The invention belongs to the technical field of medical equipment, and discloses a visual 3D endoscope capable of guiding tracheal intubation. The visual 3D endoscope capable of guiding the tracheal intubation is provided with an endoscope body, wherein an exchange tube core guide groove is formed in the back side of the endoscope body, and the exchange tube core guide groove is connected with a base of the 3D endoscope; a sucking and flushing hole is formed in the ventral side of the endoscope body, and the sucking and flushing hole is distributed at the opposite side of the exchange tube core guide groove; two miniature cameras, two light sources and a micro microphone are inlaid on the front end surface of the endoscope body, the two miniature cameras are symmetrically arranged on two sides of the joint of the sucking and flushing hole and the exchange tube core guide groove, the two light sources are symmetrically distributed at the upper parts of the miniature cameras and the lower part of the exchange tube core guide groove, and the miniature microphone is arranged at the joint of the miniature camera on the left side and the sucking and flushing hole. The visual 3D endoscope capable of guiding the tracheal intubation integrates the current mainstream tracheal intubation devices and ideas including the laryngoscope, the visible laryngoscope, the light wand, the bronchofiberscope, the visual tube core, high-frequency ventilation and the like.