The invention discloses a piezoelectric microphone with high sensitivity as well as a production method. The piezoelectric microphone comprises a base provided with a cavity and a piezoelectric stacking structure arranged on the base, the cavity in the base is a vacuum vibration cavity, the piezoelectric stacking structure sequentially comprises a bottom electrode, a piezoelectric film and a top electrode, and the base comprises a base bottom layer, a base intermediate layer and a base top layer. The production method comprises the following steps: firstly etching the cavity in the base bottomlayer, then depositing the base intermediate layer, then bonding the base top layer on the base intermediate layer in a vacuum environment, so as to form a vibration cavity, then etching an annular groove on the base top layer, depositing a sacrificial layer in the annular groove, then sequentially depositing the bottom electrode, the piezoelectric film and the top electrode on the base top layer, forming a corrosion hole in the top electrode, and corroding off the sacrificial layer, so that production of the piezoelectric microphone is completed. The piezoelectric microphone disclosed by theinvention can guarantee a vacuum state inside the cavity, air resistance does not exist, strain stress of the piezoelectric film is greatly improved, and a stronger electrical signal is output.