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▲ 主入口透視Perspective of Main Entrance ©趙強(qiáng)Zhao Qiang
杭州市第一人民醫(yī)院桐廬醫(yī)院位于桐廬高鐵未來城區(qū)塊內(nèi)，毗鄰杭黃高鐵桐廬站，以桐廬“富春山居”的氣質(zhì)為背景，建設(shè)全鋼結(jié)構(gòu)、綠色三星的綜合性三甲醫(yī)院。項(xiàng)目總用地面積約7萬平方米，總建筑面積約20.2萬平方米，其中地上約13.9萬平方米，地下約6.3萬平方米，總床位數(shù)1100床。
Green Clover, Future City Integrated with Nature: Hangzhou First People's Hospital Tonglu Branch by The Architectural Design & Research Institute of Zhejiang University (UAD)
Hangzhou First People's Hospital Tonglu Branch is situated in the High-speed Rail Future City of Tonglu County. It is adjacent to the Tonglu Station of the Hangzhou-Huangshan High-Speed Railway, with the painting "Dwelling in the Fuchun Mountains" in Tonglu County as the backdrop. The hospital, featuring an all-steel structure, is designed as a comprehensive Grade-A tertiary hospital certified as a Three-star Green Building. The project covers an area of 70,000 m2. The total construction area is about 202,000 m2, with 139,000 m2 above ground and 63,000 m2 underground, and a total number of 1,100 beds.
▲ 建筑與周邊環(huán)境的呼應(yīng)Integration of Architecture with the Surrounding Environment
©趙強(qiáng)Zhao Qiang
1、綠色三葉草，山水未來城
桐廬醫(yī)院的遷建設(shè)計(jì)，始于2019年全球新冠疫情之前。為緩解省級三甲醫(yī)院的診療壓力，同時(shí)提升縣級醫(yī)院的醫(yī)療服務(wù)水平，桐廬將人民醫(yī)院新院區(qū)選址于高鐵未來城，基地周邊道路平整，不遠(yuǎn)處群山環(huán)繞，顯露出桐廬“富春山居”美景的氣質(zhì)。而這塊未來新城未開發(fā)的土地，也亟待一座空間氣質(zhì)相符的引領(lǐng)者。
Green Clover, Future City Integrated with Nature
The relocation and reconstruction design of Hangzhou First People's Hospital Tonglu Branch began prior to the outbreak of the global COVID-19 pandemic in 2019. To alleviate overcrowding in provincial Grade-A tertiary hospitals while elevating medical services at the county level, the hospital has chosen the High-speed Rail Future City for its new campus. The site features well-developed surrounding roads and is embraced by nearby mountain ranges, embodying Tonglu's natural beauty captured in the classical paining "Dwelling in the Fuchun Mountains". This undeveloped land in the emerging urban district also urgently awaits a pioneering architectural presence that aligns with its spatial character.
▲ 基地區(qū)位 Site Location ©UAD
▲ 整體鳥瞰Overall Aerial View©趙強(qiáng)Zhao Qiang
▲ 立面意向Elevation Concept ©UAD
▲ 溫婉的天際線©趙強(qiáng)Zhao Qiang
▲ 輕曲線立面Slight-curvature Facade Outline©趙強(qiáng)Zhao Qiang
在方案設(shè)計(jì)階段的2020年，此規(guī)模的縣級醫(yī)院屬于新建醫(yī)院中大規(guī)模、高密度的代表。設(shè)計(jì)回歸建筑本源，從場地狹長的方形出發(fā)。由于基地非正南北朝向，呈現(xiàn)35度的偏角，設(shè)計(jì)首次創(chuàng)新地使用三葉草型護(hù)理單元：將三個護(hù)理單元同層設(shè)置，中央設(shè)置共享的電梯廳。這種模式不僅同時(shí)為三個護(hù)理單元提供足夠的日照與通風(fēng)，提高了交通核的使用效率，更適應(yīng)重點(diǎn)科室的發(fā)展和大型病區(qū)的需求，為開展MDT（多學(xué)科聯(lián)合診療）預(yù)留可能。
In 2020, the project was in the stage of conceptual design.A county-level hospital of this scale was representative of large-scale and high-density new hospitals. The design was based on the essence of architecture, temporarily setting aside the complex considerations of medical processes and logistics systems, and started from the narrow and elongated rectangular site. Since the site was not oriented due north-south but had a 35-degree deviation, the design innovatively used a "clover-shaped" nursing unit for the first time: three nursing units were arranged on the same floor, with a shared elevator lobby in the center. This model not only provided sufficient daylight and ventilation for all three nursing units but also improved the efficiency of the circulation core. Moreover, it accommodated future development of key departments and the needs of large wards, while allowing for the implementation of Multi-Disciplinary Team (MDT) medical practice.
▲ 設(shè)計(jì)理念Concept ©UAD
▲ 建筑生成Building Generation ©UAD
為兼顧原有醫(yī)院醫(yī)護(hù)的使用習(xí)慣，并適應(yīng)未來發(fā)展，設(shè)計(jì)采用了貫通式醫(yī)療街，串聯(lián)門診、醫(yī)技、住院三大功能模塊，形成統(tǒng)一的醫(yī)療綜合體。
In order to accommodate the existing medical staff's usage habits while also adapting to future development, the design adopted a compromise solution of a through-type medical street. This medical street interconnects the three major functional zones - outpatient building, medical technology center, and inpatient building - forming a unified medical complex.
▲ 功能分區(qū)Functional Zoning ©UAD
在視覺上，以通高明亮的門診大廳為起點(diǎn)，寬敞、無柱遮擋的醫(yī)療主街連通各門診模塊和醫(yī)技功能，到達(dá)多部電梯環(huán)繞的住院電梯廳，并連通住院門廳。在實(shí)際使用過程中，就診患者在室內(nèi)寬敞的醫(yī)療街內(nèi)即可看到門診與各醫(yī)技功能的劃分與方位，可清晰地辨明方向，便捷地到達(dá)。
Visually, the design starts with the spacious and bright outpatient hall, which is open from floor to ceiling. The spacious, column-free main medical street connects outpatient modules and medical technology functions, extends to the inpatient elevator lobby served by multiple elevators, and links to the inpatient reception hall. In actual use, patients can clearly see the pision and orientation of the outpatient and medical technology functions from within the spacious medical street, allowing them to easily identify directions and conveniently reach their destinations.
▲ 門診大廳Outpatient Hall ©吳清山Wu Qingshan
▲ 醫(yī)療街Medical Street ©吳清山Wu Qingshan
葉片式的綜合主樓為了延續(xù)富春山居圖延綿的山水意境，以微曲線勾勒端部及天際線。兩側(cè)的行政樓與感染樓順勢與綜合樓呈環(huán)抱之勢，映襯著遠(yuǎn)處群山的起伏。銀色漸變的立面鋁板與藍(lán)灰色玻璃的組合，委婉地呈現(xiàn)過去與未來的時(shí)空對話。
The leaf-shaped comprehensive main building extends the flowing landscape aesthetic of the "Dwelling in the Fuchun Mountains" with subtle curves to outline its ends and skyline. The administrative building and the infectious diseases building on both sides naturally embrace the comprehensive building, echoing the undulations of the distant mountains. The combination of silver gradient aluminum panels and blue-gray glass subtly presents a dialogue between the past and the future.
▲ 住院主樓Main Inpatient Building ©趙強(qiáng)Zhao Qiang
▲ 三葉草型護(hù)理單元Clover-shaped Nursing Unit ©趙強(qiáng)Zhao Qiang
2、韌性設(shè)計(jì)及彈性空間
醫(yī)療建筑的設(shè)計(jì)，一方面需以功能性為主導(dǎo)，以診療的高效性為前提；另一方面醫(yī)院建筑回歸到為使用者服務(wù)，不再是冰冷的“治療機(jī)器”，而是為患者、家屬、醫(yī)護(hù)、后勤等創(chuàng)造的服務(wù)性空間。為在有限的場地內(nèi)實(shí)現(xiàn)醫(yī)療流程的最優(yōu)排布，醫(yī)院設(shè)置了均質(zhì)化的模塊空間以應(yīng)對功能高效，以可適應(yīng)性的彈性空間來應(yīng)對多元服務(wù)，以開放、人本、服務(wù)為核心，提升整體的空間品質(zhì)。
在裙房的設(shè)計(jì)中，入口空間設(shè)置了柱廊與飄頂。節(jié)奏感序列的柱廊，不僅為行人提供了遮陰避雨的屋面，而且以灰空間過渡室內(nèi)與室外、緊張與放松，為冰冷嚴(yán)肅的醫(yī)院帶來一絲古典的美與溫暖。
Resilient Design and Flexible Spaces
The design of medical buildings needs to prioritize functionality to ensure the efficiency of diagnosis and treatment. On the other hand, hospital architecture should focus on serving users. It should no longer be a cold "treatment machine", but rather a service-oriented space for patients, their families, medical staff, and support personnel. To ensure optimal medical processes within the limited site area, the hospital employes homogenized modular spaces for functional efficiency, and provides adaptable flexible spaces to accommodate perse services. With openness, human-centered design, and service at its core, the hospital enhances its spatial quality.
In the design of the podium, colonnades and cantilevered roofs have been additionally incorporated. The rhythmic sequence of the colonnades not only provides shelter from sun and rain for pedestrians, but also creates a transitional gray space bridging interiors and exteriors, and between tension and relaxation, bringing a touch of classical beauty and warmth to the otherwise cold and stern hospital.
▲ 節(jié)奏感序列的柱廊Rhythmic Sequence of Colonnades ©趙強(qiáng)Zhao Qiang
在門診的設(shè)計(jì)中，門診模塊布置在醫(yī)療街的兩側(cè)，以采光庭院為間隔。單元化模塊提供了均質(zhì)的等候空間和診室空間，以器官疾病為分類設(shè)置功能布局。
In the design of the outpatient department, light-filled courtyards are used as functional spacers, with outpatient modules arranged on both sides of the medical street. The modular units deliver standardized waiting zones and clinical spaces, with functional layouts organized based on organ-specific diseases.
▲ 門診單元Outpatient Unit ©吳清山Wu Qingshan
在住院樓三個護(hù)理單元模塊之間，圍繞中央交通核設(shè)置了三塊不同朝向的陽光共享區(qū)。結(jié)合造型的獨(dú)特性，這片擁有充足采光的方整空間，可成為醫(yī)護(hù)的休閑場所，也可設(shè)置為病患家屬的交流空間。
Between the three nursing units in the inpatient building, three sunlit shared areas with different orientations are arranged around the central circulation core. With unique architectural forms, these areas offer ample daylight and well-proportioned spaces. They can serve as leisure areas for medical staff or as communication spaces for patients' families.
▲ 住院標(biāo)準(zhǔn)層Inpatient Standard Floor ©UAD
3、全鋼結(jié)構(gòu)的綠色三星醫(yī)院
后疫情時(shí)代，各地的醫(yī)院建設(shè)如火如荼的展開，醫(yī)院建設(shè)的體量大、周期短、節(jié)奏快也給醫(yī)院的設(shè)計(jì)和施工拋出了接踵而至的問題。本項(xiàng)目采用全鋼結(jié)構(gòu)的形式，鋼結(jié)構(gòu)較混凝土建筑更加節(jié)能環(huán)保，裝配化的建造大大提升了建造速度。項(xiàng)目的落成也為鋼結(jié)構(gòu)形式在醫(yī)院建造領(lǐng)域的實(shí)踐提供了寶貴的建造經(jīng)驗(yàn)。
Fully Steel-Structured Green Three-Star Hospital
In the post-pandemic era, hospital construction is in full swing across various regions. The large scale, short construction period and fast pace of hospital construction have also brought a series of problems to the design and construction of hospitals. An all-steel structure is adopted for the project. Compared with concrete, steel is more energy-efficient and eco-friendly. The modular construction of steel structure buildings significantly speeds up the building process. The project's completion provides valuable experience for using steel structures in hospital buildings.
▲ 鋼結(jié)構(gòu)模型Steel Structure Model ©UAD
▲ 醫(yī)療綜合體 Medical Complex ©趙強(qiáng)Zhao Qiang
4、輕曲線與低造價(jià)控制
Slight Curvature and Cost Control
▲ 裙房與主樓交接Podium Interconnected with Main Building©趙強(qiáng)Zhao Qiang
建筑雖在端部與天際線呈現(xiàn)輕曲線，但內(nèi)部功能空間均為模塊化設(shè)計(jì)。為在有限的造價(jià)之內(nèi)完成未來感的塑造，建筑多次優(yōu)化曲線的弧度及立面的線條寬窄變化，以最優(yōu)標(biāo)準(zhǔn)化模塊實(shí)現(xiàn)了最低造價(jià)全鋼結(jié)構(gòu)綠建三星醫(yī)院。
Although the building features gentle curvature at its ends and skylines, modular design is employed for the internal functional spaces. To achieve a futuristic look within a limited budget, the building's curvature was optimized multiple times, and the width of the facade lines was adjusted. This allowed the creation of a full steel structure hospital – meeting China's highest Three-Star Green Building standards – at the lowest possible cost.
▲ 下沉采光庭院Sunken Lightwell Courtyard ©趙強(qiáng)Zhao Qiang
項(xiàng)目圖紙
Drawing
項(xiàng)目名稱丨杭州市第一人民醫(yī)院桐廬醫(yī)院
項(xiàng)目地點(diǎn)丨浙江桐廬
設(shè)計(jì)單位丨浙江大學(xué)建筑設(shè)計(jì)研究院
設(shè)計(jì)總負(fù)責(zé)丨陳建
設(shè)計(jì)主創(chuàng)丨陳建
建筑設(shè)計(jì)丨陳建、黎冰、沈濟(jì)黃、喬洪波、應(yīng)倩、徐昉、許益盛、牧歌、陳駿峰、姜哲遠(yuǎn)、黃愷悅、嚴(yán)雪姣、祖武、張楊茜
結(jié)構(gòu)設(shè)計(jì)丨沈捷攀、尹雄、王財(cái)權(quán)、朱旦陽、張辰
給排水設(shè)計(jì)丨汪波、鄭雪梅、金藝蓓、范永歡
電氣設(shè)計(jì)｜毛闐、鄭健 、鄭建洲、章偉康、徐鑒其
暖通設(shè)計(jì)｜張敏敏、吳毅學(xué)、何梅玲、陳戴威、胡亦奇、李浩軍
智能化設(shè)計(jì)｜馬健、張武波、陳佳、倪高俊、王菲
幕墻設(shè)計(jì)丨姜浩、黃麗、周志敏、俞星、黃培軍
室內(nèi)設(shè)計(jì)丨孫海峰、鄭文杰、葉筱迪、毛文江、陳崢力、閉獻(xiàn)高、張建芬
景觀設(shè)計(jì)｜高飛、徐偉東、李偉強(qiáng)、俞婷、葉星星、林志浩
照明設(shè)計(jì)丨王小冬、劉一晗、馮百樂、吳旭輝
巖土設(shè)計(jì)丨陳赟、楊勤鋒、趙志遠(yuǎn)、胡根興、方利澤
項(xiàng)目業(yè)主丨桐廬縣城市發(fā)展經(jīng)營有限公司
項(xiàng)目規(guī)模丨201,929.39m2
設(shè)計(jì)時(shí)間丨2019-2020
竣工時(shí)間 | 2024
建筑攝影丨趙強(qiáng)、吳清山
Project Name丨Hangzhou First People's Hospital Tonglu Branch
Project Location | Tonglu County, Zhejiang
Design Unit | The Architectural Design & Research Institute of Zhejiang University (UAD)
Chief Designer丨Chen Jian
Lead Designer丨Chen Jian
Architectural Designers 丨Chen Jian, Li Bing, Shen Jihuang, Qiao Hongbo, Ying Qian, Xu Fang, Xu Yisheng, Mu Ge, Chen Junfeng, Jiang Zheyuan, Huang Kaiyue, Yan Xuejiao, Zu Wu, Zhang Yangqian
Structural Designers 丨 Sheng Jiepan, Yin Xiong, Wang Caiquan, Zhu Danyang, Zhang Chen
Plumbing Designers 丨Wang Bo, Zheng Xuemei, Jin Yibei，F(xiàn)an Yonghuan
Electrical Designers 丨Mao Tian, Zheng Jian, Zheng Jianzhou, Zhang Weikang, Xu Jianqi
HVAC Designers｜Zhang Minmin, Wu Yixue, He Meiling, Chen Daiwei, Hu Yiqi, Li Hao Jun
Intelligent Designers 丨Ma Jian, Zhang Wubo, Chen Jia, Ni Gaojun, Wang Fei
Curtain Wall Designers丨Jiang Hao, Huang Li, Zhou Zhimin, Yu Xing, Huang Peijun
Interior Designers丨Sun Haifeng, Zheng Wenjie, Ye Xiaodi, Mao Wenjiang, Chen Zhengli，Bi Xiangao, Zhang Jianfen
Landscape Designers｜Gao Fei, Xu Weidong, Li Weiqiang, Yu Ting, Ye Xingxing, Lin Zhihao
Lighting Designers丨Wang Xiaodong, Liu Yihan, Feng Baile, Wu Xuhui
Geotechnical Designers丨Chen Yun, Yang Qinfeng, Zhao Zhiyuan, Hu Genxing，F(xiàn)ang Lize
Project Owner | Tonglu County Urban Development Operation Co., Ltd.
Project Scale丨201929.39 m2
Design Year丨2019-2020
Completion Year | 2024
Photographer | Zhao Qiang, Wu Qingshan
來源：本文由浙江大學(xué)建筑設(shè)計(jì)研究院提供稿件，所有著作權(quán)歸屬浙江大學(xué)建筑設(shè)計(jì)研究院所有。
本文版權(quán)歸腿腿教學(xué)網(wǎng)及原創(chuàng)作者所有，未經(jīng)授權(quán)，謝絕轉(zhuǎn)載。
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