The invention belongs to the field of biological materials, and particularly relates to an anticoagulant composite hollow fiber membrane and a preparation method thereof. The fiber membrane comprisespolyethersulfone, maleylated chitosan and a water-soluble polymer pore-forming agent, wherein the polyethersulfone is in a porous grid framework structure, and after being modified by the maleylated chitosan, the biocompatibility of the polyethersulfone is increased, the platelet aggregation is reduced, and the anticoagulant performance is improved; by adding the water-soluble polymer pore-formingagent, on one hand, the inner diameter, pore diameter and porosity of the fiber membrane can be adjusted, so that the permeability of the fiber membrane is controlled; on the other hand, the water-soluble polymer pore-forming agent is embedded in the porous grid framework structure and is matched with the maleylated chitosan, so that the stability is good, the water-soluble polymer pore-forming agent is not easy to elute and can be used for a long time. The fiber membrane is used as a dialysis membrane to carry out hemodialysis on a patient without using heparin, so that the diseases such asosteoporosis, low coagulation performance and the like of the patient are avoided. The preparation method is simple and suitable for industrial production.