The invention belongs to the technical field of power distribution automation, and provides a medium-voltage load monitoring system, which comprises a current acquisition device. The current acquisition device comprises a main housing, which comprises a first caliper housing and a limiting part which are connected in sequence; a second caliper housing, which comprises a jaw part and a clamping part which are connected with each other, wherein the jaw part is hinged to the main housing, the jaw part, the limiting part and the first caliper housing are sequentially arranged along an annular path; a wire pressing plate, one end of which is hinged to the first caliper housing, the clamping part and the wire pressing plate being both located in a space defined by the jaw part, the limiting partand the first caliper housing; a torsional spring, which is arranged on the rotating shaft of the wire pressing plate in a sleeving mode, wherein one acting end of the torsional spring acts on the wire pressing plate, and the other acting end of the torsional spring acts on the first caliper housing; and a Rogowski coil which is sequentially arranged in the jaw part, the limiting part and the first caliper housing along the annular path. According to the technical scheme, the problem of high difficulty in medium-voltage line loss monitoring in the prior art is solved.