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정윤섭(Jung Yoon Sup) 역사문화학회 2008 지방사와 지방문화 Vol.11 No.1
16세기를 기점으로 한 지주제의 전개에 따라 양반사족들의 토지집적을 위한 가장 유리한 방법은 연해의 無主地處를 開墾하는 일이었다. 이같은 개간을 통한 토지의 집적 중에서도 대규모의 토지를 획득할 수 있는 곳은 海澤이었다. 그러나 대다수의 양반지주들은 해택과 멀리 떨어져 거주하고 있고 개간에 필요한 막대한 경비를 조달하는 것도 쉬운 일이 아니어서 지방의 양반재지사족들이 직접 대규모의 해언전을 개발하는 사례는 많지 않다고 할 수 있다. 그러나 해남윤씨가는 서남해 연안에 자리하고 있는 지리적 이점과 풍부한 노비노동력, 경제력 그리고 在地士族으로서의 정치적 영향력까지도 겸비하여 대규모의 해언전을 개발한다. 해남윤씨가는 16세기 士林정치기를 통해 중앙의 관료로 진출하면서 재지사족의 입지를 확립해 가고 있는 것을 볼 수 있으며, 妻邊으로부터 그리고 入養을 통해 친부와 양부로부터 재산을 상속받아 경제적 부를 확대해 나가며 이러한 부의 축적과정에서 해언전개발이 큰 비중을 차지하고 있음을 알 수 있다. 본고에서는 해남윤씨가 사림정치기에 재지사족으로 성장하면서 이처럼 대규모의 해언전을 개발할 수 있었던 것은 어떠한 배경을 통해서였는가? 또한 해택업안을 통해 해언전 개발과정에서 나타나는 양상은 어떠한 것이었는지, 지주제의 전개와 함께 상품화폐경제의 발달에 따라 언전개발 과정에서 나타나는 노동의 형태 등은 어떤 것이었는지를 살펴본 것이다. According to development of landlord system from the 16th century, it is the most beneficial method for land accumulation of the two upper classes of old Korea to reclaim the inshore's unowned land. Out of land accumulation through reclamation as above, they could acquire large-scale land by reclaiming sea. However, most of them were far away from the reclaimed land along the shore and had difficulties in collecting enormous expenses required to reclamation. Therefore, there were a few cases that the two upper local classes of old Korea developed the large-scale reclaimed land along the shore in person. However, Haenam Yoon Family Line developed large-scale reclaimed land along the shore with abundant labor, economic power and political influence as one in the two upper classes of old Korea with land as well as geographical advantage located in the southwest coast. Haenam Yoon Family Line secured their position as one in the two upper classes of old Korea with land, advancing to a central government official through Sarim politics period in the 16th century and could enlarged their economic wealth through succession to property from wife's home and real father and foster father by adoption. In the above accumulation of wealth, development of the reclaimed land along the shore occupied a great deal of weight. The study examined through what background Haenam Yoon Family Line could develop large-scale reclaimed land along the shore while growing up to be one in the two upper classes of old Korea during the Sarim politics period, what aspects appeared in the process of developing the reclaimed land along the shore through a plan to reclaim land along the shore and what form of labor appeared in the process of developing the reclaimed land along the shore according to development of commodity money economy with development of landlord system.
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대정맥-심방 우회술로 치료한 기질화된 혈전에 의한 하대정맥 폐쇄 : 증례 보고
문철,임훈,전훈배,염욱,윤익진,이석열,정윤섭 대한혈관외과학회 1999 Vascular Specialist International Vol.15 No.1
Suprarenal IVC obstruction occurs rarely but has various causes. Because this obstruction proceed chronically and usually has collateral circulation, if there is no IVC or hepatic vein obstruction symptom such as Budd-Chiari syndrome, operation is usually needless. However, although symptom is not combined, if malignancy can not be ruled out and there is no proper and radiologically visible collateral, mass resection with IVC wall and bypass graft should be done. 58 year-old female patient visit the hospital for IVC mass that is occasionally discovered by routine abdominal ultrasonography examination. After abdominal CT scanning and IVC venography, IVC obstructive mass between renal vein and hepatic vein was found. Patient didn't show any abnormality in hematological examination such as coagulation and platelet counts. There was no IVC obstruction symptom such as lower limb swelling. Inferior hepatic vein was abnormally dilated and this was regarded as collateral vessel for IVC obstruction. Radiologically, primary leiomyosarcoma was not ruled out and so operation was decided. Suprarenal IVC was dissected and mass was exposed. And with the use of femoral vein and right atrium, temporally veno-veno bypass was performed. Mass including IVC wall was excised and upper end of divided IVC was sutured. Lower end of divided IVC was anastomosed with 16 mm Dacron graft and graft was anastomosed with right atrium by end-to-end methods (Cavoatrial shunt). Postoperative pathologic examination revealed the mass to be organized thrombi. After 2 weeks later, follow-up IVC venography was performed and good patency was found from IVC to right atrium through artificial bypass graft and patient was discharged without complications.
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