随着铁路运量和速度的不断提高，桥头填土引起的病害较多．结合现场施工实际，对造成病害的原因进行分析，并提出了预防措施，以及检测手段，对保证工程质量和铁路运输安全是有益的． With the continuous improvement of railway traffic and speed, there are more diseases caused by bridge filling. Combined with the actual construction of the site, the causes of the diseases are analyzed, and the preventive measures as well as the testing methods are put forward, which are helpful to ensure the project quality and the railway transport safety.