The invention discloses plasma fusion covering direct manufacture 3D printing equipment and a method. The equipment comprises a monitoring system, a plasma beam processing system, and a horizontal printing table. The plasma beam processing system includes a plurality of plasma beam processing devices; each plasma beam processing device comprises a plasma generator, a printing position adjustment controller, a gas supply device and a powder sending device. The monitoring system includes a plurality of beam processing supervising devices; each beam processing supervising device comprises a temperature detection unit, a horizontal movement controller, a distance detection unit and a printing distance adjustment controller. The temperature detection unit and the printing distance adjustment controller form a temperature control device. The method comprises the following steps: 1, acquisition of a 3D model of a workpiece to be printed, and hierarchical slicing processing; 2, scanning path filling; 3, printing path acquisition; and 4, printing layer by layer from top to bottom. The invention has the advantages of reasonable design, simple operation, high molding efficiency, good usage effect, and no need of enclosed moulding chamber, protection atmosphere, or vacuum environment.