The invention discloses an air exhaust and disinfection filter for an elevator car. The air exhaust and disinfection filter is characterized in that a combined structure of an indoor disinfection device, an air pipe, a fan, an outdoor filter, a protective handrail, shell connecting columns, mounting connecting columns, a disinfection lamp, a starting timer, a shutdown sensor, an air direction switching key, an air speed key, a filter cloth bayonet, a filter cloth clamping sleeve, a clamping sleeve handle, filter cloth, a disinfection lamp lampshade, a lampshade heat dissipation opening, an outer air opening and an inner air opening is adopted, and automatic ventilation, two-way disinfection and filtration and harmless ventilation of internal and external environments are realized when no person takes the elevator car; automatic starting is realized, when operation vibration, taking sound and changes are sensed, the disinfection lamp arranged on the indoor disinfection device is automatically started or recovered, and the fan and the outdoor disinfection lamp are kept on and work for more than half an hour in a delayed mode, so that indoor epidemic prevention disinfecting and taking are staggered and do not affect each other; frequent using and frequent disinfection are realized, so that no dead angle is left in epidemic prevention and disinfection; and the defects in the prior art are overcome.