WORKSHOP 3: Di Yan Qiang_buildings_2017

中国医院建筑绿色改造
Green Retrofitting of Hospital Buildings in China
中国建筑科学研究院
China Academy of Building Research
狄彦强
Di Yanqiang
2017.10

主要内容
Content
#LowCarbonHealthCare
中国绿色医院发展概况1
中国医院建筑现状及绿色改造需求分析2
医院建筑绿色化改造技术体系与案例分析3
Development of green hospitals in China
Present situation of Chinese hospital building and
demand analysis of green retrofitting
Technical system and case analysis for hospital building
green retrofitting
小结与建议4
Summary and suggestion

主要内容
Content
1、中国绿色医院发展概况
Development of green hospitals in China

1、中国绿色医院发展概况 Development of green hospitals in China
 政策体系 Policy
 《“健康中国2030”规划纲要》Outline of the plan for healthy China 2030
5项重点内容：普及健康生活、优化健康服务、完善健康保障、建设健康环境、发展健康产业。
《关于加快推动我国绿色建筑发展的实施意见》财建[2012]167号
Implementation opinions on accelerating the development of green building in China
《绿色建筑行动方案》国办发[2013]1号 Green building action plan
《“十二五”绿色建筑和绿色生态城区发展规划》"Green building and green ecological city development plan" In 12th
Five-Year
政府投资的国家机关、学校、医院等建筑，单体建筑面积超过2万平方米的机场、车站、宾馆、饭店、商场、写字楼等大型公共建筑，
自2014年起全面执行绿色建筑标准。
 国家卫生计生委、住建部、财政部启动全国医疗卫生机构建筑能耗监管系统试点建设工作
Pilot construction of energy consumption supervision system for medical and health institutions
近期目标：建设针对44家委属（管）医院的综合能耗数据监管平台；长期目标：建设完善覆盖全国医疗卫生机构的节能管理信息平台
。
中国北京市、江苏省、安徽省、广东省、山东省、武汉市、惠州市等地相继出台政策通知，要求政府投资的公益性建筑全面执行绿色建筑标准。
《建筑节能与绿色建筑发展“十三五”规划》 Building energy-saving and green building development plan “In 13th
Five-Year”
继续推动政府投资保障性住房、公益性建筑以及大型公共建筑等重点建筑全面执行绿色建筑标准。

 标准体系 Standard
序号标准名称
1 《综合医院建筑设计规范》GB51039-2014
2 《医院洁净手术部建筑技术规范》GB50333-2013
3 《洁净手术室用空气调节机组》GB/T 19569-2004
4 《医疗建筑电气设计规范》JGJ312-2013
5 《洁净室施工及验收规范》GB50591-2010
6 《传染病医院建筑设计规范》GB50849-2014
7 《医院消毒卫生标准》GB15982-2012
8 《医院空气净化管理规范WS/T368-2012》
9 《医院消毒供应中心第1部分：管理规范》WS 310.1-2016
10
《医院消毒供应中心第2部分：清洗消毒及灭菌技术操作规范》WS
310.2-2016
序号标准名称
11 《绿色医院建筑评价标准》GB/T 51153-2015
12 《既有建筑绿色改造评价标准》GB/T 51141-2015
13 《既有建筑绿色改造技术规程》T/CECS465-2017
14 《医院建筑绿色改造技术规程》（征求意见稿）
15 《医院建筑运行维护技术标准》（初稿）

 绿色医院认证 Green hospital certification
序号星级地区项目名称
申报建筑面积
（万㎡）
单位面积能耗
（kwh/㎡a）
节能率
（%）
单位面积增量成本
(元/㎡)
可节约运行费用
(万元/年)
No
Evaluation
Level
Region Project Name Total Area
Energy
consumption per
unit area
Energy
saving rate
Incremental cost
per unit area
Operating
cost saving
1 ★★ 浙江浙江大学医学院附属妇产科医院科教综合楼 3.9
2 ★★★ 北京东直门社区卫生服务中心 1.4 107.6 64.9 557.7 37.3
3 ★★ 浙江杭州市第十人民医院医疗综合楼 4.0 65.4 58.3 60.4 25.2
4 ★★★ 江苏常州南夏墅街道卫生院项目 2.3 97.2 63.1 97.4 38.0
5 ★ 广东深圳市光明医院改扩建工程医技住院楼 3.1 40.7 62.2 44.5 42.6
6 ★★ 江西萍乡市人民医院三期建设工程 11.3 50.2 60.1 40.4 69.6
7 ★★ 江苏解放军第四五四医院礼堂改造 0.3 80.9 65.4 79 5.4
8 ★ 广东深圳市宝安区妇幼保健院 9.9 —— 51.8 19.8 241.3
9 ★★ 江苏沭阳县人民医院 14.77 72.5 65 4.7 /
10 ★★ 江苏沭阳南关医院综合楼及辅助楼项目 2.5 43.4 65 161.2 /

申报建筑面积
（万㎡）
单位面积能耗
（kwh/㎡a）
节能率
（%）
(元/㎡)
(万元/年)
No
Evaluation
Level
Energy
consumption
per unit area
Energy
saving rate
Incremental cost
per unit area
Operating cost
saving
11 ★★ 广西广西妇女儿童医院 5.85 102.7 50 470.4 1094.2
12 ★★ 河南项城市中医院整体迁建项目门诊医技病房综合楼 4.11 114.3 65 146 90
13 ★ 河北沧州市人民医院医专院区门诊病房综合楼 10.86 198.8 52
14 ★★ 山东青岛平度市人民医院综合门诊楼 6.79 80.1 60.7 146.2 152.8
15 ★ 广东深圳市盐港医院门诊医技综合楼 2.65 37.6 50.7 20.9 12.8
16 ★★ 广西广西临桂县人民医院医技住院综合楼 3.2 79.5 62.7 86.6 26.1
17 ★★ 河南
中国人民解放军第九十一中心医院（综合楼、全军
精神疾病防治中心楼）
6.8 45 65.8 576 150
18 ★★ 浙江浙江大学医学院附属妇产科医院科教综合楼 3.87 46.7 51.9 236.5 180
19 ★★ 湖北石首市人民医院第一期工程 6.1 87.4 50.7 116.4 58
20 ★ 陕西宝鸡市中心医院内科住院楼工程 3.85 147.8 51 4.7 3.6

申报建筑面积
（万㎡）
单位面积能耗
（kwh/㎡a）
节能率
（%）
(元/㎡)
(万元/年)
No
Evaluation
Level
Energy
consumption
per unit area
Energy
saving rate
Incremental cost
per unit area
Operating cost
saving
21 ★★ 浙江浙江大学医学院附属义乌医院 11 68.3 50.9 48.8
22 ★★ 青海青海省妇女儿童医院门诊住院综合楼 3.28 120.2 53.7 7.7 15.7
23 ★ 广东
深圳市福田区人民医院后期工程新建门诊住院大
楼（01）
17 99.4 50 16.0 7.9
24 ★ 广东深圳市滨海医院 35.25 112.9 61 111.8 1436.2
25 ★★★ 上海
第二军医大学第三附属医院上海安亭院区一期工
程
18
26 ★★ 河南邓州市中心医院 8.23 95.6 50 147 150
27 ★ 广东深圳市光明新区公明人民医院扩建工程和综合楼工程 4.08 80.3 52.5 55.6 76.7
28 ★★ 云南临沧市人民医院青华医院 14.95 67.9 58.4 147.1 272.0
29 ★★ 河南鹤壁人民医院主病房楼 8.62 148.2 65.2 26.5 61.0
30 ★★ 广西北海市第二人民医院整体搬迁一期工程 9.31 52.4 62.3 141.2 487.8

 小结 Summary
中国规模化强制性推进新建医院建筑绿色发展，并取得一定成效；
China’s large-scale development of new green hospital buildings has achieved certain results;
中国大型的、综合性的、知名的医院，多数位于市中心，条件不允许大面积新建医院
建筑,且绝大部分面临改扩建。
Firstly, China‘s large, integrated and well known hospitals are mostly located in the centre of
the city and are not allowed to build large scale new buildings，and most of them are facing
retrofitting ;
医院建筑全面实现绿色化，既有医院建筑的绿色化改造所占分量举足轻重；且传统医
院建筑的设计更多注重功能设计，立面风格千篇一律，易给患者留下紧张、恐惧的印
象。
It is very important for the green retrofitting of hospitals, and the design of traditional
hospital buildings pays more attention to functional design, and the facade style is
stereotyped, which gives the patient the impression of tension and fear.
医院建筑的绿色化改造是未来必然趋势。
Therefore, the green retrofitting of hospital buildings is the trend in future.

主要内容
Content
2、中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and
demand analysis of green retrofitting

2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
调研城市：黑龙江、内蒙古、吉林、北京、天津、河北、江苏、江西、上海、广东、广西等
Survey cities: located in Heilongjiang, Inner magnolia, Jilin, Beijing, Tianjin, Hebei, Jiangsu, Shanghai, Guangdong, Guangxi
医院类型：综合医院（一、二、三级）、专科医院、中医医院、教学医院
Hospital type: General hospital (1,2,3 grade), special hospital, traditional Chinese Medicine hospital, Teaching hospital
调研医院汇总 Survey hospital summary
气候分区
Climate zone
医院名称 Hospitals
北方地区
North china: Cold area
内蒙古医学院附属医院、内蒙古医院、乌兰察布第三医院、乌兰察布第四医院、吉林中日联谊医院、
北京中医药大学、东直门中医院、北京中医药大学东方医院、天津市人民医院、天津市第一中心医
院、牡丹江第一人民医院、牡丹江第六人民医院、北京地坛医院、北京积水潭医院…………….
中部地区
Middle china: Hot summer
and cold winter area
瑞金医院嘉定北院、上海市胸科医院、上海市第一人民医院、上海市第十人民医院、上海仁济医院、
南京市鼓楼医院、南京市四五四医院、上海精神卫生中心、上海公共卫生临床中心、上海曙光医
院……………..
南部地区
South china: Hot summer
and warm winter area
桂林市中医院、桂林市中西结合医院、桂林市医学院附属医院、桂林市第二人民医院、柳州柳江人
民医院、平南县第二人民医院、临桂县人民医院、广州医学院附属第一医院、南方医科大学第三附
属医院、南方医院，江门五邑中医院，广西妇幼保健院………………..
气候区
Climate zone
严寒
Severe
cold area
寒冷
Cold
area
夏热冬冷
Hot summer
and
cold winter
area
夏热冬暖
Hot summer and
warm winter area
合计
Total
三级甲等
Class Ⅲ Grade 1 hospital
4 14 18 14 50
三级乙等
Class Ⅲ Grade 2 hospital
1 5 5 2 13
二级甲等
Class Ⅱ Grade 1 hospital
3 7 8 5 23
二级乙等
Class Ⅱ Grade 2 hospital
2 4 7 1 14
合计
Total
10 30 38 22 100
床位数
Number of
beds
100~500 500~1000 1000~1500 >1500
合计
Total
医院数量
Hospital Qty 39 40 10 11 100

医疗功能部门分化、使用功
能复杂
Medical department is
dispersed and has
complex function
医院规模扩大
Scale enlargement
交通流线缩短
Traffic flow is overlapping,
causes crowd
整合集中化
Integration and centralization
能耗增大
环境质量恶化
不能充分利用自然
采光、自然通风
Energy consumption
increase,
environment quality
deteriorate, can not
adequately utilize of
natural light and
ventilation.
Functional layout and space utilization

装饰材料种类少
Few kinds of decoration
materials
装饰色彩单调，缺乏丰富
性
Decorative color monotone,
lack of rich diversity
未充分考虑色彩的医疗辅助
作用
Medical assistant role of
color is not fully taken into
account
缺少明确区分空间的色彩
系统，环境混乱
Lack of a clear spatial color
system, environmental
confusion
忽视了颜色对病人视
觉及心理的影响
Ignoring the visual
and psychological
effects of color on the
patient
某医院1层大厅
楼层低采光
不够，室内
显得昏暗，
加之装饰颜
色暗淡，让
人感觉压抑
且生冷
某医院2层大厅
黑色墙砖、浅
灰色地砖搭配
黑色波导线。
采光顶大部分
被黑色涂布覆
盖，室内装修
均为冷色调，
给人带来生冷
感
Functional layout and space utilization

Energy system
严寒地区
Severe cold
area
不同气候区热耗水平分布
Distribution of heat
consumption levels in
different climatic
zones

水平1：单位建筑面积电耗/热耗分布
Level 1: electricity consumption / heat consumption distribution per unit floor area
电力主要用于中央空调、医疗设备、电梯、照明系统和办公设备等；
Electricity is mainly used in central air conditioning, medical equipment, elevators, lighting systems and office equipment, etc.
将耗电量和锅炉耗气（油、煤）量全部折算成一次能源进行热耗分析，严寒地区和寒冷地区医院还要考虑采暖季热力站实际耗热量；
The electricity consumption and the consumption of boiler gas (oil, coal) are converted into primary energy to analyze. Heating energy
consumption should be considered in hospitals in cold area and severe cold area.
南方医院的总热耗水平整体高于北方医院。
The total heat consumption of the southern hospital was higher than that of the northern hospital.

水平2：单位床位电耗/热耗分布
Level 2: electricity consumption / heat consumption distribution per unit bed
医院空调系统的一次能源消耗量一般是办公建筑的1.6～2.0倍；
The primary energy consumption of a hospital air conditioning system is 1.6 to 2 times that of an office building;
能源支出在医院总运行费用支出比例占到1-4%之间。
Energy expenditure accounted for 1-4% of the hospital's total operating expenses.

水平3：单位建筑面积水耗分布
Level 3: water consumption distribution per unit floor area
夏热冬冷地区和夏热冬暖地区的医院单位面积耗水量明显高于严寒地区和寒冷地区的医院，显然与当地的气候特征有关；
The water consumption per unit area in hot summer and cold winter area and hot summer and warm winter area is obviously
higher than that in severe cold area and cold area. It is obviously related to local climate characteristics;

水平4：计量、监测、照明、运维管理情况
Level 4: measurement, monitoring, lighting, operation and maintenance management
1 2 3 4
有
能
耗
台
账
有
电
力
分
级
计
量
有
冷
热
量
计
量
有
完
整
能
耗
监
测
系
统
建立能耗监测计量系统的医院比例
Establishment proportion of energy
consumption monitoring and measuring system
不同气候区医院空调系统运行管理水平
Operation management level of hospital air
conditioning system in different climatic zones
照明控制手段
Lighting control
节能灯具使用比例
Utilization ratio of
energy-saving lamps and lanterns

系统多且相互独立
，互不耦合，缺乏
协同优化，整体容
量偏大，运行能效
偏低。
Multi independent
energy systems
are not operated
in integrated
mode. The system
has huge machine
capacity, low
operation
efficiency
供能系统形式多元
multi-energy system
医院用能集中在空调、供暖、生活热水、蒸汽、照
明、动力等
Hospital energy consumption mostly include
cooling, heating, hot water, steam, lighting and
power
能耗种类多、区域能耗分布不均匀Plenty energy
consumption type, unbalanced distribution
分批次改扩建，每一栋楼独立一个系统
Each building is an independent system
电锅炉、燃油锅炉还存在。
Electrical boiler and oil boiler is still in
operation
可再生能源应用比例偏低。
Lack of renewable energy utilization
供冷、热同时存在，缺乏协调，综合效率偏低。
Cold and heat exist simultaneously, lack of
coordination, low comprehensive efficiency.
常规与可再生能源设计，运行缺乏协同优化。
Lack of optimization between regular and
renewable energy system

缺乏实效的管理模式及调控策略
The lack of effective management model and control strategy
蒸汽凝结水直接排放、周围水汽现象严重
The steam condensed water is discharged
directly, and the water vapor around it is
serious 未能做到“废热
利用”、“冷热
兼用”Failed
to achieve
waste heat
utilization
燃气锅炉烟气直接排放，影响美观及环境
The direct emission of flue gas in gas
boiler affects the appearance and
environment
机组排热未有效利用
The heat rejection of the unit is not
effectively utilized
缺少分项计量系统
Lack of sub metering system
未设置能耗监测平台，不能有效把握系
统运行状态
Energy monitoring platform is not
installed, can not effectively grasp
the system running state
不同功能区域（门诊，医技，病房，洁
净用房）用户端用能需求差异较大。
Different functional areas (outpatient,
medical, ward, clean room) with
different end users demand.
运行不能全面反映
用能分布及状态
Operation can
not fully reflect
the distribution
and status of
energy
consumption

部分区域存在交叉感染
Cross infection
室内环境质量
不容乐观
Indoor
environment
quality is not
very
optimistic
增加换气次数，导致气流组织变差
Increase the number of ventilation,
resulting in poor air distribution
洁净功能用房换气次数与室内污染物分
布、去除效果的关联性及敏感性研究，
污染控制与节能始终是一对矛盾
The relationship between the number of
clean function rooms, the distribution of
indoor pollutants and the removal
efficiency of the clean function, and the
sensitivity of pollution control and energy
saving are always contradictory
增加换气次数而导致能耗增大Increase
the number of ventilation, resulting in
increased energy consumption
挂号、候诊、输液室等房间空气
质量对医患构成较大威胁
Registration, waiting room,
transfusion room and other
room air quality pose a great
threat to doctors and patients
Indoor environment quality

我国医院建筑绿色化改造的影响因素
Influencing factors of green retrofitting of hospital buildings in China
自然因素
Natural factors
地理
Geography
地形
Terrain
气候条件
Climate condition
社会文化因素
Socio-cultural factors
观念意识
Perception
市政规划
Municipal planning
医疗观念
Medical concept
管理体制
Management system
科学技术
Science and technology
材料
Material
医学
Medical Science
工程技术
Engineering Technology
经济因素
Economic factors
经济体制
Economic system
投资方式
Investment mode
改造需求巨大
Great demand for
green retrofitting

主要内容
Content
3、医院建筑绿色化改造技术体系与案例分
析 Technical system and case analysis for hospital building green retrofitting

3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
 医院建筑绿色化改造关键技术体系
医疗功能用房绿色化
改造关键技术Key
technologies of
green retrofitting
of medical
function room
功能布局“适度集中化”评价指标体系
Evaluation index system of moderate
centralization of function layout
空间高效利用技术
Space efficient utilization technology
医院建筑装修材料优化配置方法
Hospital building decoration materials
optimization method
装饰空间色彩优化设计技术
Decorative space color optimization design
technology
医院建筑绿色化改造关键技术体系
Technical system for hospital building green
retrofitting
医疗功能用房绿色化
改造关键技术
Key technologies of
green retrofitting of
medical function
room
医院能源系统节能改造与能效提升
关键技术
Key technologies of energy
saving and energy efficiency
improvement in hospital energy
system
医院建筑室内环境质量综合改善与安全
保障关键技术
Key technologies for comprehensive
improvement and safety assurance
of indoor environmental quality in
hospital buildings
医院建筑室外环境生态化、人性化改造设
计与功能提升关键技术
Key technologies of ecological and
humanized design and function
promotion of outdoor environment of
hospital building
医疗废气、废水、废物无害化处
理升级改造关键技术
Key technologies of medical
waste gas, waste water and
waste harmless treatment and
upgrading
医院能源系统节能改造与能效
提升关键技术
Key technologies of energy
saving and energy efficiency
improvement in hospital
energy system
既有医院能源系统综合评价体系与决策支持系
统
Comprehensive evaluation system and
decision support system of energy system
in existing hospitals
既有能源系统分项计量改造与能耗监测平台
Measurement reform and energy
consumption monitoring platform of
existing energy system
复合能源耦合供能升级改造技术
Composite energy supply coupling energy
supply upgrading and transformation
technology
医院建筑余热、废热回收再利用技术
Hospital building waste heat recovery and
reuse technology

 医院建筑绿色化改造关键技术体系
医院建筑室内环境质量综合改
善与安全保障关键技术Key
technologies for
comprehensive
improvement and safety
assurance of indoor
environmental quality in
hospital buildings
室内空气质量评价系统
Indoor air quality evaluation system
洁净功能用房下限换气次数优化计算方法
Optimization calculation method of
ventilation rate at lower limit of clean
function room
洁净功能用房污染控制与节能降耗一体化关
键技术
Key technologies of integration of
pollution control and energy saving and
consumption reduction in clean function
rooms
室内空气质量监测预警技术
Indoor air quality monitoring and early
warning technology
医疗废气、废水、废物无
害化处理升级改造关键技
术
Key technologies of
medical waste gas,
waste water and waste
harmless treatment and
upgrading
医疗废气无害化处理升级改造技术
Harmless treatment and upgrading of
medical waste gas
医疗废水消毒工艺改进及无害化处理技术
Improvement of medical waste water
disinfection process and harmless
treatment technology
与医疗废物焚烧技术配套的尾气升级改造技术
Tail gas upgrading technology matched
with medical waste incineration technology
医院建筑室外环境生
态化、人性化改造设
计与功能提升关键技
术
Key technologies of
ecological and
humanized design
and function
promotion of
outdoor
environment of
hospital building
室外环境生态化规划设计与升级改造关键技
术
Key technologies of ecological planning,
design and upgrading of outdoor
environment
室外环境人性化改造设计、功能提升关键技
术与园艺疗法
Humanized design of outdoor
environment, key technologies of
functional promotion and horticultural
therapy
医院建筑绿色改造工程案例集
Green Retrofitting for Existing
Hospital Buildings-Case Studies
医院建筑绿色改造技术指南
Technical Guide for Hospital Building Green Retrofitting

 夏热冬冷地区Hot summer and cold winter area
上海胸科医院位于上海市徐汇区，为三甲专科医院，占地
面积2.6万㎡，改造的门急诊楼始建于2000年，总建筑面
积10465㎡，总建筑占地面积为1615㎡。主体结构为框架
结构。
Shanghai Chest Hospital is located in Xuhui District in
Shanghai City, a Tertiary hospital, It covers an area of
26000 square meters, the emergency building to be
transformed was built in 2000, its overall floorage is
10465 square meters, its gross building area is 1615
square meters. The main structure is frame structure.
上海市胸科医院【示范工程名称】
Demonstration project
【工程概况】
Project overview
【评价等级】
Rating
一星级 One star
改造内容
Reform
content

院区建于上世纪80年代，1号门急诊医技楼建于2000年；2号病房楼投用于2006年；旧病房楼原址改扩建“上海市肺部
肿瘤临床医学中心综合病房楼”，即3号楼。2015年，1号门急诊医技楼进行大修，同时拆除东大楼改做绿化。
It was built in the 80s of last century, On the site of the ward building, the "Comprehensive Ward Building of Shanghai lung cancer
clinical medical center" was changed and expanded, that is building No.3,which was put into operation. The overhaul of No.1
emergency building and demolition of the East building to do the green have been proposed in 2015.
②病房楼
旧病房楼
（拆建）①门急诊楼
③综合病
房楼（新）①门急诊楼
（拟大修）
②病房楼
④东大楼
④东大楼
（拟拆）
1. 功能布局 Function layout

1. 功能布局 Function layout
旧病房楼南楼6层、北楼10层，原址改扩建的3号综合病房楼，集病房、放疗、会议、图书档案、办公、食堂、俱乐部于
一体，并与原有2号病房楼以连廊连接，两栋建筑形体呼应，外观协调，交通连贯，功能完善。
The old South Ward Building 6 layer and North building 10 layer , were changed and expanded to No. 3 Comprehensive Ward
Building, and connect with the original 2 ward floor corridor, two buildings echo to body, and fully functional.
②病房楼
旧病房楼 ③综合病房楼（新）
②病房楼③综合病房楼（新）

评价案例 Evaluation case:
采用课题成果“适度集中化”评价指标体系对项目进行评价，改造前其适度集中化指数为71%，针对性地提出增设连廊措施改
造后，其适度集中化指数为82%。
The evaluation index system of "moderate centralization" is adopted to evaluate the project. Before the retrofitting,
its moderate concentration index was 71%, after additional corridor measures added, the moderate concentration
index was 82%.
增设连廊
Adding corridor

案例：上海市胸科医院
Case: Shanghai Chest Hospital

室内外风环境模拟分析
Simulation analysis of indoor and outdoor
wind environment
室内自然采光模拟分析
Simulation analysis of
indoor nature lighting

2.装饰色彩 Decorative color
 改造前以纯白色为主，结合“装饰色彩优化设计”技术，采用不同的装饰色彩营造出不同功能区域的装饰风
格，体现色彩的辅助医疗作用。
Combined with "decorative color optimization design" technology, using different decorative colors to create
different functional areas of decorative style to reflect the color of the auxiliary role of medical treatment.
不同科室装饰色
彩对比
Contrast of
decorative colors
in different
departments

 燃油锅炉改为燃油燃气型， Oil-fired boiler to fuel gas type
 在原有总烟道上安装一个锁风阀，开一支管，在支管后装一套超导换
热装置，回收锅炉余热用来循环加热设置于旁边的6吨保温水箱中的
自来水，供生活热水系统。Installing a air lock valve in the original flue ,
installing a set of superconducting heat exchanger on the added branch
pipe , the recovered boiler waste heat is used to circulate the tap water
provided in the next insulated water tank for the living hot water system.
【改造内容】
Contents of reform
3.复合能源系统
Energy system
 在原有系统供水端增设了太阳能热水系统 Solar hot water system has
been added in the original system of water supply side.
 集热器总面积约383.4㎡，热水箱容积为24m³， Collector with a total
area of 383.4 ㎡, the hot water tank volume is 24 cubic meters
 据统计，系统年节能率达到30.44%，年节能量约50t标准煤。
According to statistics, annual energy-saving rate reached 30.44%, annual
energy savings about 50 tons of standard coal.
储热水箱
热水
热水
高区13~15层
容积式交换器
容积式交换器
容积式交换器
容积式交换器
中区1~12层
原中区冷水管
保温处理
（热水）
原高区冷水管
保温处理
（热水）
蒸汽
锅炉房
蒸汽
其他用热区域
屋顶水箱
T3
T4
水泵
集热器集热器
热水供应原理示意图
Schematic diagram of hot water supply system
燃气锅炉
Gas-fired boiler
烟气余热回收
Flue gas heat recovery

0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
45.00
50.00
55.00
60.00
9月 10月 11月 12月 1月 2月 3月 4月 5月 6月 7月 8月
经太阳能热水系统提升的温度
特点：波动范围在10~15℃之
间，基本不随季节变化。
屋顶水箱补水温度
特点：随季节变化趋势明显，
冬季水温在0~10℃之间，夏
季在20~25℃之间，过渡季节
在10~20℃之间。
需要地下室热交换机组补足的温度
特点：冬季高、夏季低
太阳能热水系统 Solar hot water system

 征用原有放疗科部分办公用房，改造成监控室、值班室、资料室Some of the original
office rooms in the radiotherapy section have been requisitioned and transformed into the
monitoring room, duty room and information room
 平台主要工作内容包括空调系统、公共照明、生活用水系统等七大部分实时监测、故
障报警等. The main work of the platform includes real-time monitoring, fault alarm and
so on. which is applied to seven major parts, such as air conditioning system, public
lighting and living water system
 确保了医院各类设备的安全运行，进一步提高后勤精细化管理水平，为医院可持续发
展奠定了基础. This ensures the safe operation of all kinds of equipment in the hospital,
and further improves the management level of logistics refinement, and lays the
foundation for the sustainable development of the hospital.
【改造内容】
Contents of reform
4.能耗监测平台
Energy monitoring platform
智能监控平台现场
Scene of intelligent monitoring platform
医院建筑分项电耗模型
Sectional power
consumption model of
hospital buildings

【改造内容】
Contents of reform
5.医疗废水消毒工艺改进及无害化处理
Improvement of medical waste water disinfection process and harmless treatment
 位置从院区东侧移至集中绿化景观的地下 Its location moves
from the east side of the courtyard to the ground of the central
green landscape
 日处理量由原先的800t/d增至2000t/d，并由人工加药改为自动
加药. The daily processing capacity increased from 800t/d to
2000t/d, and changed from manual dosing to automatic dosing.
旧污水处理间（拆除）
Old sewage treatment room (demolition)
新污水处理系统
New sewage
treatment system
改造完
工后
After
retrofitting

2号病房楼5层裙房设有2处屋顶绿化，北侧病房楼可直接欣赏到该景观。屋顶花园的设置丰富了院区景观，增加绿化面积的同时起到净
化空气、愉悦心情、促进病患康复和提高医护人员工作效率的重要作用。
No. 2 ward building has 2 roof greening, the north side ward building can directly appreciate the landscape. The setting of Roof garden enriches
the landscape of the courtyard, increases the green area, and plays an important role in purifying the air, enjoying the mood, promoting the
rehabilitation of the patients and improving the efficiency of the medical staff.
2号楼裙房5层屋面屋顶绿化
Roof greening of 5 layer
podium at No. 2 building
2号楼入口大厅屋顶绿化
Roof green of entrance
hall, at No. 2 building
2号楼平面图Floor plan of Building No. 2
5层裙房共设置2处屋顶绿化
Roof greening was set in two places of 5 layer
podium at No. 2 ward building
6.室外环境生态化改造
Ecological retrofitting of outdoor environment

人性化的医院标识导向系统，不仅是医院整体形象与内部使用功能的重要组成部分，也自然会使人们在
使用中感到方便、自然、体贴。
Humanized hospital marking guidance system is not only an important part of hospital's overall image and
internal use function, but also makes people feel convenient, natural and considerate in use.
根据医院的室内外设计、建筑用料、视线焦点、标识与门的间距、与天花板的间距、
用的文字、色彩等因素，进行人性化的四级标识导向系统的改造方案设计
According to the hospital's interior design, construction materials, the focus of attention,
and the identification distance, and the ceiling space, with text, color and other factors, the
modification scheme is four level signage system of humanized design.
一级导向Primary
guidance
二级导向Two stage
guidance
三级导向
Three stage
guidance
四级导向
Four stage
guidance
户外/楼宇标牌Outdoor /
building signs
楼层，通道标牌
Floor, channel sign
各功能单元标牌
Each function unit
sign
门牌、窗口牌
Number plate,
window plate
1、建筑单体标示
Architectural monomer
designation
2、建筑出入口标识
Building entrance sign
3、道路指引标识Road
marking guidelines
4、服务设施设施Service
facilities
5、总体平面图General
plan
6、户外形象标识
Outdoor logo
1、楼层总索引Floor
general index
2、楼层索引和平面图
Floor index and floor
plan
3、大厅、通道标识Hall
and channel identification
4、公共服务设施标识
Identification of public
service facilities
5、出入口索引Entry
index
1、各功能单元标
识Each function
unit ID
2、各行政、会议
单元标识
Identification of
administrative and
conference units
3、各后勤保障单
位标识
Identification of
logistic support
units
l、各房间门牌
House number
2、窗口牌
Window card
一级标识系统改造前后
Before and after transformation of primary identification
system
7.室外环境人性化改造 Humanized retrofitting of outdoor environment

1、2号楼整体更换成T5节能灯，实现绿色照明；
Building 1 and Building 2 replaced the whole lamps to T5 energy-saving lamps to achieve green lighting;
安装沐浴刷卡器 Install shower card holders
中央空调大功率水泵、污水处理站水泵上安装变频设备性。
The pumps of central air conditioning and sewage treatment stations were installed frequency conversion equipment.
水泵变频设备
Pump frequency conversion equipment
T5节能灯
T5 energy-saving lamps
沐浴刷卡器
Shower card holders
8.其他改造 Other reforms

年份
Year
电（万元）
electric
（Ten thousand yuan）
天然气（万元）
natural gas
（ten thousand yuan）
柴油（万元）
diesel
（ten thousand
yuan）
水（万元）
Water
（ten thousand
yuan）
合计（万元）
total
（Ten thousand yuan）
总建筑面积
（㎡）
Total area
2009 686.6 33.4 487.8 39 1246.8 49556
2010 688.1 41.1 569.6 44.7 1343.5 49556
2011 678.2 37.2 564.9 46.2 1326.5 48297
2012 743.6 108.7 497.4 77.6 1427.3 51912
2013 960.3 353.2 0 83.4 1396.9 64901
通过一系列节能措施，2012年底医院肺部肿瘤临床医学中心病房楼启用，2013年能耗费用较2012年节约
30.4万元。
Through a series of energy-saving measures, at the end of 2012, the hospital lung cancer clinic
medical center ward building was opened. In 2013, the energy cost was saved by 304 thousand
yuan compared with 2012.
2009年～2013年医院能耗费用汇总表
Summary of hospital energy expenditure from 2009 to 2013

改造环境效益分析Environmental benefit
analysis of transformation

主要内容
Content
4、小结与建议

绿色医院的设计与改造应因地制宜，因项目制宜
Design and improvement of green hospital should be adapted to local conditions, and project characteristics
1
高度重视医院绿色改造的复杂性，充分发挥各专业间的耦合作用
Attach great importance to the complexity of green retrofitting in hospital, make full use of interconnection
between different professions
2
设计与改造前期将绿色医院建筑技术与常规医院建筑设计融合
In the early stage of design and retrofitting, integrate green hospital building technology with conventional
hospital architectural design
3
加强绿色医院建筑设备运行调试及建筑运行后的管理
Strengthen the green hospital construction equipment commissioning and construction management after
the operation
4
4、小结与建议

关注绿色关注生活
Pay attention to green, pay attention to life
谢谢！
Thanks！

Let’s put the health care
sector back in the center of
healing!
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