The invention relates to the field of heavy metal sewage treatment and reutilization devices, in particular to a heavy metal sewage treatment and reutilization device. The device comprises an evaporation structure, a discharging structure, an atomization structure, a cooling structure, a first cleaning structure and a second cleaning structure, wherein the cooling structure is connected to the evaporation structure to convert kinetic energy of vaporization of the evaporation structure into kinetic energy of the cooling structure, meanwhile, the cooling structure absorbs waste heat while liquefying vaporized sewage so as to preheat sewage not subjected to evaporation treatment, the later evaporation vaporization efficiency of the sewage is higher, the utilization efficiency of the waste heat is improved greatly, meanwhile, the liquefying effect of vaporized sewage is better, the second cleaning structure is driven by vapor to rotate in the evaporation structure, bonding of heavy metal particles to the inner side wall of the evaporation structure is avoided, and the evaporation and heat exchange effects are better; and by arrangement of the first cleaning structure, the heavy metal particles can be effectively prevented from entering the cooling structure, and the treatment quality of the heavy metal particles is improved.