http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 한명기 (검색결과 96 건)
- 무료
- 기관 내 무료
- 유료
-
Henoch-Sch enlein 자반증에 병발한 장경색 1례
한명기,박유인,김정호,이정주,강혜영 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.1
Henoch-Schöenlein purpura, also known as anaphylactoid purpura, is characterized by palpable purpura, colicky abdominal pain, gastrointestinal hemorrhage, arthralgias, and renal involvement. Histopathologically, the condition represents a vasculitis, and in fact, it may be the most common vasculitis syndrome affecting children. The pathogenesis of Henoch-Schöenlein purpura remains poorly understood, but it is postulated that an unknown antigenic stimulus causes elevation of circulating IgA and that complement activation leads to necrotizing vasculitis. All of its clinical features are attributable to wide spread vasculits. Abdominal pain is the most common gastrointestinal symptom, but intestinal bleeding and intussusception may occur. Mesenteric vasculitis is a rare but potentially serious complication of systemic vasculitis. It is reported in association with rheumatoid arthritis, systemic lupus erythematosus, scleroderma, polyarteritis nodosa, and giant cell arteritis in adult patients. Typical features are diffuse non-specific abdominal pain progressing on occasion to gastrointestinal hemorrhage, perforation, or more rarely infarction. Fortunately intestinal infarction is a rare complications, but if present carries a high chance of mortality, and swift management of the underlying vasculitis is crucial. We describe here an unusual case of a small intestinal infarction associated with Henoch-Schöenlein purpura caused by mesenteric vasculitis. Henoch-Schoenlein purpura는 자반, 복통, 위장관 출혈, 관절통, 신장 증세를 주로 하는 질환으로 모세 혈관 및 소동맥의 혈관염으로 오는 전신성 혈관 장애이다. 위 장관 증상은 다른 장기의 증상보다 심하고 급성 산통, 구토, 위 장관 출혈이 주 증상이며, 창자간막 혈관염에 의한 장천공 등이 발견되며 드물게 장경색이 발생한다고 알려져 있다. 저자들은 관절통, 자반증 복통 및 혈뇨를 보여 Henoch-Schoenlein purpura로 치료 중 심한 복통과 위 장관 출혈, 광범위한 장경색이 발생한 환자를 치험하였기에 문헌 고찰과 함께 보고하는 바이다. 아울러 소아에서 호발하는 Henoch-Schoenlein purpura가 외과적인 응급 수술을 요하는 장경색, 장천공 등의 합병증이 발생할 수 있으며, 이의 조기 진단과 치료에 대한 체계적인 연구가 필요하다고 하겠다.
-
한명기 전북사학회 2016 전북사학 Vol.0 No.48
In 1624, even though the Rebellion of Lee Gwal(李适) was suppressed in a short time, it greatly influenced the government of King Injo. First at all, military power of Joseon was weaken in the process of suppressing the rebellion. Also, as the rebel forces of Lee Gwal occupied Seoul and the royal palace was on fire, various historical books, government documents and the data needed for reformation were destroyed. Meanwhile, the government of King Injo which made to take back political power in the end lost a political space and long-term outlook. After the suppression of the rebellion, this government made great efforts only on protecting King Injo and maintaining the government. This resulted in the daily investigation and surveillance on the potential political opposing party. Furthermore, most important thing is that the degree of political dependence upon Ming Dynasty and Mao Wenlung(毛文龍), who was a representative of Ming Dynasty, increased to protect their authority and tradition. Especially, Mao Wenlung tried to have more supports and military supplies from Joseon by using the crisis of the government of King Injo in a predicament caused by the rebellion. As a result, Joseon ran into financial problems. In short, after the Rebellion of Lee Gwal, Joseon had no choice but to incline to be a more pro-Ming disposition. After the Rebellion of Lee Gwal, the government of King Injo also had no choice but to take a conciliatory gesture toward Japan. Even though it was not realized, Joseon made a plan to receive a support from Japanese troops for suppression of the rebellion. Moreover, Joseon made an attempt to build stability in relations with Japan by dispatching Joseon Embassy(朝鮮通信使) to Japan right after the rebellion finished. In a word, as the Rebellion of Lee Gwal had begun, infrastructure and economic foundation of King Injo's government became deeply corrosive. Futhermore, the possibility of reformation suggested by the government which was taking power at that time became greatly weaken.
-
-
-
-
-
임진왜란 무렵 明의 礦稅之弊와 조선 - 요동 礦稅太監 高淮의 징색을 중심으로 -
한명기 전북사학회 2020 전북사학 Vol.0 No.59
1596년 명에서 礦稅의 폐단이 시작되었다. 광세란 광산 개발에 부과하는 세금이고 상세는 영업세와 유통세를 가리킨다, 당시 명은 萬曆三大征을 치르 는데 필요한 戰費, 자금성의 화재를 복구하는데 필요한 비용, 황태자 혼례 비 용 등으로 막대한 금액을 소모하여 재정이 고갈될 위기를 맞았다. 神宗은 각 지에 환관을 보내 광세를 징수하게 했는데, 징수 과정에서는 수탈과 폭행, 횡 령 등이 만연했다. 이것이 바로 광세의 폐인데 그것을 계기로 明末 사회는 도탄에 빠졌고 곳곳에서 民變이 발생했다. 高淮는 1599년 요동에 礦稅使로 파견된 환관이다. 그의 수탈과 악행 때문 에 요동은 심각한 위기에 처했다. 그런데 고회의 수탈은 조선에까지 영향을 미쳤다. 그는 부하들을 조선에 보내 인삼, 화문석 등 각종 토산물들을 징색했 다. 고회는 조선에서의 징색을 당연하게 여겼는데 그 배경에는 명이 왜란 당 시 망해가던 조선을 구해 주었다는 施惠者意識이 자리 잡고 있었다. 한편 임 진왜란 이후 수많은 명군과 상인들이 조선을 자유롭게 왕래하면서 조선 사정 을 잘 알게 된 것도 중요한 배경이 되었다. 조선은 고회의 광세 징수를 막으려고 했지만 명의 ‘은혜’를 무시할 수도 없었다. 결국 전쟁의 후유증에서 벗어나지 못했던 조선은 고회의 징색 때문 에 큰 고통을 겪어야만 했다. 고회는 1602년 조선을 압박하여 中江開市를 존속시켰다. 그것은 임진왜란 초 조선이 명으로부터 군량 등을 수입하기 위해 임시로 개설된 것이다. 하지 만 시간이 지나면서 양국의 모리배들이 몰려들고, 분쟁이 발생하는 등 문제 점이 생기자 조선이 폐쇄하려 했다. 고회는 조선 정부를 압박하여 시장을 존 속시키고 상인들에게 영업세를 징수했다. 고회는 은을 챙기기 위해 중강개시 를 존속시키도록 강요했던 것이다. 고회가 조선에서 각종 물자를 징색하고 중강개시를 존속시켜 징세한 것은 광세지폐가 변형된 형태로 재현된 것이었다. 더욱이 선조 말년 이래 조선에 왔던 명 칙사들은 엄청난 액수의 은을 수탈했다. 칙사들의 수탈에 고회의 징색이 더해지면서 조선은 심각한 피해를 보았다. 그 때문에 당시 조선 경제 회복을 위해 절실했던 은광 개발 등에 소극적인 태도를 보일 수밖에 없었다. 요컨대 광세지폐는 요동을 피폐하게 하고, 광해군대 조선이 ‘반명감정’을 품게 되는 토 양을 제공함으로써 누르하치가 굴기하는데 일조했다고도 할 수 있겠다. In 1596, when the Imjin War was in progress, the abuse of the mining tax “Kuangshui” began. It was a tax imposed on mine development, comprised of sales tax and distribution tax. At the time, Ming was in need of huge amount of money required to fight the three great wars, to repair the Forbidden City which destroyed by fire, and to arrange the marriage of the prince. Facing a financial crisis, the emperor Shenzong(神宗) sent his subordinates to various places to collect the mining tax. The tax plunged the Ming Dynasty into chaos, and as a result people raised riots everywhere. One of the Shenzong’s eunuch, Gaohuai(高淮) was a subordinate sent to Liaodong region to collect Kuangshui in 1599. Due to his looting and misdeeds, the region had to suffer tremendously. It also affected Joseon as Gaohuai sent his own subordinates to seize goods such as ginseng and Hwamunseok(花紋席-a very expensive mat woven with flower designs), etc. Gaohuai took for granted that Ming takes various items from Joseon because the general consensus was the Joseon owe the Ming dynasty its survival during the Imjin War. It was also important that the greater accessibility to Joeson enabled soldiers and merchants to learn about its situation at the time. The Joseon government tried to prevent Gaohuai from developing silver mines in Joseon. However, feeling indebted, Joseon had no choice but to let Gaohuai send his subordinates to rob various supplies. As a result, Joseon, who had not escaped the aftermath of the war, had to suffer greatly. Meanwhile, Gaohuai put pressure on the Joeseon government in 1602 to maintain the Zhongjiang market(中江市場) open. The Zhongjiang market was established shortly after the Imjin War to import military supplies and other goods from the Ming Dynasty. Located on the border of the two countries, the Zhongjiang market lured all sorts of lowlifes. A various disputes broke out between them. In order to prevent such problems, Joseon attempted to close the Zhongjiang market after the Imjin War. However, Gaohuai needed to keep the market alive to collect business taxes from the merchants and eventually collect the silver. It was a modified form of Kuangshui bill executed by Gaohuai to collect ginseng and other goods from Joseon. Moreover, after the Imjin War a huge amount of silver was taken out of Joseon by the Ming’s royal envoys who was sent to Seoul. Joseon suffered serious damage due to the Gaohuai’s seizure in addition to the existing looting of Ming’s subordinates. Constrained to take an action, Joseon could not implement policies such as silver mine and business developments that were desperately needed to restore its economy after the Imjin War.
-
-
-
RISS연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
