建筑和城市解决方案：

Architectural and urban solution:

位于布拉格以西约40公里的Kladno医院是一家地区医院，有650张病床，向大约10万居民提供基本护理，为大约33万居民提供专门护理。这家医院成立于1903年。最伟大的进步出现在1948年-4年间，当时建造了一个现代化的单一街区。直到2008年才对医院进行重大投资。

The hospital in Kladno, about 40 km west of Prague, is a regional hospital with 650 beds providing basic care to about 100 thousand inhabitants and specialised care to about 330 thousand inhabitants. The hospital was founded in 1903. The greatest progress came in the period 1948-4í, when a mono-block, quite modern for the period, was built. No major investments in the hospital were implemented until 2008.

因此，医院的馆舍包括原来的陈列馆，在大的单座楼和一套田园。

The hospital premises therefore included the original old pavilion, on large mono-block and a set of granges.

 © Ester Havlová

(1)埃斯特·哈夫洛瓦

解决办法基于以下基本想法：

The solution was based on the following basic ideas:

·集中所有高要求的治疗和检查组件，形成急症医院的脊柱，以新的足够空间，从而创建一个急性医疗馆

• Concentrate all demanding therapeutic and examination components forming the spine of the acute care hospital, to new adequate spaces and thus create a pavilion of acute medical care

·将新展馆整合到现有的单元楼中，一方面防止穿过各个部门，另一方面为医院所有科室建立一个通信系统，使其不需要相互交叉即可到达。

• Integrate the new pavilion to the existing mono-block and prevent passing through the individual departments on the one hand and on the other hand build a system of communications for all departments of the hospital to be readily accessible without mutual crossing

*改变目前与城市道路系统的交通连接不足的状况，区分房地内的交通，建造新的有足够尺寸的医院入口，优先照顾急症、急诊和不活动的病人

• Change the current inadequate transport connection to the city road system and differentiate traffic on the premises, build new sufficiently dimensioned entrances to the hospital with a priority to acute, emergency and immobile patients

*尽可能扩大医院房地的停车位，包括医院最近的环境

• Extend the parking space on the hospital premises to the maximum possible extent including the closest surroundings of the hospital

·维修和重建病房现有的单块病房，使其符合现行标准

• Repair and reconstruct the existing mono-block for the wards to correspond to the current standards

·界定医院的田庄和办公部分的概念

• Define a concept of the granges and office parts of the hospital

为医院的进一步发展创造条件

• Create conditions for further potential development of the hospital

 © Ester Havlová

(1)埃斯特·哈夫洛瓦

重建进展：

Progress of reconstruction:

1.建立了一个新的急性医疗保健中心，包括：

1. A new centre of acute medical care has been built including:

·中央手术室-六间手术室位于一层，没有严格划分为脓毒症和无菌室，18张中央卧房，供全麻后睡觉用

• Central operating theatres – six operating theatres on one floor without strict division to the septic and aseptic section and 18 bed central room for sleeping after general anaesthesia

*重症监护病房-两个ICU各有14张病床，另一个有12张床位，有可能分成两组

• Intensive care units – two ICUs with 14 beds each and one with 12 beds with the possibility of division to two groups

麻醉科-复苏科-8张病床

• An anaesthesiology-resuscitation department - 8 beds

*单日住院病房-21张病床

• A single-day hospitalisation unit – 21 beds

·成像方法科-X线、CT、MRI

• Imaging method department – x-ray, CT, MRI

·内部侵入性检查室

• Internal invasive examination rooms

*有计划的入院中心、急症治疗中心和紧急入院中心，连接中央大厅和医院通道

• A planned admissions centre, acute admissions centre and emergency admission centre connected to the central hall and the hospital access

*中央采血区

• A central blood sampling area

*一个送货场和一个废物收集场

• A delivery yard, and a waste collection yard

·中央消毒室

• Central sterilisation rooms

 © Ester Havlová

(1)埃斯特·哈夫洛瓦

2.新大楼位于主干道沿线一片空地上。这一地点有几个重要原因：

2. The new building was located on a vacant land plot along the main backbone traffic route. There were several substantial reasons for this location:

*新建医院的主要入口，面积足够，与城市和郊区交通和出租车服务有良好的联系

• Building of a new main entrance to the hospital, sufficiently dimensioned and with a good connection to the city and suburban transport and taxi service

*为急症和急诊病人修建一个新的入口，与主要城市道路有明确的连接

• Building of a new entrance for acute and emergency patients with a clear connection to the main city roads

·新建筑与现有的单块建筑通过短翼的前部连接，短翼已可通过或将来可通过，其现有功能已转移到新大楼。在连接点建立了新的垂直通信线路。

• The new building is connected to the existing mono-block via the fronts of the short wings already made passable or to be made passable in future whose existing functions were transferred to the new building. New vertical communication routes were built in the connection points.

·这座新建筑构成了医院的隔音屏障。

• The new building forms a noise barrier of the hospital

·医院中最大的紧凑型绿地得到保护。

• The largest compact green areas in the hospital were preserved.

医院的正门原位于别墅区的一条狭窄的当地街道上，这意味着整个医院运作的组织结构全面改变，需要克服工作人员和病人思维中的定型观念。

The relocation of the main entrance to the hospital, originally situated in a narrow local street of the villa quarter, meant overall change of organisation of the whole hospital operation and the need to overcome the established stereotypes in the staff and patient thinking.

 © Ester Havlová

(1)埃斯特·哈夫洛瓦

1.建立了一条新的连接走廊，使医院通过所有医院各部门的相互联系和防止通过个别部门。

1. A new connecting corridor was built for making the hospital perfectly passable, mutual connections of all hospital departments and prevention of passing through the individual departments.

2.以下阶段将包括重建整个现有的单一区块和重组现有部门的结构的几个步骤。由于其建筑布局，单栋楼将主要包括病房和底层门诊手术。病人的住宿标准将提高，房间将包括最多4张和2张床。所有房间都有自己的卫生设施。所有的房间都将定位在医院中央公园的南侧。

2. The following stages will include several steps of reconstruction of the whole existing mono-block and reorganisation of the structure of the existing departments. The mono-block will mainly include the wards and ground floor outpatient surgeries thanks to its construction layout. The standards of patient accommodation will be increased, the rooms will include maximum 4 and 2 beds. All rooms will be provided with their own sanitary facilities. All rooms will be oriented to the southern side to the central park of the hospital.

3.目前，原展馆和山庄的重建工作正在筹备之中。

3. At present reconstructions of the original pavilion and of the granges are under preparation.

 Elevation 01

Elevation 01