The invention discloses a BT knife handle high-speed cutting mechanism and a use method and belongs to the technical field of numerically-controlled machine tool cutting machining. The BT knife handle high-speed cutting mechanism comprises a BT knife handle, a main shaft, a knife pulling mechanism, a pop-rivet and a cushion cover, wherein the end face of the non tool installation end of the BT knife handle is a knife handle rear end face, a circular cone frustum is arranged on the center position of the knife handle rear end face, the pop-rivet is installed on the center position of the end face of the circular cone frustum, the main shaft is a hollow shaft, the end face of the end, close to the rear end face of the knife handle, of the main shaft is a main shaft front end face, a taper hole is formed in the center portion of the main shaft front end face, the shape of the taper hole is matched with that of the circular cone frustum, the circular cone frustum is installed in the taper hole, the cushion cover is arranged between the knife handle rear end face and the main shaft front end face, the knife pulling mechanism is installed in a main shaft center cavity, and the knife pulling mechanism is connected with the pop-rivet in a clamped mode. By means of the BT knife handle high-speed cutting mechanism and the use method, the high-speed cutting of the BT knife handle is achieved, the contact rigidity and the repeated positioning accuracy of the BT knife handle are high, the high-speed cutting machining precision and the efficiency are high, the service lives of a tool and a machine tool are prolonged, and the BT knife handle can replace an HSK knife handle to be used.