全文获取类型
收费全文 | 2132篇 |
免费 | 102篇 |
国内免费 | 11篇 |
专业分类
耳鼻咽喉 | 4篇 |
儿科学 | 13篇 |
妇产科学 | 17篇 |
基础医学 | 247篇 |
口腔科学 | 57篇 |
临床医学 | 159篇 |
内科学 | 596篇 |
皮肤病学 | 51篇 |
神经病学 | 191篇 |
特种医学 | 148篇 |
外科学 | 342篇 |
综合类 | 8篇 |
一般理论 | 1篇 |
预防医学 | 65篇 |
眼科学 | 37篇 |
药学 | 107篇 |
中国医学 | 3篇 |
肿瘤学 | 199篇 |
出版年
2023年 | 18篇 |
2022年 | 17篇 |
2021年 | 41篇 |
2020年 | 26篇 |
2019年 | 47篇 |
2018年 | 39篇 |
2017年 | 39篇 |
2016年 | 44篇 |
2015年 | 42篇 |
2014年 | 47篇 |
2013年 | 75篇 |
2012年 | 144篇 |
2011年 | 151篇 |
2010年 | 70篇 |
2009年 | 64篇 |
2008年 | 131篇 |
2007年 | 126篇 |
2006年 | 128篇 |
2005年 | 140篇 |
2004年 | 124篇 |
2003年 | 119篇 |
2002年 | 111篇 |
2001年 | 39篇 |
2000年 | 50篇 |
1999年 | 38篇 |
1998年 | 34篇 |
1997年 | 31篇 |
1996年 | 32篇 |
1995年 | 29篇 |
1994年 | 22篇 |
1993年 | 17篇 |
1992年 | 19篇 |
1991年 | 17篇 |
1990年 | 17篇 |
1989年 | 17篇 |
1988年 | 23篇 |
1987年 | 13篇 |
1986年 | 12篇 |
1985年 | 23篇 |
1984年 | 7篇 |
1983年 | 11篇 |
1982年 | 3篇 |
1981年 | 5篇 |
1980年 | 3篇 |
1979年 | 7篇 |
1977年 | 3篇 |
1974年 | 6篇 |
1972年 | 4篇 |
1971年 | 3篇 |
1968年 | 4篇 |
排序方式: 共有2245条查询结果,搜索用时 15 毫秒
1.
Ichiro Yasuda Takuji Iwashita Takaya Ohnishi Tsuyoshi Mukai Masamichi Enya Eiichi Tomita Hisataka Moriwaki 《Digestive endoscopy》2006,18(Z1):S92-S95
Endoscopic nasobiliary drainage (ENBD) is a well established mode of biliary decompression. Although ENBD is certainly an uncomfortable procedure with the potential risk of spontaneous dislocation or removal of the drainage catheter by disoriented patients, it has several advantages over endoscopic biliary drainage (EBD) using an indwelling stent. The current indications for ENBD are: (i) temporary drainage to treat obstructive jaundice and cholangitis caused by malignant or benign biliary stricture; (ii) urgent drainage to treat suppurative cholangitis primarily caused by common bile duct stones; (iii) temporary drainage after stone removal in patients with suspected incomplete clearance and/or with cholangitis; and (iv) biliary leaks that occur primarily after surgery, as well as other indications. Different types of nasobiliary catheters are currently available that have been designed with various diameters, shapes, and materials. However, the current catheters are not considered by most endoscopists to be sufficient. Further improvements are needed to achieve better drainage and better maneuverability. 相似文献
2.
3.
Effects of a newly introduced polyoxyethylene-modified superoxide dismutase (SOD-POE) on reperfusion induced arrhythmias were examined in the pentobarbital anesthetized rat. Reperfusion induced arrhythmias were elicited by occlusion of the left anterior descending coronary artery (LAD) for 15 min and subsequent release. The LAD occlusion was performed by compressing the artery using a suction cup of 2 mm in diameter placed on the LAD to which negative pressure was applied. The LAD occlusion and release was repeated at an interval of 30 min. SOD-POE or human SOD (h-SOD) (1000 U/kg) was injected intravenously 15 min prior to the occlusion at the second trial of the occlusion. In the control group, various types of arrhythmias including ventricular fibrillation (Vf), ventricular tachycardia (VT), premature ventricular contraction (PVC) and premature atrial contraction (PAC) were elicited immediately after release of the occlusion. In the SOD-POE-treated group, Vf and VT were completely prevented and the numbers of PVC and PAC significantly decreased, while pretreatment with h-SOD did not prevent the occurrence of reperfusion induced arrhythmias. The protective effects of SOD-POE lasted for more than 90-120 min. The plasma half life for SOD-POE was 10.8 hr, while that for h-SOD was 8.6 min. Results indicate that intravenous administration of SOD-POE would provide a new means of preventing reperfusion induced arrhythmias occurring in clinical situations. 相似文献
4.
5.
Toshiya Inada M.D. Fumiko Minagawa B.A. Satoru Iwashita M.D. Tatsuji Tokui M.D. 《Psychiatry and clinical neurosciences》1994,48(4):729-735
Abstract: In order to examine the characteristics of potential difficult-to-manage psychiatric cases, seven potential subgroups were extracted from the criminal offenders who were sent to the division of psychiatric diagnosis, Tokyo District Public Prosecutors Office for Pre-Prosecution Psychiatric Justice (PPPJ). The following criteria were used to select the potential subgroups: offenders who had experienced compulsory discharge from a mental hospital, those who had experienced Involuntary Admission to the mental hospital by the Prefectural Governor at least twice, those who had experienced admission to mental hospitals on more than 5 occasions, those who had been put on PPPJ previously for other criminal matters at least 3 times, those who had previously attempted suicide, and those who had committed homicide or arson. From the results of this study, it could be concluded that at least two types of "difficult-to-manage" psychiatric cases exist in the criminal offenders. 相似文献
6.
Matsukawa T.; Hanagata K.; Ozaki M.; Iwashita H.; Koshimizu M.; Kumazawa T. 《British journal of anaesthesia》1997,78(4):396-399
We tested the hypothesis that premedication with i.m. midazolam decreases
core temperature dose-dependently. We studied six male volunteers, in
random order, on 3 days: (1) no midazolam administration (control day), (2)
midazolam 0.025 mg kg-1 i.m., (3) midazolam 0.075 mg kg-1 i.m. On the first
day, subjects were maintained alert during a 30- min control period. On the
second and third days, midazolam 0.025 or 0.075 mg kg-1 was administered
i.m. Core temperatures were measured at the right tympanic membrane. Four
adhesive skin surface probes were fixed on the chest, upper right arm,
lateral calf and thigh. Finger tip perfusion was evaluated using forearm
minus fingertip and calf minus toe, skin surface temperature gradients.
Thirty minutes after midazolam i.m., the level of sedation in the
volunteers was assessed. Peripheral venous blood was obtained immediately
after the assessment of the level of sedation. Tympanic membrane
temperatures after administration of midazolam 0.075 mg kg-1 i.m. were
significantly lower than those on the control and midazolam 0.025 mg kg-1
i.m. days at 20 and 30 min. The decreases in tympanic membrane temperatures
at 30 min after midazolam i.m. became larger as the volunteers were more
deeply sedated. i.m. midazolam produced a concentration-dependent decrease
in tympanic membrane temperature at 30 min after midazolam 0.025 and 0.075
mg kg-1 i.m. We conclude that midazolam impaired tonic thermoregulatory
vasoconstriction, allowing core-to-peripheral heat redistribution in a
dose-dependent manner after i.m. administration.
相似文献
7.
Tomomi Iwashita Kazuo Kitazawa Jun-Ichi Koyama Hisashi Nagashima Toru Koyama Yuichiro Tanaka Kazuhiro Hongo Hiroshi Okudera Kazufumi Okamoto 《Journal of clinical neuroscience》2007,14(1):68-71
A patient with cerebral deep sinus thrombosis, which was not diagnosed on the first examination, is reported. A 46-year-old woman presented with headache and vomiting. Neurological examination and a brain computed tomography (CT) scan showed no obvious abnormal findings. The patient suffered disturbed consciousness on the day after the examination, and was admitted to our emergency centre. A CT scan and magnetic resonance imaging revealed an ischaemic lesion in the left basal ganglia, suggesting deep sinus occlusion. Anticoagulant therapy was administered. One day after admission, a CT scan showed a haematoma and severe brain swelling in the same region. Cerebral angiography demonstrated a straight sinus occlusion. Intracranial pressure was not controlled with hypothermia, and the patient died 25 days after admission. Review of the initial CT scan revealed subtle, early findings of deep venous thrombosis that were missed on first examination. 相似文献
8.
Yoshinori Hirashima Kazuaki Kitajima Saori Sugi Koichi Kagawa Kazunari Murakami Toshio Fujioka Toshihide Kumamoto 《Nihon Shokakibyo Gakkai zasshi》2007,104(5):660-665
A 75-year-old man was admitted to our hospital with the chief complaint of a choking feeling around the esophagus. Laboratory examinations revealed eosinophilia, and high levels of serum immunoglobulin (Ig) E. A computed tomography scan (CT) showed wall thickening of the esophagus and terminal ileum, and ascites around the liver. An endoscopic examination revealed mild mucosal edema in the esophagus, stomach, and small intestine. Biopsy specimens showed diffuse eosinophilic infiltration in the mucosa. We therefore diagnosed eosinophilic gastroenteritis. Oral prednisolone relieved clinical conditions and the CT image improved. This case was considered valuable, because there have been few reports of eosinophilic esophagitis in Japan. 相似文献
9.
Noriyuki Kimura Toshihide Kumamoto Hidetsugu Ueyama Hideo Horinouchi Eisaku Ohama 《Neuropathology》2007,27(6):522-530
We examined the role of the 20S proteasome in pathologic changes, including abnormal aggregation of phosphorylated neurofilaments, of spinal motor nerve cells from aluminum‐treated rabbits. Immunohistochemistry for the 20S proteasome revealed that many lumbar spinal motor neurons without intracytoplasmic neurofilamentous inclusions or with small inclusions were more intensely stained in aluminum‐treated rabbits than in controls, whereas the immunoreactivity was greatly decreased in some enlarged neurons containing large neurofilamentous inclusions. Proteasome activity in whole spinal cord extracts was significantly increased in aluminum‐treated rabbits compared with controls. Furthermore, Western blot analysis indicated that the 20S proteasome degraded non‐phosphorylated high molecular weight neurofilament (neurofilament‐H) protein in vitro. These results suggest that aluminum does not inhibit 20S proteasome activity, and the 20S proteasome degrades neurofilament‐H protein. We propose that abnormal aggregation of phosphorylated neurofilaments is induced directly by aluminum, and is not induced by the proteasome inhibition in the aluminum‐treated rabbits. Proteasome activation might be involved in intracellular proteolysis, especially in the earlier stages of motor neuron degeneration in aluminum‐treated rabbits. 相似文献
10.
Toshiaki Nakashima Fuminori Goda Jinge Jiang Toshihide Shima Harold M. Swartz 《Magnetic resonance in medicine》1995,34(6):888-892
The partial pressure of oxygen (pO2) of the liver in vivo in unanesthetized mice was determined using electron paramagnetic resonance (EPR) oximetry with India ink. The EPR spectra were obtained using a low-frequency (1.2 GHz) EPR spectrometer with a loop gap cavity resonator. The line width of the India ink used in this experiment was reversibly broadened by oxygen and was particularly sensitive to pO2 below 30 torr. After the administration of India ink into the tail vein, the India ink particles were taken up mainly by Kupffer cells in the liver and in part by phagocytes in the spleen. The pO2 measured in the normal liver was about 14 torr and was constant for the 2-week experimental period. The pO2 decreased when measured at 1, 2, and 6 days after treatment with a hepatotoxin (carbon tetrachloride (CCI4)); within 2 weeks, it returned almost to the initial level. Measurements by EPR at sacrifice of controls and CCI4-treated mice indicated that more than 90% of the India ink went to the liver; the spleen contained 4.7% of total amount in control mice and 8.8% in CCI4-treated mice when measured 2 weeks after the treatment. These data indicate the usefulness of India ink for measuring the pO2 of the liver in vivo and that the pO2 in the Kupffer cells is decreased when the liver is damaged by CCI4. 相似文献