Diffuse optical tomography (DOT) under medical image guidance can be used to reconstruct images of subdural hematomas for monitoring purposes. However, when the shape of hematoma is irregular or the signal to noise ratio(SNR) of input signal is low, the accuracy and robustness of this method both decrease. In order to alleviate this situation and improve the reconstruction effect of cerebral hematoma images, a multi wavelength optical image feature fusion method was proposed in this paper. Experimental results show that the mean relative volume error (VRE) of the hematoma reconstruction model based on the multi-wavelength optical image feature fusion method is only 0.66 %, and the mean value of the average Manhattan distance (AMD) between the reconstructed absorption coefficient and the true absorption coefficient is 0.0052 mm−1. Compared with the model using single-wavelength optical image mapping feature extraction method, the multi-wavelength optical image feature fusion method reduces the average VRE of the model by 16.5 %, and the average AMD by 16.1 %. And compared with the model directly inputting single-wavelength optical information, its average VRE and average AMD decreased by 80.0 % and 27.8 %. This method has clinical application significance for the monitoring of subdural hematomas.