Clashes between U.S. troops and insurgents in this western city rife with anti-American sentiment have left at least eight civilians dead and 18 others wounded Tuesday, medical officials said.

The sporadic clashes were concentrated near the government building of the western Anbar province, witnesses said. At least one U.S. Humvee (searchwas seen burning as a result of the clashes, they said.

"The clashes have left eight civilians dead and 18 wounded," said Asaad Ali, a nurse at the Ramadi General Hospital.

Ramadi is a predominantly Sunni Muslim (searchcity where anti-American feelings are high and U.S. troops and bases in the region come under almost daily attacks.