Oxidative stress is closely related to the occurrence and development of a variety of diseases, and is an important target for diagnosis and treatment, but there is a lack of accurate in-situ detection tools. Here, we synthesized nano-enzymes (Au@mIrO2) with excellent POD, OXD, and CAT enzymatic activities via a spontaneous galvanic dissolution and template-Induced regrowth, and utilized three-dimensional (3D) multispectral photoacoustic (PA) molecular imaging to monitor the in vivo cascade of catalytic therapeutics based on the multi-enzyme-driven cyclic reaction platform. Au@mIrO2 targeted to the liver induces changes in oxyHb and deoxyHb content, which, in combination with the PA response of the nano-enzymes, allows for the simultaneous mapping of 3D PA signals of dynamic endogenous and exogenous molecules associated with the catalytic process, leading to real-time, non-invasive in situ visual monitoring of oxidative stress in the liver. In addition, due to the LSPR effect of Au NR in the NIR-Ⅱ, the enhanced PA imaging capability and photothermal and ROS generation can be achieved in the realization of PA imaging for navigated tumor therapy.