参考：官方解决方案

问题：

ImportError: DLL load failed while importing onnxruntime_genai: A dynamic link library (DLL) initialization routine failed.

  File "D:\Python\envs\llm\Lib\site-packages\onnxruntime\__init__.py", line 74, in <module>
    raise import_capi_exception
  File "D:\Python\envs\llm\Lib\site-packages\onnxruntime\__init__.py", line 24, in <module>
    from onnxruntime.capi._pybind_state import (
  File "D:\Python\envs\llm\Lib\site-packages\onnxruntime\capi\_pybind_state.py", line 32, in <module>
    from .onnxruntime_pybind11_state import *  # noqa
    ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
ImportError: DLL load failed while importing onnxruntime_pybind11_state: 动态链接库(DLL)初始化例程失败。

解决：

conda install conda-forge::vs2015_runtime