▲ 主入口透视Perspective of Main Entrance ©赵强Zhao Qiang
杭州市第一人民医院桐庐医院位于桐庐高铁未来城区块内，毗邻杭黄高铁桐庐站，以桐庐“富春山居”的气质为背景，建设全钢结构、绿色三星的综合性三甲医院。项目总用地面积约7万平方米，总建筑面积约20.2万平方米，其中地上约13.9万平方米，地下约6.3万平方米，总床位数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.
▲ 建筑与周边环境的呼应Integration of Architecture with the Surrounding Environment
©赵强Zhao Qiang
1、绿色三叶草，山水未来城
桐庐医院的迁建设计，始于2019年全球新冠疫情之前。为缓解省级三甲医院的诊疗压力，同时提升县级医院的医疗服务水平，桐庐将人民医院新院区选址于高铁未来城，基地周边道路平整，不远处群山环绕，显露出桐庐“富春山居”美景的气质。而这块未来新城未开发的土地，也亟待一座空间气质相符的引领者。
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.
▲ 基地区位 Site Location ©UAD
▲ 整体鸟瞰Overall Aerial View©赵强Zhao Qiang
▲ 立面意向Elevation Concept ©UAD
▲ 温婉的天际线©赵强Zhao Qiang
▲ 轻曲线立面Slight-curvature Facade Outline©赵强Zhao Qiang
在方案设计阶段的2020年，此规模的县级医院属于新建医院中大规模、高密度的代表。设计回归建筑本源，从场地狭长的方形出发。由于基地非正南北朝向，呈现35度的偏角，设计首次创新地使用三叶草型护理单元：将三个护理单元同层设置，中央设置共享的电梯厅。这种模式不仅同时为三个护理单元提供足够的日照与通风，提高了交通核的使用效率，更适应重点科室的发展和大型病区的需求，为开展MDT（多学科联合诊疗）预留可能。
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.
▲ 设计理念Concept ©UAD
▲ 建筑生成Building Generation ©UAD
为兼顾原有医院医护的使用习惯，并适应未来发展，设计采用了贯通式医疗街，串联门诊、医技、住院三大功能模块，形成统一的医疗综合体。
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.
▲ 功能分区Functional Zoning ©UAD
在视觉上，以通高明亮的门诊大厅为起点，宽敞、无柱遮挡的医疗主街连通各门诊模块和医技功能，到达多部电梯环绕的住院电梯厅，并连通住院门厅。在实际使用过程中，就诊患者在室内宽敞的医疗街内即可看到门诊与各医技功能的划分与方位，可清晰地辨明方向，便捷地到达。
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.
▲ 门诊大厅Outpatient Hall ©吴清山Wu Qingshan
▲ 医疗街Medical Street ©吴清山Wu Qingshan
叶片式的综合主楼为了延续富春山居图延绵的山水意境，以微曲线勾勒端部及天际线。两侧的行政楼与感染楼顺势与综合楼呈环抱之势，映衬着远处群山的起伏。银色渐变的立面铝板与蓝灰色玻璃的组合，委婉地呈现过去与未来的时空对话。
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.
▲ 住院主楼Main Inpatient Building ©赵强Zhao Qiang
▲ 三叶草型护理单元Clover-shaped Nursing Unit ©赵强Zhao Qiang
2、韧性设计及弹性空间
医疗建筑的设计，一方面需以功能性为主导，以诊疗的高效性为前提；另一方面医院建筑回归到为使用者服务，不再是冰冷的“治疗机器”，而是为患者、家属、医护、后勤等创造的服务性空间。为在有限的场地内实现医疗流程的最优排布，医院设置了均质化的模块空间以应对功能高效，以可适应性的弹性空间来应对多元服务，以开放、人本、服务为核心，提升整体的空间品质。
在裙房的设计中，入口空间设置了柱廊与飘顶。节奏感序列的柱廊，不仅为行人提供了遮阴避雨的屋面，而且以灰空间过渡室内与室外、紧张与放松，为冰冷严肃的医院带来一丝古典的美与温暖。
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.
▲ 节奏感序列的柱廊Rhythmic Sequence of Colonnades ©赵强Zhao Qiang
在门诊的设计中，门诊模块布置在医疗街的两侧，以采光庭院为间隔。单元化模块提供了均质的等候空间和诊室空间，以器官疾病为分类设置功能布局。
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.
▲ 门诊单元Outpatient Unit ©吴清山Wu Qingshan
在住院楼三个护理单元模块之间，围绕中央交通核设置了三块不同朝向的阳光共享区。结合造型的独特性，这片拥有充足采光的方整空间，可成为医护的休闲场所，也可设置为病患家属的交流空间。
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.
▲ 住院标准层Inpatient Standard Floor ©UAD
3、全钢结构的绿色三星医院
后疫情时代，各地的医院建设如火如荼的展开，医院建设的体量大、周期短、节奏快也给医院的设计和施工抛出了接踵而至的问题。本项目采用全钢结构的形式，钢结构较混凝土建筑更加节能环保，装配化的建造大大提升了建造速度。项目的落成也为钢结构形式在医院建造领域的实践提供了宝贵的建造经验。
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.
▲ 钢结构模型Steel Structure Model ©UAD
▲ 医疗综合体 Medical Complex ©赵强Zhao Qiang
4、轻曲线与低造价控制
Slight Curvature and Cost Control
▲ 裙房与主楼交接Podium Interconnected with Main Building©赵强Zhao Qiang
建筑虽在端部与天际线呈现轻曲线，但内部功能空间均为模块化设计。为在有限的造价之内完成未来感的塑造，建筑多次优化曲线的弧度及立面的线条宽窄变化，以最优标准化模块实现了最低造价全钢结构绿建三星医院。
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 ©赵强Zhao Qiang
项目图纸
Drawing
项目名称丨杭州市第一人民医院桐庐医院
项目地点丨浙江桐庐
设计单位丨浙江大学建筑设计研究院
设计总负责丨陈建
设计主创丨陈建
建筑设计丨陈建、黎冰、沈济黄、乔洪波、应倩、徐昉、许益盛、牧歌、陈骏峰、姜哲远、黄恺悦、严雪姣、祖武、张杨茜
结构设计丨沈捷攀、尹雄、王财权、朱旦阳、张辰
给排水设计丨汪波、郑雪梅、金艺蓓、范永欢
电气设计｜毛阗、郑健 、郑建洲、章伟康、徐鉴其
暖通设计｜张敏敏、吴毅学、何梅玲、陈戴威、胡亦奇、李浩军
智能化设计｜马健、张武波、陈佳、倪高俊、王菲
幕墙设计丨姜浩、黄丽、周志敏、俞星、黄培军
室内设计丨孙海峰、郑文杰、叶筱迪、毛文江、陈峥力、闭献高、张建芬
景观设计｜高飞、徐伟东、李伟强、俞婷、叶星星、林志浩
照明设计丨王小冬、刘一晗、冯百乐、吴旭辉
岩土设计丨陈赟、杨勤锋、赵志远、胡根兴、方利泽
项目业主丨桐庐县城市发展经营有限公司
项目规模丨201,929.39m2
设计时间丨2019-2020
竣工时间 | 2024
建筑摄影丨赵强、吴清山
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，Fan 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，Fang 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
来源：本文由浙江大学建筑设计研究院提供稿件，所有著作权归属浙江大学建筑设计研究院所有。
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