OBJECTIVE: To establish the method for the determination of doxofylline in human serum. METHODS: Online two-dimensional column switching-HPLC was adopted to determine the concentration of doxofylline in human serum. First- dimensional chromatographic column was Waters C18 column, and middle column was SC2. First-dimensional and second- dimensional column mobile phrase were methanol-water (70 ∶ 30, V/V). The detection wavelength was 273 nm, and column temperature was 40 ℃. Sample volume was 10 μL. RESULTS: The linear range of doxofylline were 0.5-50.00 μg/mL (r=0.999 9), and the detection limit was 0.01 μg/mL. The quantitative limit was 0.5 μg/mL. RSDs of intra-day and inter-day were 1.51%-1.89% and 1.52%-1.92% (n=5). The accuracy were 97.91%-104.19% (n=5). Extraction recoveries rate were 91.63%-93.44%(RSD<2.00%,n=3). RSD of matrix effect were lower than or equal to 3.01% (n=6), and RSD of stability test was lower than 5.00% (n=6). After 3 patients were given intravenous injection of Doxofylline and glucose injection(0.3 g/d) up to steady state, the serum concentrations of doxofylline were 3.23, 3.35, 3.68 μg/mL before medication on the next day (RSD=2.28%, 2.34%, 2.14%, n=5). CONCLUSIONS: The method is simple, rapid, accurate and suitable for the determination of plasma concentration of doxofylline.