摘要该文报道1例以尿量减少为主要表现的濒临溺水导致的急性肾损伤（acute kidney injury，AKI）病例。患者为37岁中年男性，因意外落水后肾功能急剧恶化，肾脏病理示急性肾小管损伤。经血液透析治疗后，尿量明显增加，肾功能、蛋白尿明显改善。濒临溺水导致的AKI缺乏典型的临床表现，容易延误诊断及治疗，对濒临溺水患者应进行随访以明确有无并发AKI。

abstractsThis article reports a case of acute kidney injury (AKI) following near drowning with reduced urine output as the main manifestation. The patient was a 37-year-old middle-aged man. His renal function deteriorated sharply after accidentally falling into the water, and renal pathology showed acute tubular injury. After hemodialysis treatment, urine output increased significantly, and renal function and proteinuria improved significantly. AKI following near drowning lacks typical clinical manifestations and is prone to delayed diagnosis and treatment. The patients with a history of near drowning should be followed up to determine whether they are complicated by AKI.