全文获取类型
收费全文 | 31032篇 |
免费 | 2977篇 |
国内免费 | 2753篇 |
专业分类
耳鼻咽喉 | 116篇 |
儿科学 | 300篇 |
妇产科学 | 264篇 |
基础医学 | 4097篇 |
口腔科学 | 495篇 |
临床医学 | 1799篇 |
内科学 | 3161篇 |
皮肤病学 | 382篇 |
神经病学 | 2452篇 |
特种医学 | 617篇 |
外国民族医学 | 47篇 |
外科学 | 1839篇 |
综合类 | 7586篇 |
现状与发展 | 5篇 |
一般理论 | 1篇 |
预防医学 | 921篇 |
眼科学 | 765篇 |
药学 | 4640篇 |
中国医学 | 2476篇 |
肿瘤学 | 4799篇 |
出版年
2024年 | 108篇 |
2023年 | 359篇 |
2022年 | 700篇 |
2021年 | 1019篇 |
2020年 | 906篇 |
2019年 | 791篇 |
2018年 | 734篇 |
2017年 | 1031篇 |
2016年 | 1115篇 |
2015年 | 1405篇 |
2014年 | 1626篇 |
2013年 | 2186篇 |
2012年 | 1969篇 |
2011年 | 2207篇 |
2010年 | 1940篇 |
2009年 | 1822篇 |
2008年 | 2012篇 |
2007年 | 2114篇 |
2006年 | 1989篇 |
2005年 | 1894篇 |
2004年 | 1720篇 |
2003年 | 1571篇 |
2002年 | 1277篇 |
2001年 | 1233篇 |
2000年 | 947篇 |
1999年 | 613篇 |
1998年 | 505篇 |
1997年 | 334篇 |
1996年 | 204篇 |
1995年 | 127篇 |
1994年 | 79篇 |
1993年 | 29篇 |
1992年 | 25篇 |
1991年 | 29篇 |
1990年 | 25篇 |
1989年 | 19篇 |
1988年 | 17篇 |
1987年 | 27篇 |
1986年 | 10篇 |
1985年 | 7篇 |
1984年 | 9篇 |
1983年 | 3篇 |
1982年 | 5篇 |
1981年 | 4篇 |
1979年 | 2篇 |
1978年 | 4篇 |
1977年 | 2篇 |
1975年 | 2篇 |
1973年 | 2篇 |
1966年 | 1篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
11.
①目的 了解猪同种原位心脏移植术后早期一氧化氮 (NO)、一氧化氮合酶 (NOS)含量的变化 ,及其与早期缺血再灌注损伤的关系。②方法 建立猪同种原位心脏移植模型。供心在移植前低温保存 (Thomas液 ,4℃ ) 4h ,移植成功心脏复搏后 2h取材。应用组织化学方法测定心肌组织中NO、NOS的含量 ,应用核酸原位末端标记法 (TUNEL)测定心肌细胞凋亡指数 ,作为评价心肌缺血再灌注损伤的指标。以正常心肌及单纯缺血心肌组织作为对照。③结果 移植后心肌组织NO、NOS的含量较缺血组与正常组低 ,差异有显著意义 (F =2 7.2 2 9、16 .2 0 3,q =5 .716~ 6 .4 12 ,P <0 .0 1)。移植组心肌细胞凋亡指数与正常组及缺血组比较明显升高 ,差异有显著性(F =16 3.884 ,q =7.4 82、6 .975 ,P <0 .0 1)。心肌组织NO、NOS含量与心肌细胞凋亡指数呈负相关关系 (r =- 0 .886、- 0 .795 ,P <0 .0 1)。④结论 猪心脏移植后早期心肌缺血再灌注损伤所致的细胞死亡主要表现为心肌细胞凋亡 ;再灌注期间内源性NO、NOS的减少参与了心脏移植后早期缺血再灌注损伤的发生 相似文献
12.
潘殿卿 《脑与神经疾病杂志》2006,14(4):288-291
目的:探讨不同类型神经保护剂联合应用即鸡尾酒(cocktail)疗法是否较单一神经保护剂对海马神经元培养氧糖剥离(OGD)后有更好的保护作用。方法:采用海马神经元培养氧糖剥离(OGD)模型,分为1,6-二磷酸果糖(FDP)组、MK-801组、N-乙酰半胱氨酸(NAC)组、cocktail组和对照组,观察神经元凋亡及抗凋亡蛋白Bcl-2表达情况。结果:cocktail组神经元凋亡减少,Bcl-2表达增多,与单-用药各组相比有显著性差异(P<0.05)。结论:神经保护剂cocktail疗法对神经元缺血保护作用较单一用药明显增强。 相似文献
13.
Perinatal hypoxia-ischaemia induces a biphasic cerebral injury: the depletion in high energy phosphates during the insult returns to normal soon after resuscitation. However, some 8–15 h later a second phase of impaired energy metabolism begins, which is related to the severity of later neurodevelopmental impairment. Delayed injury differs from acute hypoxia-ischaemia because intracellular acidosis does not occur. Apoptosis may be a mechanism of delayed cellular injury. Apoptotic cells and typical DNA fragmentation have been found after perinatal hypoxia-ischaemia. In newborn piglets, fraction of apoptotic cells was directly related to the degree of high energy phosphate depletion during hypoxia-ischaemia. Apoptosis may be interrupted: in piglets, brain cooling for 12 h following resuscitation reduced the fraction of apoptotic but not necrotic cells. These results have implications for both the understanding of cerebral injury and the use of hypothermia as a neural rescue strategy in the developing brain. 相似文献
14.
Idziorek Khalife Billaut-Mulot Hermann Aumercier Mouton Capron Bahr 《Clinical and experimental immunology》1998,112(1):84-91
The chemoattractant cytokine IL-16 has been reported to suppress lymphocyte activation and to inhibit HIV-1 replication in acutely infected T cells. We have cloned and expressed human IL-16 in Escherichia coli and investigated whether the recombinant protein could regulate the level of lymphocyte apoptosis from HIV-1-infected subjects. After purification and refolding, only 2–10% of the recombinant cytokine was present in a biologically active homotetrameric form. This could explain the need for high concentrations of the bacterially derived IL-16 to induce significant inhibition of HIV-1 replication. Addition of IL-16 to unstimulated peripheral blood mononuclear cell (PBMC) cultures from HIV-1-infected subjects did not modify the observed level of spontaneous lymphocyte apoptosis. In contrast, IL-16 added to PBMC cultures stimulated with anti-CD3, anti-CD95 or dexamethasone reduced significantly the percentage of lymphocytes undergoing AICD. This effect was found to correlate with the ability of the cytokine to decrease CD95 expression on activated CD4+ T cells. Comparative studies on PBMC from healthy individuals indicated that the regulation of apoptosis levels by IL-16 is a complex phenomenon and could depend on the nature of the activator used and/or the immune status of lymphocytes tested. The outcome of CD4 cross-linking on T cells by various ligands is discussed in the context of the observed beneficial activities of IL-16 and its potential role in the treatment of HIV disease. 相似文献
15.
The presence and binding properties of epidermal growth-factor receptors (EGF-Rs) in different cell types purified from the rat medial septal area in culture were investigated. We report that astrocytes, oligodendrocytes and neurons from this area possess EGF-Rs while microglia do not. EGF-binding sites are detectable on astrocytes derived from the medial septum of both embryonic and neonatal rats. Scatchard analysis of the data for astrocytes from the fetal rats show that EGF specifically binds to both high- (Kd = 7.21 × 10−10 M, Bmax = 3602 receptors/cell) and low-affinity (Kd = 3.99 × 10−8 10−8 M, Bmax = 6,265 receptors/cell) receptors on these cells. On the other hand, astrocytes purified from neonatal tissue possess a greater number of high-affinity receptors (Bmax = 10,938 receptors/cell) when compared with the embryonic astroglia. With time in culture, the number of both types of receptors on neonatal astrocytes decreases. Oligodendrocytes also possess high- and low-affinity EGF-Rs with dissociation constants of 3.25 × 10−10 M and 3.85 × 10−8 M, respectively. The number of receptors on oligodendrocytes is significantly lower than those on neonatal astrocytes (Bmax = 1185 and 25,081 receptors/cell for high- and low-affinity binding sites, respectively). Finally, neurons from this area also exhibit two different EGF-R types with dissociation constants similar to those described for astrocytes. As the number of receptors/neuron (Bmax = 136 and 1159 receptors/cell for high- and low-affinity binding sites, respectively) appears to be extremely low, it is possible that EGF specifically binds only to a subpopulation of neurons from this area. These studies demonstrate which cell types in the developing medial sepal area posses EGF-Rs and provide a detailed characterization of these binding sites. These EGF-R-bearing cells may be potential targets for this growth factor or for transforming growth factor α in this brain area. 相似文献
16.
A. Sklavounou-Andrikopoulou E. Chrysomali M. Iakovou G. A. Garinis A. Karameris 《Journal of oral pathology & medicine》2004,33(7):386-390
BACKGROUND: The serum circulatory levels of apoptosis related molecules measured in patients with oral lichen planus (OLP) and healthy individuals in order to investigate possible alterations associated with the clinical forms of OLP. METHODS: Serum levels of tumor necrosis factor (TNF)-alpha, soluble Fas (sFas) and Bcl-2 studied by enzyme-linked immunosorbent assay in whole blood samples in 13 OLP reticular, 13 OLP atrophic-erosive form patients and 26 healthy subjects. RESULTS: Significantly elevated levels of TNF-alpha and sFas detected in OLP patients as compared with controls. Serum concentrations of Bcl-2 although increased in 17/26 patients, they were not statistically significant. Reticular OLP exhibited slightly elevated TNF-alpha and significantly elevated Bcl-2 serum levels, compared with erosive OLP. CONCLUSIONS: These data suggest that a putative dysfunction in the Fas/FasL mediated apoptosis might be involved in the OLP pathogenesis. A downregulation of Bcl-2 serum levels in the atrophic-erosive OLP may be associated with promotion of the disease activity. 相似文献
17.
高压氧对大鼠局灶性脑缺血再灌注时神经元特异性烯醇化酶的影响 总被引:2,自引:1,他引:1
目的研究高压氧(HBO)对大鼠局灶性脑缺血再灌注(IR)时.大鼠脑梗塞体积.脑组织病理改变及神经元特异性烯醇化酶(NSE)含量的影响。方法用线栓法制备阻断大脑中动脉(MCA)的局灶性脑IR模型。Wistar大鼠30只,随机分为5组:正常对照组(N组n=-6),缺血再灌注2h 常压空气组(Rt组,n=-6),缺血再灌注24h 常压空气组(R2组,n=-6),缺血再灌注2h HBO组(H1组,n=-6),缺血再灌注24h HBO组(H2组,n=-6)。R1、R2、H1、H2组缺血时间均为2h。R1、R2组暴露于常压空气,H1、H2组暴露于2.5MPa氧气。病理切片用HE染色,用Swanson方法测定脑梗塞体积,用酶联免疫法测定NSE含量。结果H1、H2组与R1、R2组相比,神经元缺血性损害较轻,脑梗塞体积缩小,NSE含量明显下降,差异有统计学意义。结论HBO能减轻缺血性脑损害,保护脑组织。 相似文献
18.
甲基强的松龙治疗实验性变态反应性脑脊髓炎的作用机制 总被引:1,自引:0,他引:1
目的:研究细胞因子、T细胞凋亡和淋巴细胞增殖在实验性变态反应性脑脊髓炎(EAE)形成中的作用及甲基强的松龙(MP)治疗EAE的作用机制。方法:采用人脑纯化的髓鞘碱性蛋白(MBP)与完全福氏佐剂免疫Lewis大鼠,建立EAE动物模型。用双抗体夹心ELISA法检测各组大鼠血清中IL-10、TNF-α、IFN-γ的含量:流式细胞仪检测外周血T细胞凋亡;3H-TdR释放法检测外周血淋巴细胞转化率。结果:与对照组比较,EAE组的外周血IFN-γ、TNF-α水平明显增高,IL-10水平明显降低,MP治疗后IFN-γ和TNF-α水平下降,IL-10浓度上调。MP还诱导外周血T细胞凋亡和抑制MBP致敏淋巴细胞增殖并呈剂量依赖性。结论:应用人MBP成功建立EAE大鼠模型,MP可能通过调节Th细胞因子格局、促进Th2细胞因子分泌、抑制MBP致敏淋巴细胞增殖及外周血T细胞凋亡而发挥治疗多发性硬化的作用。 相似文献
19.
丙烯酰胺对大鼠胚胎神经细胞分化的影响 总被引:3,自引:0,他引:3
用细胞微团培养法研究丙烯酰胺对大鼠胚胎神经细胞分化的影响。结果表明,当细胞培养物中丙烯酰胺浓度大于60μg/ml时,可明显抑制细胞分化,表现为细胞集落数目减少,细胞表面突起和集落间神经纤维束减少,细胞形态改变。其半数分化抑制浓度(ICd50)为75μg/ml,半数存活抑制浓度(ICv50)为90μg/ml,两者较为接近。认为丙烯酰胺对细胞分化的抑制作用可能被其细胞毒作用所掩盖,其致畸作用不可忽视。 相似文献
20.
EMILIO SIENDONES YOLANDA JIMÉNEZ-GÓMEZ JOSÉ LUÍS MONTERO CONSUELO GÓMEZ-DÍAZ JOSÉ MANUEL VILLALBA JORDI MUNTANÉ 《Journal of gastroenterology and hepatology》2006,20(1):108-116
Background and Aim: PGE1 reduces in vivo and in vitro D-galactosamine (D-GalN)-induced cell death in hepatocytes. The present study was undertaken to elucidate the intracellular pathway by which D-GalN induces cell death in cultured hepatocytes. In addition, we evaluated if PGE1 was able to modulate different parameters related to D-GalN-induced apoptosis in cultured rat hepatocytes.
Methods: Hepatocytes were isolated from male Wistar rats (225–275 g) by the classical collagenase procedure. PGE1 (1 µM) was administered 2 h before D-GalN (5 mM) in primary culture of rat hepatocytes. Apoptosis was determined by DNA fragmentation and caspase-3, -6, -8 and -9 activation in hepatocytes. Caspase activation was evaluated by the detection of the related cleaved product and its associated activity. Cell necrosis was determined by the measurement of lactate dehydrogenase (LDH) activity in culture medium. To elucidate the role of mitochondria, we measured neutral (nSMase) and acid (aSMase) sphingomyelinase, as well as the expression of cytochrome c in mitochondria and cytoplasm fractions from D-GalN treated hepatocytes.
Results: D-GalN induced caspase-3 activation and DNA fragmentation in hepatocytes. This apoptotic response was not associated with the activation of caspase-6, -8 or -9. The use of specific inhibitors confirmed that only caspase-3 was involved in D-GalN-induced apoptosis. D-GalN did not modify nSMase and aSMase activities, nor mitochondrial cytochrome c release in hepatocytes.
Conclusions: D-GalN induced apoptosis through caspase-3 activation but without modification of the activity of caspase-6, -8, -9, SMases or cytochrome c release. PGE1 appears to prevent D-GalN-induced apoptosis by a mitochondria-independent mechanism. 相似文献
Methods: Hepatocytes were isolated from male Wistar rats (225–275 g) by the classical collagenase procedure. PGE
Results: D-GalN induced caspase-3 activation and DNA fragmentation in hepatocytes. This apoptotic response was not associated with the activation of caspase-6, -8 or -9. The use of specific inhibitors confirmed that only caspase-3 was involved in D-GalN-induced apoptosis. D-GalN did not modify nSMase and aSMase activities, nor mitochondrial cytochrome c release in hepatocytes.
Conclusions: D-GalN induced apoptosis through caspase-3 activation but without modification of the activity of caspase-6, -8, -9, SMases or cytochrome c release. PGE