The invention provides a high-temperature-resistant heat-sensitive medical film and a preparation method thereof, which sequentially include a protective layer, a thermal imaging layer, a base material layer, and a back layer; the protective layer includes: polyurethane, polyvinyl alcohol, micron particle modified auxiliary agent, cyclotrimethylolpropane formal acrylate and deionized water. In the present invention, by mixing the polyurethane adhesive with the polyvinyl alcohol system, the protective layer can be made more excellent in terms of high temperature resistance, scratch resistance, transparency, reduced friction coefficient, and color density index. Sexual additives, through the micron particles soak into the membrane pores, fill the membrane pores, produce a strong interlocking effect with the system, increase the mass transfer resistance of water, reduce the permeability of water, thereby improving the waterproof performance, high temperature resistant thermal medical film has Excellent water resistance, good elasticity, strong flexibility, and good scratch resistance protective layer, which improves the color rendering effect of thermal imaging, greatly improves the stability of film imaging, and is easy to store.