥假体,以达到更好的近段固定效果。对于有严重骨质疏松者应按关节翻修术处理。 相似文献
45.
Summary Methods in current practice for ascertaining time of death are largely based on the cooling of the body after death and are
somewhat unreliable. A theoretica relationship is known to exist between the decline in the properties defining nerve conduction
and time after death caused by the gradual cessation of metabolic activity in nerves. A number of such properties were measured
in rats during life and after death. In most cases the relationship was found to be inconsistent. The chronaxie of the strength
duration curve for the sciatic nerve was, however, found to increase consistently and reproducibly in a linear fashion over
the first 90 min after death to a plateau value which was maintained beyond 135 min. These findings are discussed as the possible
basis of a forensic method of determining the duration of the “post mortem interval” within the first few hours after death.
相似文献
46.
EPF单克隆抗体杂交瘤细胞株的建立 总被引:1,自引:0,他引:1
本文用纯化的早孕因子免疫BALB/C小鼠,通过鼠-鼠杂交瘤技术,成功地建立了2株分泌EPF单克隆抗体的杂交瘤细胞。经检测,它们所分泌的抗体亚类均为IgG1,毁交瘤染色体数目100-106条,EISA检测诱生腹水抗体效价为1:1.28*10^5,连续培养生物学性状稳定。抗EPF抗原的单克隆抗体的建立,为深入研究EPF的生物学性质、特征提供了有力的工具。 相似文献
47.
Early laparoscopic cholecystectomy for acute cholecystitis 总被引:4,自引:0,他引:4
Background: The timing of laparoscopic cholecystectomy for acute cholecystitis remains controversial.
Methods: One hundred ninety-four patients with acute cholecystitis were reviewed. The conversion rates for the various number of days
of symptoms before surgery were analyzed. The conversion rate dramatically increased from 3.6% for those patients with 4 days
of symptoms to 26% for those patients with 5 days of symptoms. The mean number of days of symptoms prior to surgery in those
patients who underwent successful laparoscopic cholecystectomy was 4.1 as compared to 8.0 in those patients who required open
cholecystectomy (p < 0.0001). Based on this data the patients were divided into two groups. Group 1 consisted of 109 patients who underwent
laparoscopic cholecystectomy within 4 days of onset of symptoms and group 2 consisted of 85 patients who underwent laparoscopic
cholecystectomy after more than 4 days following onset of symptoms.
Results: The conversion rate from laparoscopic to open cholecystectomy was 15%. The conversion rate for group 1 was 1.8% as compared
to 31.7% for group 2 (p < 0.0001). Indications for conversion were inability to identify the anatomy secondary to inflammatory adhesions (68%), cholecystoduodenal
fistula (18%), and bleeding (14%). The major complication rate for group 1 was 2.7% as compared to 13% for group 2 (p= 0.007). The mortality rate for all patients with attempted laparoscopic cholecystectomy for acute cholecystitis was 1.5%.
The average procedure time for group 1 was 100 ± 37 min vs 120 ± 55 min in group 2. The average number of postoperative hospital
days in group 1 was 5.5 ± 2.7 days as compared to 10.8 ± 2.7 days in group 2.
Conclusions: We advocate early laparoscopic cholecystectomy within 4 days of onset of symptoms to decrease major complications and conversion
rates. This decreased conversion rate results in decreased length of procedure and hospital stay.
Received: 28 March 1996/Accepted: 12 September 1996 相似文献
48.
Elizabeth Landerholm 《Early child development and care》1994,101(1):13-22
The computer use of two classrooms of kindergarten aged children in private school in Chicago were compared for variance in terms of the age and sex of the children, for variance by classroom, and for variance in the software selected. The major statistical method used was analysis of variance. There were two dependent variables: total frequency of computer use and the difference between the frequency in the first half and that in the second half (in order to examine the changing pattern of computer use in the two classrooms). There was no significant difference in computer use by sex or age, but there was a significant difference in the frequency of computer by classroom in the second half of the project compared to the first half. There was no significant difference in the software selected. 相似文献
49.
Amanda M. Cockshutt Laurent Jonet Jean-Claude Jeanny Marc Vigny Dr. Daniel Raulais 《Developmental dynamics》1994,200(3):198-211
Retinoic acid induced heparin-binding protein (RIHB) is a highly basic, soluble polypeptide of the chick embryonic extracellular matrix. We have examined the expression and localization of RIHB during very early embryogenesis by in situ hybridization and immunohistochemistry. RIHB mRNA is very weakly detectable above background in the blastodiscs of unincubated eggs. The expression increases greatly over the first 24 hours of incubation, and is observed throughout the blastodisc in all three of the germ layers following gastrulation. As neurulation occurs, the expression becomes more restricted to certain areas, notably the ectoderm, the neural folds, and especially the notochord. After the neural tube has formed the expression in the tube itself decreases dramatically, whereas the expression in the head ectoderm and the notochord persists. After 72 hours of incubation expression remains relatively high throughout most of the embryo, with higher levels of expression in regions undergoing organogenesis and lower levels in organs which have already differentiated. RIHB protein is also weakly detectable in unincubated eggs as patches of immunoreactive material between the blastodisc and the vitelline. After 6 hours of incubation small regions of basement membrane are immunoreactive. RIHB is detected in this matrix, apparently before even fibronectin. The amount of RIHB protein increases dramatically over the first 24 hours of incubation. It is found in basement membrane separating the epiblast from the hypoblast, then later in that separating the ectoderm from the mesoderm. It is also detected surrounding individual cells, especially of the ectodermal layer. During neurulation RIHB is observed in the basement membrane surrounding the neural fold and the notochord, and in the lamina separating the ectodermal, mesodermal, and endodermal layers. Later in development, RIHB is detected in the basement membrane under the epidermis, throughout the developing limbs, and in the lamina of various developing organs, such as the eye, the pulmonary bud, the intestine, and the mesonephros. These results demonstrate that RIHB is highly expressed during the early embryonic period, by all three germ layers, and is an important and very early component of the embryonic extracellular matrix. Its very broad expression and localization argue for a more general role in development than its demonstrated weak neurotrophic activity. © 1994 Wiley-Liss, Inc. 相似文献
50.
Diethylnitrosamine-induced metastasizing hepatocellular carcinomas in New Zealand white rabbits 总被引:1,自引:0,他引:1
Summary The aim of this study was to produce large liver tumors reliably, and to diagnose the tumors during development. Therefore, New Zealand white rabbits were treated withN-nitrosodiethylamine orally three times per week by gavage and were examined by clinical-chemical assay at regular intervals during the average treatment period of 14 months. The total cumulative dose was 1200 mgN-nitrosodiethylamine over 14 months. After a short treatment period the initial dose of 3 mg/kg had to be reduced to 1.5 mg/kg. In all 11 treated animals (100%) liver tumors were seen at the end of the study. Four control animals did not show any neoplastic changes. Clinical parameters investigated were for an assessment of liver function, total protein, urea, creatinine, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, albumin and neuraminic acid as well as some serum electrolytes. The in vivo diagnosis of liver tumors based on changes in these parameters proved to be relatively unreliable. The liver enzyme tests and urea concentration only yielded significant changes when the liver tumors were very large. Changes in neuraminic acid levels were the most reliable indicator for the presence of a liver tumor in this animal model. In the 11 treated animals, serum values of this marker increased towards the end of the study'by an average of 300 mg/dl. The induced tumors were mainly hepatocellular carcinomas. Only in 1 animal was a hepatocellular adenoma found. Further primary tumors diagnosed were six adenomas in the kidneys and two uterus adenomas, as well as nasal cavity tumors (two papillomas, one carcinoma, one adenoma and one adenocarcinoma). In 70% of the treated rabbits the hepatocellular carcinomas had metastasized to the lungs. 相似文献