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排序方式: 共有256条查询结果,搜索用时 15 毫秒
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Preoperative metoprolol improves cardiovascular stability and reduces oxygen consumption after thoracotomy 总被引:1,自引:0,他引:1
C.–J. JAKOBSEN S. BILLE P. AHLBURG L. RYBRO K. D. PEDERSEN B. RASMUSSEN 《Acta anaesthesiologica Scandinavica》1997,41(10):1324-1330
Background : Increased sympathetic activity perioperatively and associated cardiovascular effects play a central role in cardiovascular complications. High thoracic epidural blockade attenuates the sympathetic response, but even with complete pain relief, haemodynamic and endocrine responses are still present. Beta–adrenoceptor blockade is effective in situations with increased sympathetic activity. This study was designed to evaluate the perioperative haemodynamic effect of preoperative βblockade and its influence on the haemodynamic aspects of the surgical stress response.
Methods : Thirty–six otherwise healthy patients undergoing elective thoracotomy for lung resection were randomised doubleblinded to receive either 100 mg metoprolol or placebo preoperatively. Anaesthesia was combined high thoracic epidural block and general anaesthesia. The epidural analgesia was continued during recovery. Patients were monitored with ECG, pulse oximetry, invasive haemodynamic monitoring, arterial blood gases and electrolytes.
Results : After induction of anaesthesia the mean arterial pressure (MAP) decreased in both groups, and decreased further in the placebo group after initiation of the epidural block. The heart rate (HR) was slightly less throughout the observation period after metoprolol. Peroperatively, the only difference in measured haemodynamics was a marginally higher MAP after metoprolol. Postoperative cardiac index (CI) was lower with a lower variability and cardiac filling pressures were slightly higher in the metoprolol group. The oxygen consumption index was higher after placebo throughout the observation period, with no difference in the oxygen delivery.
Conclusion. We found that preoperative β–blockade during combined general anaesthesia and high thoracic epidural blockade stabilised perioperative HR and CI and decreased total oxygen consumption. 相似文献
Methods : Thirty–six otherwise healthy patients undergoing elective thoracotomy for lung resection were randomised doubleblinded to receive either 100 mg metoprolol or placebo preoperatively. Anaesthesia was combined high thoracic epidural block and general anaesthesia. The epidural analgesia was continued during recovery. Patients were monitored with ECG, pulse oximetry, invasive haemodynamic monitoring, arterial blood gases and electrolytes.
Results : After induction of anaesthesia the mean arterial pressure (MAP) decreased in both groups, and decreased further in the placebo group after initiation of the epidural block. The heart rate (HR) was slightly less throughout the observation period after metoprolol. Peroperatively, the only difference in measured haemodynamics was a marginally higher MAP after metoprolol. Postoperative cardiac index (CI) was lower with a lower variability and cardiac filling pressures were slightly higher in the metoprolol group. The oxygen consumption index was higher after placebo throughout the observation period, with no difference in the oxygen delivery.
Conclusion. We found that preoperative β–blockade during combined general anaesthesia and high thoracic epidural blockade stabilised perioperative HR and CI and decreased total oxygen consumption. 相似文献
3.
Factor I Deficiency and C3 Nephritic Factor: Immunochemical Findings and Association with Neisseria meningitidis Infection in Two Patients 总被引:3,自引:0,他引:3
B. TEISNER I. BRANDSLUND J. FOLKERSEN J. M. RASMUSSEN L. O. POULSEN S.-E. SVEHAG 《Scandinavian journal of immunology》1984,20(4):291-297
The complement system was examined in two patients with systemic Neisseria meningitidis infections, both of whom had reduced or nondetectable CH50 as analysed by both pathways. C3 measured by conventional technique revealed 19% anti-C3c-reactive protein in the plasma of patient 1 and 3% in patient 2. Patient 1 had circulating C3b but no detectable C3c, C3d, or C4d, whereas patient 2 had normal levels of C3c and C4d and strongly elevated levels of C3d. Factor B analysis revealed no demonstrable native factor B and small amounts of Bb in patient 1 and normal concentration of native factor B plus trace amounts of Bb in patient 2. The depletion of C3 in both patients was due to uncontrolled activation caused by complete factor I deficiency (patient 1) and circulating C3 nephritic factor (patient 2). Both parents of patient 1 had factor I concentrations below (mean-2 SD) that seen in normal healthy individuals (n = 20). Circulating immune complexes (IC) were demonstrated in patient 1 only, whereas serum from both patients had strongly reduced capacity to solubilize preformed IC. 相似文献
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NICOLAI BALLE LARSEN PETER JOHAN HEIBERG ENGEL MERETE RASMUSSEN LENE JUEL RASMUSSEN 《APMIS : acta pathologica, microbiologica, et immunologica Scandinavica》2009,117(11):839-848
Somatic defects in the mismatch repair system constitute an important pathway in colorectal carcinogenesis. We have examined the expression of mismatch repair proteins in sporadic stage IV colorectal tumors and their derived metastases. Sporadic tumors were further examined for differences in expression between the tumor transition zone and the invasive front. Expression of hMSH2, hMLH1, and hPMS2 was screened immunohistochemically in 92 stage IV tumors and derived liver metastases. In cases with loss of mismatch repair protein expression, lymph node metastases were also examined. Clinicopathological parameters and Ki‐67 staining indexes were evaluated and compared. Four tumors displayed a complete loss of hMLH1/hPMS2 expression at the transition zone; however, three of these expressed both proteins at the invasive front and in liver and lymph node metastases. A further four were predominantly hMLH1/hPMS2 negative at the transition zone, but with distinct subclones of hMLH1/hPMS2‐expressing cells at the transition zone. All of these tumors expressed hMLH1/hPMS2 at the invasive front and in liver metastases, with three also expressing hMLH/hPMS2 in lymph node metastases. No significant difference in the proliferative index was observed for the hMLH1/hPMS2‐compromised group. In stage IV tumors re‐expression of hMLH1/hPMS2 occurred, leading to different patterns of expression within the primary tumor and between tumor and metastases. This may have functional importance for the chemosensitivity of metastases compared to the primary tumor. 相似文献
7.
ABSTRACT. The use of medical care among 880 1-5 year olds in different day care settings was studied using register information on physician visits, purchases of antibiotics and municipal day care in 1984. The unit of analysis was months in the different day care settings and not children. The rates of physician visits were 1.4 to 1.8 times higher for acute upper respiratory tract infections and all acute infections and 2 to 3 times higher for secretory otitis media during day care centre months and family day care months as compared to home care months. The rate of visits for bronchial asthma was 5 times higher during day care centre months than during home care months. No differences were found between day care centre months and family day care months with respect to the rates of physician visits for acute upper respiratory tract infections, acute otitis media and all acute infections. Among children in family day care, the daily number of hours in day care, and size, average age and age homogeneity of the groups were not significantly associated with rates of visits for all acute infections or purchases of antibiotics. 相似文献
8.
A New Endoscopic Classification of Chronic Esophagitis 总被引:1,自引:0,他引:1
Based on our experience of 97 cases of chronic esophagitis diagnosed endoscopically and histologically by guided biopsies, a new macroscopial classification is suggested as follows: Type I: Erosive-ulcerative form; Type II: Granulative form; Type III: Barrett-type ulcers; Type IV: Esophagogastric or marginal ulcerations; Type V: Stenosing form.
Type I (44.2%) and Type IV (26.7%) are commonly seen. Type II (15.4%) and Type V (11.3%) are healing stages of peptic esophagitis. Type III (2.4%) is rare. The above described classification is clearly correlated with the clinical symptoms of the disease. 相似文献
Type I (44.2%) and Type IV (26.7%) are commonly seen. Type II (15.4%) and Type V (11.3%) are healing stages of peptic esophagitis. Type III (2.4%) is rare. The above described classification is clearly correlated with the clinical symptoms of the disease. 相似文献
9.
ABSTRACT. A 76-year-old woman was admitted to the hospital in comatous condition. Her blood glucose was 1.7 mM. Immediately after intravenous glucose treatment she attained normal consciousness. The diagnosis of severe primary hypothyroidism was subsequently made and no sign of other diseases was detected. After thyroid replacement therapy fasting blood glucose levels rose to normal and no further hypoglycaemic episodes occurred. It is emphasized, that hypoglycaemia may be the direct cause of severely impaired consciousness in hypothyroidism requiring immediate and specific therapy. 相似文献
10.
abstract – The effect of calcium hydroxide as a potential bone inductor in ectopic locations was studied by implanting calcium hydroxide subcutaneously or intraperitoneally in rats. The calcium hydroxide was either left in direct contact with the host tissue or separated from it by Millipore® filters. The observation periods ranged from 6 to 18 weeks. The present investigation could not verify previous reports of calcium hydroxide as a bone inductor when placed in ectopic locations. However, in some of the cases where direct contact was established between host tissue and calcium hydroxide, marked hyperplasia of the connective tissue and numerous multinuclear giant cells were observed. Occasionally some ill-defined basophilic, von Kossa positive islands were observed which slightly resembled immature bone. If direct contact between calcium hydroxide and the host tissue was prevented by Millipore filters, no significant reactions were observed in the host tissue. 相似文献