全文获取类型
收费全文 | 1404篇 |
免费 | 59篇 |
国内免费 | 59篇 |
专业分类
耳鼻咽喉 | 1篇 |
儿科学 | 77篇 |
妇产科学 | 9篇 |
基础医学 | 104篇 |
口腔科学 | 10篇 |
临床医学 | 177篇 |
内科学 | 340篇 |
皮肤病学 | 1篇 |
神经病学 | 39篇 |
特种医学 | 32篇 |
外国民族医学 | 1篇 |
外科学 | 53篇 |
综合类 | 182篇 |
预防医学 | 97篇 |
眼科学 | 1篇 |
药学 | 296篇 |
1篇 | |
中国医学 | 73篇 |
肿瘤学 | 28篇 |
出版年
2024年 | 2篇 |
2023年 | 27篇 |
2022年 | 39篇 |
2021年 | 42篇 |
2020年 | 56篇 |
2019年 | 44篇 |
2018年 | 58篇 |
2017年 | 28篇 |
2016年 | 34篇 |
2015年 | 45篇 |
2014年 | 129篇 |
2013年 | 96篇 |
2012年 | 98篇 |
2011年 | 95篇 |
2010年 | 72篇 |
2009年 | 71篇 |
2008年 | 48篇 |
2007年 | 73篇 |
2006年 | 46篇 |
2005年 | 62篇 |
2004年 | 29篇 |
2003年 | 25篇 |
2002年 | 25篇 |
2001年 | 19篇 |
2000年 | 18篇 |
1999年 | 17篇 |
1998年 | 10篇 |
1997年 | 18篇 |
1996年 | 6篇 |
1995年 | 9篇 |
1994年 | 11篇 |
1993年 | 7篇 |
1992年 | 3篇 |
1991年 | 13篇 |
1990年 | 4篇 |
1989年 | 4篇 |
1988年 | 4篇 |
1987年 | 4篇 |
1985年 | 12篇 |
1984年 | 23篇 |
1983年 | 11篇 |
1982年 | 11篇 |
1981年 | 13篇 |
1980年 | 6篇 |
1979年 | 4篇 |
1977年 | 12篇 |
1976年 | 8篇 |
1975年 | 15篇 |
1974年 | 6篇 |
1973年 | 7篇 |
排序方式: 共有1522条查询结果,搜索用时 0 毫秒
1.
Andy KH Lim 《World journal of gastroenterology : WJG》2020,26(10):1020-1028
Rhabdomyolysis is a syndrome of skeletal muscle injury with release of cellular constituents such as potassium,phosphate,urate and intracellular proteins such as myoglobin into the circulation,which may cause complications including acute kidney injury,electrolyte disturbance and cardiac instability.Abnormal liver function tests are frequently observed in cases of severe rhabdomyolysis.Typically,there is an increase in serum aminotransferases,namely aspartate aminotransferase and alanine aminotransferase.This raises the question of liver injury and often triggers a pathway of investigation which may lead to a liver biopsy.However,muscle can also be a source of the increased aminotransferase activity.This review discusses the dilemma of finding abnormal liver function tests in the setting of muscle injury and the potential implications of such an association.It delves into some of the clinical and experimental evidence for correlating muscle injury to raised aminotransferases,and discusses pathophysiological mechanisms such as oxidative stress which may cause actual liver injury.Serum aminotransferases lack tissue specificity to allow clinicians to distinguish primary liver injury from muscle injury.This review also explores potential approaches to improve the accuracy of our diagnostic tools,so that excessive or unnecessary liver investigations can be avoided. 相似文献
2.
目的 探讨血清谷丙转氨酶(ALT)与新诊2型糖尿病(T2DM)患病风险之间的关联,为T2DM的防治提供科学依据。方法 采用4阶段分层随机抽样的方法选取2006年和2009年参与青岛糖尿病预防项目的研究对象男性3 012例、女性4 422例,采用Pearson相关检验分析不同性别ALT与FPG、2 h PG的相关性,并利用多因素logistic回归分析ALT与新诊T2DM患病的关系。结果 男性中,ALT与空腹血浆血糖(FPG)、餐后2 h血浆血糖(2 h PG)的Pearson相关系数分别为0.088、0.080(均P<0.01);多因素logistic回归显示,在调整了年龄、BMI、糖尿病家族史、城乡、教育、婚姻、收入、吸烟及饮酒状况等混杂因素后,ALT的第4分位(Q4)组新诊T2DM患病风险是第1分位(Q1)组的1.832倍(OR = 1.832,95% CI:1.324~2.534,P<0.01)。女性中,ALT与FPG、2h PG的Pearson相关系数分别为0.065、0.108(均P<0.01);多因素logistic回归显示,在调整了年龄、BMI、糖尿病家族史、城乡、教育、婚姻、收入、吸烟及饮酒状况等混杂因素后,ALT的第4分位(Q4)组新诊T2DM患病风险是第1分位(Q1)组的1.445倍(OR = 1.445,95% CI:1.087~1.919,P<0.05)。结论 在男、女性人群中,ALT水平升高与T2DM患病相关,且这种相关性不受年龄、BMI、糖尿病家族史等的影响。 相似文献
3.
关龙胆地上部分保肝作用研究 总被引:1,自引:0,他引:1
目的通过不同毒物引起的肝损伤来研究关龙胆地上部分的保肝作用。方法选用D-半乳糖胺、硫代乙酰胺、四氯化碳等3个肝损伤毒物造肝损伤模型,通过不同机制引起的肝损伤来研究关龙胆地上部分的保肝作用。结果关龙胆地上部分有一定的保肝作用,可降低各种肝损伤模型的ALT,AST,AKP等。结论关龙胆地上部分也有一定的药用价值,用全草取代地下部分入药有一定的可行性。 相似文献
4.
5.
Lower level of serum potassium and higher level of C-reactive protein as an independent risk factor for giant aneurysms in Kawasaki disease 总被引:7,自引:0,他引:7
Giant aneurysms are the most serious issue of patients with Kawasaki disease (KD). To clarify risk factors for these giant aneurysms, we conducted a matched case-control study. Among the patients reported in nationwide surveys, 117 patients with giant aneurysms had an unequivocal new diagnosis and presented at the treatment center within 9 d of illness. We obtained clinical information on admission of about 69 patients (case) from the treatment centers. One control was selected for each case, an age- and sex-matched patient without coronary involvement, reported from the same treatment center at about the same time as the case, and we obtained the same clinical information about controls. Fourteen variables were analysed with a conditional logistic regression model: body temperature, hematocrit, hemoglobin, numbers of leukocyte and platelets, concentrations of serum albumin, globulin, total cholesterol, sodium, potassium and chloride, erythrocyte sedimentation rate, C-reactive protein and alanine aminotransferase activity. After adjustment for age, duration of illness before admission and use of intravenous gamma globulin therapy, C-reactive protein [odds ratio (OR) = 1.142, 95% confidence interval (CI) 1.054-1.237], alanine aminotransferase activity (OR = 1.008, 95% CI 1.002-1.014), serum sodium concentration (OR = 0.877, 95% CI 0.770-0.999) and serum potassium concentration (OR = 0.319, 95% CI 0.124-0.822) were significantly related to the risk for giant aneurysms. Further analyses with these four explanatory variables revealed that C-reactive protein (OR = 1.159, 95% CI 1.022-1.315) and serum potassium concentration (OR = 0.222, 95% CI 0.052-0.948) met the significant level. Thus, the values for serum C-reactive protein and potassium are independent risk factors for the development of the giant aneurysms of Kawasaki disease. 相似文献
6.
7.
R. Bolzani G. P. Bianchi G. Marchesini E. Sarti 《Medical & biological engineering & computing》1990,28(4):325-328
A three-compartment model was used to analyse the urea response to an alanine infusion in control subjects and patients with
liver cirrhosis. Discriminant analysis showed a good separation between model coefficients of the two groups. A single parameter
was derived, able to quantify the liver functional capacity. The method provides a useful diagnostic tool in patients with
liver disease. 相似文献
8.
Using electrophysiological and radiotracer studies in parallel, we have investigated the characteristics of the endogenous Na+-dependent amino acid transporter (system B0,+) in Xenopus oocytes with regard to ion dependence, voltage dependence and transport stoichiometry. In voltage-clamped oocytes (–60 mV) superfusion with saturating concentrations of amino acids (1 mM) in 100 mM NaCl resulted in reversible, inward currents (mean±SEM): alanine, 1.83±0.09 nA (n=21); arginine, 2.54±0.18 nA (n=17); glutamine, 1.73±0.10 nA (n=19). Only arginine evoked a current in choline medium (0.50±0.13 nA, n=10), whereas Cl– replacement had no effect on evoked currents. The glutamine-evoked current was saturable (I
max=1.73 nA, glutamine K
m=0.12 mM) and linearly dependent upon voltage between –90 and –30 mV. Using direct and indirect (activation) methods, we found that transport can proceed with Na+/amino acid coupling stoichiometry of either 11 or 21, but coupling was the same for each amino acid tested (alanine, arginine and glutamine) within a batch of oocytes (i.e. from a single toad). Despite the net single positive charge on arginine, the magnitude of the net transmembrane charge movement during Na+-coupled arginine transport was identical to that for the zwitterionic neutral amino acids glutamine and alanine; this may be explained by a concomitant stimulation of K+ efflux during arginine transport with a putative coupling of 1 K+1 arginine. 相似文献
9.
F. Rothe G. Wolf 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1994,79(2):400-404
Summary The behaviour of enzymes putatively involved in glutamate/aspartate transmitter metabolism (glutamate dehydrogenase, aspartate aminotransferase, alanine aminotransferase,-glutamyltranspeptidase) was studied in the striatum 3, 7, 14 days and 7 weeks after mechanical destruction of corticostriatal fibres. For a period of up to seven days after unilateral lesion, enzyme activities were significantly diminished (by up to 13% based on protein) in the ipsilateral striatum as compared to the striatum of the intact side. Later, the enzyme activities in the ipsilateral striatum recovered. After seven weeks, an increase was observed for glutamate dehydrogenase activity, whereas the activity of alanine aminotransferase showed a transient rise at the end of the second week. The decrease in enzyme levels is interpreted as being attributable to the destruction of nerve endings which are considered to be glutamatergic, interfering with various compensating processes (e.g. glial cell proliferation) which occur with advancing times after lesion. 相似文献
10.
Morphologic evaluation of the liver in hereditary angioedema patients on long-term treatment with androgen derivatives 总被引:1,自引:0,他引:1
M Cicardi L Bergamaschini A Tucci A Agostoni G Tornaghi G Coggi R Colombi G Viale 《The Journal of allergy and clinical immunology》1983,72(3):294-298
17 alpha-Alkylated androgens are highly effective in preventing attacks in HAE patients. These drugs, however, seem to be implicated in the development of cholestatic jaundice, peliosis hepatis, and liver tumors. In order to assess the risk-benefit balance of the long-term therapy with androgen derivatives, a follow-up investigation was performed in 13 HAE patients. The results of this study indicate that long-term treatment (15 to 47 mo) with low doses of danazol or stanozolol does not induce significant hepatic damage detectable by laboratory tests or liver biopsy. However, the limited number of patients, although in a rather long period of observation, still suggests a careful control and the use of minimal effective doses. 相似文献