The utility model relates to a hydrophilic polyurethane wound dressing, which is composed of a hydrophilic polyurethane soft foam slice and a moisture-permeable, air-permeable, waterproof and bacteria-proof polyurethane film. Preparation method: Stir polyethylene glycol, toluene diisocyanate (TDI-80) and glycerol evenly at room temperature, then raise the temperature to 80-90°C and react for 90-120 minutes to prepare a polyurethane prepolymer; Mix polyether, organotin catalyst, tertiary amine catalyst, cell opener, stabilizer and water evenly, then add polyurethane prepolymer, stir evenly, foam at room temperature, ripen for at least 24 hours and slice to obtain polyurethane soft foam slices; Prepare the polyurethane prepolymer into a solution of acetone or / and N,N-dimethylformamide with a concentration of 40.0-55.0%, then add water, cast it into a film, then remove the solvent at 40-80°C, and heat it at room temperature The polyurethane film can be obtained after 16-24 hours of curing reaction.