首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   470篇
  免费   50篇
  国内免费   7篇
耳鼻咽喉   7篇
儿科学   11篇
基础医学   32篇
口腔科学   12篇
临床医学   47篇
内科学   68篇
皮肤病学   17篇
神经病学   27篇
特种医学   35篇
外科学   42篇
综合类   50篇
预防医学   75篇
眼科学   1篇
药学   66篇
中国医学   27篇
肿瘤学   10篇
  2024年   3篇
  2023年   8篇
  2022年   11篇
  2021年   12篇
  2020年   11篇
  2019年   14篇
  2018年   19篇
  2017年   15篇
  2016年   9篇
  2015年   19篇
  2014年   31篇
  2013年   37篇
  2012年   20篇
  2011年   42篇
  2010年   35篇
  2009年   21篇
  2008年   19篇
  2007年   19篇
  2006年   23篇
  2005年   15篇
  2004年   14篇
  2003年   16篇
  2002年   12篇
  2001年   12篇
  2000年   4篇
  1999年   6篇
  1998年   12篇
  1997年   5篇
  1996年   9篇
  1995年   11篇
  1994年   5篇
  1993年   2篇
  1991年   4篇
  1990年   1篇
  1989年   1篇
  1988年   4篇
  1987年   4篇
  1986年   1篇
  1985年   6篇
  1984年   2篇
  1981年   3篇
  1979年   1篇
  1978年   3篇
  1977年   2篇
  1976年   1篇
  1975年   1篇
  1972年   1篇
  1965年   1篇
排序方式: 共有527条查询结果,搜索用时 31 毫秒
1.
1. The present study aimed to determine the feasibility of conducting a 5 year cardiovascular outcome trial of the treatment of 6000 elderly hypertensive patients in Australian general practices. 2. General practitioners (GPs) were invited to participate by mail and personal follow-up. Patient records were reviewed to identify subjects for a blood pressure (BP) screening programme. Blood pressure was measured on three occasions and eligible subjects were included if the average BP was 160 mmHg systolic or 90 mmHg diastolic if systolic BP was 140 mmHg. 3. Seven hundred and forty-one GPs were approached and 89 were enrolled in the study (12% of mail invites and 75% of those receiving a personal contact). In 16 practices where screening was completed, 82 000 records were reviewed to identify 4% patients eligible for screening. Twenty-two per cent of eligible subjects attended screening. Of 1938 subjects screened, 180 (9%) had BP 5=160/90 mmHg. Forty-seven percent of subjects (n = 916) were receiving antihypertensive therapy and 184 (20%) were withdrawn from therapy. One hundred and sixteen (63%) of these subjects had BP return to study entry levels within 6 weeks. Fifty-seven newly diagnosed and 81 previously treated subjects were randomized (7% of the screened population). 4. Based on the high participation rate of GPs, the response rate of patients to attend a BP screening programme and the 7% randomization to screening ratio for entry into the study, the ANBP2 pilot study has demonstrated that it is feasible to recruit subjects from Australian general practices to a cardiovascular outcome trial.  相似文献   
2.
Physical inactivity, excess adiposity and premature mortality   总被引:5,自引:0,他引:5  
The purpose of this report is to review the evidence that physical inactivity and excess adiposity are related to an increased risk of all‐cause mortality, and to better identify the independent contributions of each to all‐cause mortality rates. A variance‐based method of meta‐analysis was used to summarize the relationships from available studies. The summary relative risk of all‐cause mortality for physical activity from the 55 analyses (31 studies) that included an index of adiposity as a covariate was 0.80 [95% confidence interval (CI) 0.78–0.82], whereas it was 0.82 [95% CI 0.80–0.84] for the 44 analyses (26 studies) that did not include an index of adiposity. Thus, physically active individuals have a lower risk of mortality by comparison to physically inactive peers, independent of level of adiposity. The summary relative risk of all‐cause mortality for an elevated body mass index (BMI) from the 25 analyses (13 studies) that included physical activity as a covariate was 1.23 [95% CI 1.18–1.29], and it was 1.24 [95% CI 1.21–1.28] for the 81 analyses (36 studies) that did not include physical activity as a covariate. Studies that used a measure of adiposity other than the BMI show similar relationships with mortality, and stratified analyses indicate that both physical inactivity and adiposity are important determinants of mortality risk.  相似文献   
3.
肌病肾病代谢综合征治疗进展   总被引:1,自引:0,他引:1  
肌病肾病代谢综合征是急性动脉阻塞致骨骼肌溶解的严重并发症。积极治疗原发病,及早补液扩容、碱化尿液、早期血液净化治疗是降低截肢率、病死率的关键。本文就肌病肾病代谢综合征治疗进展作一综述。  相似文献   
4.
肝尾状叶由于解剖位置特殊,位置深,难以显露,手术难度大,是肝脏外科领域手术操作的难点与研究热点.随着肝血流控制技术的发展、肝实质离断技术的提高,肝尾状叶肿瘤切除率明显提高[1].2006年4月至2008年10月,我科完成单独肝尾状叶血管瘤切除术9例,现将手术技巧与疗效报道如下.  相似文献   
5.
Vascular networks of the nucleus lentiformis   总被引:3,自引:0,他引:3  
Summary The nucleus lentiformis vascular networks were studied in 30 brains by injecting the vascular system with gelatinous Indian ink. The nucleus lentiformis is divided into a medial part, the globus pallidus, and a lateral part, the putamen. These two parts differ completely from one another in their embryology, structure and functions. For these reasons, each part presents a specific vascular network. The putaminal network is dense and shows many similarities with the cerebral cortex vascular network; the pallidal one is simpler and less dense. These two vascular networks are located close to each other without overlapping. Their specificity may be in relation with the histological structure, with the morphogenetic evolution or with the functional activity of both nuclei to which they provide the vascularization.
Les réseaux vascularies du noyau lenticulaire
Résumé L'étude des réseaux vasculaires du noyau lenticulaire (NL) est réalisée sur 30 cerveaux dont le système vasculaire a été injecté à l'encre de Chine gélosée. Le NL est constitué par deux parties, le putamen (néostriatum) et le globus pallidus (paléo-striatum), totalement différentes sur les plans morphologique, embryologique et fonctionnel. Chacune de ces parties possède un réseau vasculaire spécifique et caractéristique. Les deux réseaux se côtoient sans se chevaucher. Le réseau vasculaire putaminal est dense et présente de nombreuses similitudes avec le réseau vasculaire du cortex cérébral. Le réseau vasculaire pallidal se caractérise par sa simplicité et sa moindre densité. Leur spécificité peut être en rapport avec la structure histologique, l'évolution morphogénétique et avec l'activité fonctionnelle des noyaux dont ils assurent l'irrigation.
  相似文献   
6.
L1 is a neural cell adhesion molecule mainly involved in axon guidance and neuronal migration during brain development. Mutations in the human L1 gene give rise to a complex clinical picture, with mental retardation, neurologic abnormalities and a variable degree of hydrocephalus. Recently, a transgenic mouse model with a targeted null mutation in the L1 gene was generated. These knockout (KO) mice show hypoplasia of the corticospinal tract. Here we have performed further studies of these KO mice including magnetic resonance imaging of the brain, neuropathological analysis and behavioral testing. The ventricular system was shown to be abnormal with dilatation of the lateral ventricles and the 4th ventricle, and an altered shape of the Sylvius aqueduct. Additionally, the cerebellar vermis of the KO mice is hypoplastic. Their exploratory behavior is characterized by stereotype peripheral circling reminiscent of that of rodents with induced cerebellar lesions.   相似文献   
7.
目的:评价咪唑斯汀治疗慢性荨麻疹的疗效,探讨IL-4在慢性荨麻疹发病中的作用。方法:对32例慢性荨麻疹患用咪唑斯汀治疗,评价疗效,记录不良反应。同时用ELISA法检测慢性荨麻疹患治疗前后及正常人血清IL-4的水平。结果:治疗1、2wk后总有效率分别为62.5%、84.4%(P<0.01),不良反应3例。治疗前血清IL-4水平较正常人明显升高(P<0.01);治疗后IL-4水平下降(P<0.01),与正常人比较差异不甚明显(P>0.05)。结论:咪唑斯汀是一种有效、安全的治疗慢性荨麻疹的药物,能降低慢性荨麻疹患血清IL-4的水平。  相似文献   
8.
目的:探讨黄芩苷、丹参酮ⅡA、三七皂苷R1对过氧化氢所致的大鼠海马神经元损伤的保护作用.方法:采用新生1d SD大鼠海马神经元原代培养,以H2O2(50μM)造成细胞损伤模型,将黄芩苷、丹参酮ⅡA、三七皂苷R1的高(20μg/ml)和低(0.2μg/ml)两个剂量加入到培养细胞液中.在4h时,检测细胞形态及释放出的LDH活性变化,观察到上述药物对海马神经元损伤的直接保护作用.结果:低剂量黄芩苷和三七皂苷R1与模型组比较,未见明显差异,三种组分高剂量和丹参酮ⅡA低剂量组与模型组比较,均有明显差异.结论:黄芩苷、丹参酮ⅡA、三七皂苷R1对过氧化氢所致的大鼠海马神经元损伤具有一定的保护作用.  相似文献   
9.
Data from many laboratory and clinical investigations indicate that CD34+ cells comprise approximately 1% of human bone marrow (BM) mononuclear cells, including the progenitor cells of all the lymphohematopoietic lineages and lymphohematopoietic stem cells (stem cells). Because stem cells are an important but rare cell type in the CD34+ cell population, investigators have subdivided the CD34+ cell population to further enrich stem cells. The CD34+/CD38- cell subset comprises less than 10% of human CD34+ adult BM cells (equivalent to < 0.1% of marrow mononuclear cells), lacks lineage (lin) antigens, contains cells with in vitro replating capacity, and is predicted to be highly enriched for stem cells. The present investigation tested whether the CD34+/CD38- subset of adult human marrow generates human hematopoiesis after transfer to preimmune fetal sheep. CD34+/ CD38- cells purified from marrow using immunomagnetic microspheres or fluorescence-activated cell sorting generated easily detectable, long- term, multilineage human hematopoiesis in the human-fetal sheep in vivo model. In contrast, transfer of CD34+/CD38+ cells to preimmune fetal sheep generated only short-term human hematopoiesis, possibly suggesting that the CD34+/CD38+ cell population contains relatively early multipotent hematopoletic progenitor cells, but not stem cells. This work extends the prior in vitro evidence that the earliest cells in fetal and adult human marrow lack CD38 expression. In summary, the CD34+/ CD38- cell population has a high capacity for long-term multilineage hematopoietic engraftment, suggesting the presence of stem cells in this minor adult human marrow cell subset.  相似文献   
10.
目的:分析老年退行性心脏瓣膜病(SDHVD)与多器官疾病的发生状况。方法老年人3896例,男2884例,女1012例,年龄60~103(78±13)岁。所有研究对象均进行心脏彩超、体检、相关辅助检查,并对多器官疾病进行分析。结果3896例患者中,SDHVD1225例(31.4%),无SDHVD2671例(68.6%),SDHVD组与对照组多器官疾病的发病率分别为高血压病49.3%vs 28.4%,冠心病38.5%vs23.8%,心力衰竭36.2%vs 17.3%,肺心病6.3%vs 3.1%,脑卒中21.6%vs 9.6%,肾功能不全6.9%vs 3.2%,胃食管反流病21.3%vs 10.3%,两组比较差异均有统计学意义(P<0.05),而糖尿病为11.2%vs 12.1%,两组比较差异无统计学意义(P>0.05)。结论 SDHVD组多器官疾病显著增高,可能由于SDHVD心脏重构改变,血流动力学异常,促发了多器官疾病的发生。  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号