The invention relates to a small-sized mixed-flow pump turbine for a low water head pumped storage power station. The small-sized mixed-flow pump turbine for the low water head pumped storage power station is characterized in that the wrap angle of runner blades is 105-124 degrees, the included angle between the water inlet edge of each runner blade and the water outlet edge of the runner blade is 54-86 degrees, each runner blade is a three-dimensional distorted curved face, the thicknesses are equal in the perpendicular spine direction, the profile of each runner blade is crescent, the ratio value of the thickness of each runner blade to the height B1, existing under the working conditions of the turbine, of an inlet of each runner blade is 0.06-0.11, the height B1, existing under the working conditions of the turbine, of an inlet of each runner blade is equal to the height B2 of each guide vane, a wing of each guide vane is of a symmetrical whale shape, the upper canopy of each guide vane is provided with three pressure-relief vents which are evenly distributed, the axial section of a volute is round, a draft tube is of an elbow shape, and the axial section of the horizontal and straight section of the draft tube is round. By the adoption of the small-sized mixed-flow pump turbine for the low water head pumped storage power station, the water pump pumping working condition and the turbine electricity generation working condition which are opposite in directions of water flow pumped for two times, and the water turbine can efficiently operate under the two operation working conditions.