The invention discloses an adjustable external chest compression device. The adjustable external chest compression device comprises a mounting plate, a compression hemisphere, a screw rod, a first motor, a movable block, a mounting box, a first rotating shaft, a first electronic push rod, a movable rod, a compression hemisphere, a second rotating shaft, a second electronic push rod, a first gear,a second gear, a third gear and a fourth gear. By virtue of the cooperation of the second motor, the second electronic push rod, the second rotating shaft, the third gear, the fourth gear, the secondgear, the first gear, the first rotating shaft, the first electronic push rod, the movable rod, a spring and the compression hemispheres, and the compression hemispheres are driven to move up and downso as to automatically and repeatedly compress the chest of a patient, so that the compression effect is good, the time and the labor are saved, and the efficiency is high; and meanwhile, by adjusting the motion strokes of the compression hemispheres, the compression force can be adjusted, and a telescopic rod of the second electronic push rod is controlled, so that the up-down motion frequency of the compression hemispheres can be adjusted by changing a transmission ratio.