The utility model relates to a high-voltage coil-out structure for an oil-immersed distribution transformer, which comprises a tank cover, an oil tank, a high-voltage cable, a high-voltage bushing seat and an elbow-shaped cable head inserted in the high-voltage bushing seat, wherein the high-voltage bushing seat is hermetically arranged on the tank cover or the side wall of the oil tank; a conduction piece on the tail of the elbow-shaped cable head is connected with the high-voltage cable in a connection way of cold pressure welding. The utility model replaces a porcelain vase bushing in the prior art with the match of the high-voltage bushing seat and the elbow-shaped cable head, so that no bare charged bodies are arranged on the high-voltage side of the transformer so as to effectively avoid accidents caused by small animals climbing to a high-voltage connection terminal and raise the antifouling function of the transformer. Simultaneously, the elbow-shaped cable head and the high-voltage bushing seat can be made of high molecular insulating materials to have certain toughness and high durability in transport and operation process of the transformer and ensure safety performance. In addition, the utility model can also reduce distances between three-phase high-voltage bushing seats.