The invention discloses a detection kit and a detection method for pathogenic nucleic acid under an airtight condition, and belongs to the technical field of nucleic acid extraction. The detection kit comprises a sealing box body and a sealing cover, a first detergent chamber, a cracking buffering agent chamber, a second detergent chamber, an elution buffering agent chamber, a purification membrane chamber, a waste liquid chamber, a reaction detection chamber and a sealing membrane which is arranged on the channel and can be opened are sequentially arranged in the sealing box body from top to bottom, wherein the first detergent chamber, the cracking buffering agent chamber, the second detergent chamber, the elution buffering agent chamber, the purification membrane chamber, the waste liquid chamber and the reaction detection chamber are connected through the channel; and the detection method comprises the steps that the cracking buffering agent chamber, the first detergent chamber, the second detergent chamber and the elution buffering agent chamber are isolated from the channel through sealing films, after corresponding steps are completed, laser breaks through the sealing films, and liquid in corresponding cavities is centrifugally driven to flow into the channel. Preloaded reagents are isolated through the sealing films, laser drilling and centrifugal force driving are completely achieved in a non-contact mode, and on the basis of the chip structure design of fluid properties, pathogenic nucleic acid extraction and real-time fluorescent PCR amplification detection of the detection kit under the airtight and full-closed condition are achieved.