急性肾功能衰竭(ARF)在新生儿期比较少见,我院抢救失败一例报告如下。患儿,男,18天,因腹泻呕吐三天,无尿4小时当地治疗无效于1988年3月17日转入我院。第一胎,孕43周,胎吸助产,生后因患高胆红素血症,肺炎住院13天痊愈出院。查体:T36.7℃、R24次、P160次、体重3kg。发育正常,神志半清,面色青灰,呻吟样呼吸,重度脱水貌,双肺(-),心音钝,肝肋下1cm,腹胀,肠鸣亢进,四肢凉,生理反射未引出,以新生儿肠炎伴重度脱水入 Acute renal failure (ARF) in the neonatal period is relatively rare, our hospital failed to rescue a case reported as follows. Children, male, 18 days, vomiting for three days because of diarrhea, anuria 4 hours local treatment is invalid in March 17, 1988 transferred to our hospital. The first child, 43 weeks pregnant, fetus midwifery, after birth due to hyperbilirubinemia, pneumonia hospitalized 13 days cured. Physical examination: T36.7 ℃, R24 times, P160 times, weight 3kg. Normal development, consciousness half clear, looking blue and gray, groaning breathing, severe dehydration appearance, lung (-), heart sound blunt, hepatic ribs 1cm, abdominal distension, bowel hyperactivity, limbs cold, physiological reflex did not lead to neonatal enteritis With severe dehydration into