全文获取类型
收费全文 | 108篇 |
免费 | 11篇 |
国内免费 | 6篇 |
专业分类
儿科学 | 9篇 |
妇产科学 | 3篇 |
基础医学 | 4篇 |
口腔科学 | 3篇 |
临床医学 | 19篇 |
内科学 | 36篇 |
皮肤病学 | 1篇 |
神经病学 | 6篇 |
外科学 | 8篇 |
综合类 | 15篇 |
预防医学 | 1篇 |
药学 | 10篇 |
中国医学 | 1篇 |
肿瘤学 | 9篇 |
出版年
2022年 | 2篇 |
2018年 | 1篇 |
2017年 | 1篇 |
2016年 | 1篇 |
2015年 | 1篇 |
2014年 | 1篇 |
2013年 | 1篇 |
2012年 | 2篇 |
2010年 | 3篇 |
2009年 | 2篇 |
2008年 | 3篇 |
2007年 | 4篇 |
2006年 | 10篇 |
2005年 | 7篇 |
2004年 | 7篇 |
2003年 | 5篇 |
2002年 | 1篇 |
2001年 | 10篇 |
2000年 | 4篇 |
1999年 | 2篇 |
1998年 | 3篇 |
1997年 | 2篇 |
1996年 | 3篇 |
1995年 | 2篇 |
1994年 | 3篇 |
1993年 | 1篇 |
1992年 | 9篇 |
1991年 | 5篇 |
1990年 | 2篇 |
1988年 | 1篇 |
1987年 | 1篇 |
1986年 | 2篇 |
1985年 | 2篇 |
1984年 | 1篇 |
1983年 | 1篇 |
1980年 | 2篇 |
1979年 | 1篇 |
1978年 | 1篇 |
1972年 | 1篇 |
1971年 | 1篇 |
1967年 | 1篇 |
1966年 | 1篇 |
1964年 | 1篇 |
1959年 | 1篇 |
1958年 | 1篇 |
1957年 | 5篇 |
1956年 | 2篇 |
1955年 | 1篇 |
排序方式: 共有125条查询结果,搜索用时 15 毫秒
1.
J. F. HECKER B. J. DUFFY T. FONG M. WYER 《Journal of paediatrics and child health》1991,27(3):175-179
The median life expectancy (survival) of 286 peripheral intravenous infusion sites in 105 babies in a children's intensive care unit was 36 h. Unadjusted univariate survival analysis revealed that dextrose infusions and the initial infusions received by a baby had longer survival than total parenteral nutrition (TPN) infusions and later infusions respectively. Also infusions with cloxacillin and penicillin survived for longer than average while infusions with phenytoin had reduced survival. Gestational age, weight, infusion site, other drugs, co-infusion of Intralipid with TPN solutions and neutralization of TPN did not influence survival of infusions. Multivariate survival analysis confirmed the findings for TPN and penicillin but not for cloxacillin, phenytoin or later infusions. Multivariate analysis also suggested that survival was improved with ampicillin and aminophylline and worse for leg sites, for older babies and for infusions in which the fluids were given at greater rates. It also indicated that neutralization of TPN improved survival. 相似文献
2.
目的建立人卵巢癌SCID小鼠移植瘤模型和相应体外细胞系.方法将病理证实的人卵巢浆液性乳头状腺癌手术切除标本移植于SCID小鼠皮下,成瘤后行鼠间传代,取移植瘤细胞体外分离培养、传代和建系,并应用细胞、分子生物学手段对移植瘤和建系细胞进行一系列生物学特性检测.结果历时14个月传至5代,皮下移植瘤存活率为90%,持续6个月,体外建系(OVA-319)细胞生长稳定.镜下观察组织形态学和超微结构符合原肿瘤组织基本特征;染色体分布在12~46条之间,多为异倍体,显示人类肿瘤异常染色体;流式细胞术和RT-PCR技术分析原代、体内移植瘤和OVA-319细胞结果一致,表现为瘤细胞生长活跃、细胞周期分布相仿,MAGE-2基因在mRNA水平异常表达.结论人卵巢癌SCID小鼠移植瘤模型和OVA-319细胞系为人类肿瘤的研究提供了良好的实验材料. 相似文献
3.
Low dosage intravenous (<0·01 µg. kg1.min1) and oral prostaglandin E have been reported toproduce fewer complications than higher intravenous doses inthe ductal manipulation of congenital heart disease. Over a3-year period 34 patients were treated with low dosage intravenousor oral prosraglandin. Eighteen (53%) had complications associatedwith this treatment with 14 having more than one complication.Major complications occurred in nine neonates: necrotising enterocolitis(7), apnoealbradycardia (5), convulsions (1), haemorrhage (1),and resulted in a change of management. This study thereforeconcludes that the high incidence of complications is similarwith both low and high dosages of intravenous and oral prostaglandmn.The use of prostaglandin in any form deserves caution. 相似文献
4.
结核分枝杆菌的培养分离及耐药性分析 总被引:4,自引:2,他引:2
目的探讨结核杆菌分离培养及其耐药性。方法收集2006年1-11月本院就诊的疑似结核患者的标本,采用美国BD公司BACTEC MGIT960全自动分枝杆菌快速鉴定仪培养鉴定及药敏试验。结果从654份送检标本分离到结核分枝杆菌361株,结核杆菌耐药情况为链霉素29.4%、利福平17.5%、异烟肼32.1%、乙胺丁醇11.9%,多耐药结核杆菌为24.7%(89/361)。结论结核杆菌耐药情况非常严峻,必须加大力度狠抓结核病防治工作,加强合理用药,遏止多耐药结核杆菌的蔓延。 相似文献
5.
Choon Kiat ANG Alan Yean Yip FONG Sze Piaw CHIN Tiong Kiam ONG Wei Ling CHAN Chee Khoon LIEW Houng Bang LIEW Kui Hian SIM Seyfarth M Tobias Rapaee ANNUAR 《老年心脏病学杂志》2006,3(1):17-21
Background and objective Atypical ‘cardiac‘ chest pain (ACCP) is not usually caused by myocardial ischaemia. Current noninvasive investigations for these symptoms are not yet as accurate as invasive coronary angiography. The latest 64-row multi-detector computed tomography (MDCT) technology is non-invasive, has high specificity and negative predictive values for the detection of significant coronary disease. Our aim was to investigate if this modality can provide more information in the assessment of outpatients with ACCP in addition to established cardiovascular risk scores. Methods Seventy consecutive patients presenting to the outpatient clinic with ACCP underwent 64-row MDCT scan of the coronary arteries. They were categorized into low, medium or high risk groups based upon the Framingham and PROCAM scores. We defined a clinically abnormal MDCT scan as coronary stenosis =50% or calcium score >400 Agatston. Results Fifty-three (75.7%) patients did not have clinically abnormal scans. Framingham score classified 43 patients as low-risk while PROCAM classified 59 patients as low-risk. MDCT scans were abnormal for 18.6% and 22.0% of the respective low-risk group of patients. For patients with medium-to-high risk, 33.3% and 36.4% of Framingham and PROCAM patient groups respectively had abnormal MDCT scans. Conclusion MDCT adds valuable information in the assessment of patients with ACCP by identifying a significant proportion of patients categorized as low-risk to have underlying significant coronary stenosis and coronary calcification by established cardiovascular risk scores. 相似文献
6.
Wei Ling CHAN Chee Khoon LIEW Sze Piaw CHIN Tiong Kiam ONG Yean Yip FONG Choon Kiat ANG Houng Bang LIEW Kui Hian SIM Seyfarth Tobias Rapaee ANNUAR 《老年心脏病学杂志》2006,3(1):9-14
Background Elderly patients generally have higher occurrence of coronary calcification, increased heart rate and difficulty with prolonged breath-holding. The aim of our study was to investigate the feasibility and accuracy of using 64-row multi-detector computed tomography (MDCT) in the assessment of coronary artery stenoses in elderly patients. Methods One hundred and fifty two patients with suspected or known coronary artery disease were divided into 4 groups according to their age (Group A: 40-49 years, n=34; Group B: 50-59 years, n=57; Group C: 60-69 years, n=48; Group D: 70 years and above; n=13). Coronary CT angiography (CTA) using a 64-row MDCT was performed and the findings were compared with that of conventional coronary angiography (CCA). Using axial images, multi-planar reconstructions (MPR) and maximum intensity projections (MIP), coronary segments of lumen diameter = 1.5mm were analyzed for the presence of significant stenosis (= 50% ). Results Percentages of poor image quality from coronary CTA preventing reliable correlations with CCA were 21%, 14%, 19% and 62% in Groups A to D respectively. Patients in Group D had significantly higher calcium scores compared with the other groups (P<0.001). In patients where CTA images were of acceptable quality, percentages of accurate correlations with CCA were 89.8%, 93.4%, 86.6% and 78.0% for Groups A to D respectively. There were no significant difference in serum creatinine, heart rate and contrast volume between the 4 groups. Conclusions The 64-row MDCT coronary angiography was less accurate and feasible for patients aged 70 years or above due to heavy coronary calcification and inability to perform a satisfactory breath-hold. However, a high diagnostic accuracy with the MDCT is possible in patients aged less than 70 years.(J Geriatric Cardiol 2006;3(1):9-14) 相似文献
7.
Chee Khoon LIEW Tiong Kiam ONG Sze Piaw CHIN Yean Yip FONG Wei Ling CHAN Choon Kiat ANG Houng Bang LIEW Kui Hian SIM Rapaee ANNUAR Tobias Seyfarth 《老年心脏病学杂志》2006,3(1):2-8
Objectives To compare left ventricular ejection fraction (LVEF) determined from 64-row multi-detector computed tomography (64-row MDCT) with those determined from two dimensional echocardiography (2D echo) and cardiac magnetic resonance imaging (CMR). Methods Thirty-two patients with coronary artery disease underwent trans-thoracic 2D echo, CMR and contrast-enhanced 64-row MDCT for assessment of LVEF within 48 hours of each other. 64-row MDCT LVEF was derived using the Syngo Circulation software; CMR LVEF was by Area Length Ejection Fraction (ALEF) and Simpson method and 2D echo LVEF by Simpson method. Results The LVEF was 49.13±15.91 % by 2D echo, 50.72±16.55% (ALEF method) and 47.65±16.58%(Simpson method) by CMR and 50.00±15.93% by 64-row MDCT. LVEF measurements by 64-row MDCT correlated well with LVEF measured with CMR using either the ALEF method (Pearson correlation r = 0.94, P <0.01) or Simpson method (r = 0.92, P<0.01). It also correlated well with LVEF measured using 2D echo (r = 0.80, P < 0.01). Conclusion LVEF measurements by 64-row MDCT correlated well with LVEF measured by CMR and 2D echo. The correlation between 64-row MDCT and CMR was better than the correlation between 2D echo with CMR. Standard data set from a 64-row MDCT coronary study can be reliably used to calculate the LVEF. (J Geriatr Cardiol 2006;3(1): 2-8) 相似文献
8.
用人肝细胞cDNA文库制备Dig-Fas探针 总被引:7,自引:1,他引:7
为探索SLE发生、发展与Fas表达的关系 ,本文采用降落PCR技术、分子克隆技术和Fas特异性引物 ,将从人肝细胞cDNA文库中扩增的FascDNA插入T -easyvector中 ,转染JM10 9,经耐药性和lacZ插入失活筛选 ,快速细胞裂解法、限制性内切酶酶切片段和PCR扩增试验分析鉴定 ,确证获阳性转化子。然后采用地高辛化学连接标记和查见方法 ,标记扩增、分离和纯化的FascDNA ,经斑点免疫实验证实获高滴度Dig -FascDNA探针 相似文献
9.
CHU-PAK LAU YAU-TING TAI PING-CHING FONG CHUN-HO CHENG FELSA LAI-WAH CHUNG 《Pacing and clinical electrophysiology : PACE》1990,13(12):1575-1579
LAU, C.-P., ET AL.: Pacemaker Mediated Tachycardias In Single Chamber Rate Responsive Pacing. Although pacemaker mediated tachycardias are classically associated with dual chamber pacemakers, single chamber rate responsive pacemakers are also susceptible to such tachycardias under special circumstances. A unipolar activity sensing rate responsive pacemaker (Activitrax 8403) was implanted in an 83-year-old man with complete atrioventricular block. The pacemaker was programmed at an output of 5 V, activity threshold medium, rate response 5, and lower and upper rates of 70 and 125 beats/min, respectively. He presented with palpitations at rest and muscle twitching of the pacemaker pocket 4 months after implantation. Examination confirmed that the pacemaker had flipped over, resulting in pocket pacing which in turn activated the activity sensor, resulting in a rate response. The increase in pacing rate lead to a higher frequency of pocket pacing, thus leading to positive feedback increase in rate. With the patient at rest, pacemaker mediated rates were 106, 91, and 74 beats/min at low, medium and high thresholds, respectively. Decreasing the output to 2.5 V eliminated pocket pacing and the tachycardia. As a result of the reversal of the pacemaker, a similar rate response during exercise could only be achieved at a more sensitive rate responsive setting. Thus, pacemaker mediated tachycardia can complicate pacemaker "flipping" in single chamber activity sensing rate responsive pacemakers. Methods for the avoidance and treatment of pacemaker flipping are discussed. A review of other sensor mediated tachycardias is also presented. 相似文献
10.
目的 研究Ⅲ期乳腺癌术前新辅助化疗的临床效果。方法 1999年~ 2 0 0 1年 6月住院手术治疗的Ш期乳腺癌患者 62例 ,术前行辅助化疗 ,回顾分析 1997~ 1998年间收治的 3 7例Ш期乳腺癌未作辅助化疗而直接手术作为对照组。从手术切除后病理切片观察细胞变化及术后局部复发 ,远处转移等方面进行比较。结果 手术后病理切片观察癌细胞坏死情况 ,新辅助化疗组有效率为 67.7% ,而对照组仅 6例癌细胞有轻度局灶坏死。术后三年局部复发或远处转移新辅助化疗组为 11.4% ,对照组 2 4.3 %。结论 手术前辅助化疗能大量杀伤肿瘤细胞 ,缩小肿瘤便于手术 ,减少远处播散机会 相似文献