模塊醫(yī)院，土耳其

建筑設(shè)計(jì)：瓦斯科尼建筑事務(wù)所

馬丁·菲塞聯(lián)合瓦斯科尼建筑事務(wù)所醫(yī)療部成立了一個(gè)特別小組，為醫(yī)院提供應(yīng)對(duì)疫情急診的一站式解決方案：（1）IS-12 是一個(gè)設(shè)備齊全的重癥監(jiān)護(hù)（ICU）隔離站，提供了一間12 床隔離專用站需要的所有設(shè)備，可復(fù)合成為醫(yī)院內(nèi)部或外部的移動(dòng)單元；（2）IS-48 是一個(gè)基礎(chǔ)的獨(dú)立治療隔離站，為配備48 床設(shè)備齊全I(xiàn)CU 提供了一個(gè)有效的布局。

這一模塊系統(tǒng)基于606cm×244cm×275cm的模數(shù)，符合ISO 668:2020（系列1 貨運(yùn)集裝箱：分類、尺寸和額定值）標(biāo)準(zhǔn)尺寸，無需特批許可和后勤準(zhǔn)備即可輕松運(yùn)輸。這樣的模塊可以迅速運(yùn)輸?shù)叫枰?wù)的地點(diǎn)并快速安裝。一旦隔離站完成使命，這些集裝箱就可以迅速拆卸并移動(dòng)到另一個(gè)地方，甚至可以容納新功能，如檢測(cè)診斷中心或后疫情肺部康復(fù)中心。

模塊系統(tǒng)幾乎可以應(yīng)對(duì)任何特殊需求做出調(diào)整，對(duì)醫(yī)院的規(guī)劃遵循國(guó)際建筑師協(xié)會(huì)醫(yī)療衛(wèi)生建筑工作組的建議，即：迅速在遠(yuǎn)離院區(qū)的地方建立分診/入院/檢測(cè)場(chǎng)所，并在院區(qū)之外的地方設(shè)立快速反應(yīng)的治療/康復(fù)園區(qū)，以保護(hù)衛(wèi)生工作人員與系統(tǒng)。集裝箱是預(yù)制的，與所有固定家具一起預(yù)裝?，F(xiàn)場(chǎng)組裝將非常迅速，不需要任何大規(guī)模的現(xiàn)場(chǎng)準(zhǔn)備。

IS-12 是一個(gè)設(shè)備齊全的隔離站，配備氣閘艙、個(gè)人防護(hù)設(shè)備更衣室、員工衛(wèi)生間，和所有儲(chǔ)存與收集廢棄物所需的輔助用房。主要的重癥監(jiān)護(hù)室是一個(gè)有負(fù)壓和易于維護(hù)的空調(diào)系統(tǒng)的受控環(huán)境，提供高效能過濾設(shè)備處理空氣，可從外部進(jìn)入。IS-48 是一個(gè)擁有48 張ICU 床位的獨(dú)立設(shè)施，為員工提供所有必要的基礎(chǔ)設(shè)施，包括更衣室、會(huì)議室、衛(wèi)生間和入院辦公室等。基于獨(dú)立IS-12 標(biāo)準(zhǔn)單元的模塊化方法允許設(shè)施無限擴(kuò)展和調(diào)整，以滿足用戶對(duì)治療、實(shí)驗(yàn)室、診斷和測(cè)試等的要求。

病患用房可遵循用戶定制配備為開放空間、有一定隱私限度的ICU，或完全獨(dú)立的單床ICU。所有布置都可以為每一位病患提供一個(gè)全高窗口，讓他們的親屬可以從室外與他們直接且安全地交流。與外界的關(guān)系為病患與護(hù)理人員提供了一個(gè)友好、平和與放松的ICU 環(huán)境，推動(dòng)了有益健康的設(shè)計(jì)方法以提高個(gè)人福祉與減輕壓力。基于LED 的照明系統(tǒng)配有日光傳感器，可按需調(diào)節(jié)光照水平，提供調(diào)整照明度的可能性以平衡人體的晝夜節(jié)律，從而決定幾乎所有的生理和行為參數(shù)——睡眠和飲食模式、認(rèn)知活動(dòng)、心率、激素水平。（潘奕 譯）

1 IS-12型隔離站鳥瞰/Bird view of IS-12

2 IS-48型隔離站鳥瞰/Bird view of IS-48

3 IS-12型隔離站外景/Exterior view of IS-12

4 IS-48型隔離站外景/Exterior view of IS-48

Martin Fiset and Vasconi Healthcare created a taskforce to provide hospitals turn-key solutions face pandemic emergencies: (1) IS-12 is a fully equipped ICU isolation station offering all equipment you need to create a dedicated isolation station for 12 beds within your hospital compound as a mobile interior or exterior unit; (2) IS-48 is a basic stand-alone isolation station for treatment offering an efficient layout for a 48 bed fully equipped with ICUs.

The modular system is based on a module 606×244×275 cm corresponding to dimensions of aISO 668:2020 (Series 1 Freight Containers–Classification, Dimensions and Ratings)allowing an easy transport without special permissions and logistical preparation. This way the modules can be quickly shifted to their point of service and quickly installed. Once the isolation unit is not needed any more, the containers can be quickly dismantled and moved in another place or even adapted to new functions, like testing and diagnosis centre or post COVID-19 pulmonary rehab centre.

The modular system allows practically any adaptation to specific needs and proposes hospitals an efficient way following UIA-PHG recommendations that is: immediate establishment of triage/intake/testing sites away from hospitals and the development of rapid response treatment/recovery campuses away from hospital in order to preserve the health care staff and system. The containers are prefabricated and preinstalled with all fixed furniture. Assembling on site will be very quick and do not need any massif site preparation.

The IS-12 provides a fully equipped isolationstation with air lock, changing rooms for PPE (personal protection equipment), staff toilets and all auxiliary rooms needed for storage and waste collection. The main ICU unit is a controlled environment with negative pressure and an easy maintainable air conditioning system providing HEPA filtered air treatment and accessible from outside. The IS-48 provides an autonomous 48-bed ICU facility for treatment of patients with all needed infrastructure for staff, including changing rooms, meeting rooms, toilets and admission office. The modular approach based on the independent IS-12 standard unit allows an unlimited extension and adaptation of the facility to meet client's requests for treatment, laboratory tracts, diagnosis and testing etc.

The patient room can be configured following client's specifications as open space ICU with limited privacy or as fully separated isolated one-bed ICU rooms. All configurations provide patients a personal full height window allowing their relatives to have a direct and safe communication from outside. The relation to the outside provides patients and caring staff members to enjoy a friendly, peaceful and relaxing ICU environment promoting a salutogenic design approach to enhance wellbeing and reduce stress. The LED based lighting system is provided with daylight sensors and adjusts to the needed light level, while providing the possibility to adjust the lighting level allows to balance the body's circadian rhythm, which determines sleeping and eating patterns, cognitive activity, heart rate, hormone level's – in fact, virtually all physiological and behavioural parametres.

項(xiàng)目信息/Credits and Data

產(chǎn)品尺寸/Product Dimension: 集裝箱尺寸，所有尺寸的變化范圍約為±50mm（外部尺寸=606cm×244cm×275cm）/Mention dimensions of the containers in the contract, all dimensions may vary aprox ± 50 mm (external dimension = 606 cm×244 cm×300 cm)

窗戶/W i n d o w s: 600m m×1250m m固定無開口窗/ 600 mm×1250 mm, fixed openingless windows

繪圖/Drawings: VASCONI ARCHITECTES