The invention discloses a river water pretreatment device. A gas sterilizing chamber, an adsorption chamber and a water collection chamber are arranged in a tank; a water distribution device is arranged in the gas sterilizing chamber, and is communicated with a water inlet, gas sprayers are arranged below the water distribution device, and are communicated with an external gas source pump by means of a gas transmission pipeline, the lower part of the gas sterilizing chamber is provided with a first flexible diaphragm, a first gas cavity is formed between the first flexible diaphragm and a bottom plate of the gas sterilizing chamber, a gas sterilizing chamber water sump is formed between the first flexible diaphragm and the sprayers, and a rotary impeller is mounted in the gas sterilizing chamber water sump; a homogeneous water pore plate is arranged in an adsorption chamber, the adsorption water sump is arranged below the homogeneous water pore plate, the adsorption chamber is filled with a plurality of lightweight porous adsorption carriers, and the lightweight porous adsorption carriers are made from activated carbon materials. The river water pretreatment device provided by the invention integrally adopts a vertical structure, is small in floor space, and suitable for transforming in an existing waterworks or building renewedly and installing, the process is simple, the operation is convenient, the energy consumption and operation cost are low, and a better river water pretreatment effect is realized.