The invention discloses a medium-voltage fire-resistant cable which comprises at least one conductor (1), wherein the exterior of the conductor (1) is provided with a conductor shielding layer (2), an insulating layer (3), an insulation shielding layer (4), a metal shielding layer (6), a fire-resistant layer (8), an oxygen-and-thermal barrier layer (9) and an outer sheath (10) in sequence, wherein the fire-resistant layer (8) is a ceramic silicon rubber layer; and when the number of the conductor (1) is three, a flame-retardant asbest rope packing layer (5) is arranged between the metal shielding layer (6) and the fire-resistant layer (8), and the exterior of the flame-retardant asbest rope packing layer (5) is provided with a non-alkaline glassfibre belting cabling winding layer (7). In the technical scheme of the invention, a hard ceramic armor can be formed by virtue of high-temperature burning and a protection line can be kept unblocked, the longer the burning time is, the harder the ceramic armor is, the ceramic armor has good insulating property and can fully ensure the cable to be fire-resistant and voltage-resistant; and meanwhile, the medium-voltage fire-resistant cable has low cost, is easy to install and lay and is convenient to use.