The invention provides a real-time vehicle audio/video monitoring system and method. The system comprises a monitoring service platform and vehicle terminal equipment. The monitoring service platform comprises a network monitoring server, a message communication server, a streaming media server, a streaming media player, an application server and a data storage server, wherein the network monitoring server browses through vehicle positions and transmits scheduling monitoring information to the vehicle terminal equipment; the message communication server is used for transmitting messages of registration, authentication and heartbeat detection of the terminal equipment; the steaming media server is used for receiving, storing and broadcasting audio/video byte code streams of the vehicle terminal equipment in real time; the streaming media player is used for playing real-time video or historical audio/video of the terminal equipment; the application server is used for receiving a data request sent from the vehicle terminal equipment, returning a result according to request information, and providing the result to the terminal equipment; and the data storage server is used for storing equipment information, video/audio information, and the like. On the basis of the vehicle position monitoring service, the system and method of the invention realize stable and high-efficiency vehicle audio/video monitoring service via the mobile communication network and routing information protocol.