Courtesy of Lemanarc SA

LemanarcSA提供

南京鼓楼医院位于南京市中心城区，由加拿大传教士麦克林博士创办。它是中国最著名的医院之一。

Nanjing Drum Tower Hospital, founded by Canadian Missionary Dr. Macklin, is located in the downtown center of Nanjing city. It is one of the most renowned hospital in China.

医院的早期扩张是由现代医疗技术的发展和城市人口的不断增加所带动的。尽管规模显著，但这些早期扩张中的大部分几乎不只是简单而紧迫的增加和扩展现有功能，以满足对医疗服务的迅速增长的需求。因此，由于整个医院的运作，许多楼层的功能布局没有很好的组织和精简。例如，现有的门诊部位于中山路东侧，与医院的主要建筑物相连，位于西侧，仅通过狭窄的地下通道，给病人和工作人员带来额外的不便。

The earlier expansions of the hospital was driven by the of development of modern medical technology as well as the increasing municipal population. Despite the remarkable scales, most of these early expansions are hardly more than simple and urgent addition and extension of existing function to meet the rapidly increasing need for medical service. As a result, the functional layout of many floors are not well organized and streamlined for the operation of the hospital as a whole. For instance, the existing outpatient department is on the east side of Zhongshan Rd, connected with the main buildings of the hospital, which is on the west side, only through a narrow underground passageway, which makes extra inconvenience to both patients and staffs.

 Courtesy of Lemanarc SA

LemanarcSA提供

2004年，为了应对更富裕的城市人口对医疗服务的快速增长的需求，鼓楼医院计划在中山路之间的32，000平方米的土地上实施一项新的扩建工程。天津路。在扩建项目之后，还将对现有的布局和职能进行改组和彻底改革。

In the year 2004, in answering the rapidly surging demand for medical service by a larger and wealthier municipal population,  Drumtower hospital planned to implement a new expansion using a 32,000 sqm site between Zhongshan Rd. and Tianjin Rd. The expansion project will also be followed by a reorganization and overhaul of the existing layout and functions.

 Section 2 2

[地名] [美国] 塞克申 2 2

经过与医院客户的多次讨论和咨询，我们的设计团队在张文森的带领下，完成了一个有远见的长期开发项目。根据这项计划，将提供总共2800张床位，其中1600张是由新扩建提供的。每日门诊人数计划达到1万人。医院总建筑面积23万平方米。

After many discussion and consultation with the hospital client, our design team led by Vincent Zhang helped in making a insightful long-term developing project. According to the project, a total of 2800 beds will be served, of which 1600 is provided by the new expansion. Daily outpatient is planned to reach 10,000 person. And the overall  gross floor area of the hospital is 230,00 m2.

 Courtesy of Lemanarc SA

LemanarcSA提供

按比例计算，该项目实际上相当于当时中国最高建筑金茂大厦420米88层的总楼面面积。但与一般人对一幢高层医院大楼的预期相反，我们作出了一个看似令人惊讶的选择：我们决定“放下”，以5.2的楼面面积比率，而不是层层叠，导致高楼面面积比率。这种对低层建筑的偏爱与当时的设计潮流是背道而驰的，当时的设计潮流是以对摩天大楼的狂热为主导的。但是从目前来看，我们已经做出了一个正确的决定，因为低层规划不仅减轻了垂直交通的压力-这是大型综合医院经常遇到的麻烦，而且创造了大量的人口规模的城市空间。

Scalewise, the project is in fact equal to the GFA of the 420m, 88-floor Jinmao Tower, the highest building of China back then. But contrary to the general expectation of a high rise hospital building, we made a seemingly surprising choice:  instead of stacking floors one upon another and resulting in a high floor area ratio, we decided to ‘lay it down’ to create a series of gardens at the floor area ratio of 5.2. Such preference for low rise building went squarely against the design trend at that time, which is dominated by the frenzy for skyscrapers. But seen at present, it is quite sure that we have made a right decision, for the low rise plan not only reduced the stress on vertical traffic—which is a constant trouble for large general hospitals, but also creates large areas of urban space with human scales.

但这些好处并不是免费的。事实上，建筑师们在选择更分散、更低层的规划方案时，面临着各种挑战：从组织新建地区的布置、了解和分析医院的运作和规则，到规划新医院的理想运营模式。更重要的是，重新审视医学文化传承的可能性，探索医疗服务的新身份。

But the benefits does not come for free. Indeed, by choosing a more scattered, low rise plan, the architects were facing various challenges: from  organizing the arrangement for the newly built areas, understanding and  analyzing the operation and rules of the hospital, to the planning of ideal operating model for the new hospital. And more importantly,  it requires us to reconsider the possibility of  inheriting the medical culture and explore the new identity of medical service.