The invention discloses a mechanical type external chest compression device. The device comprises an outer barrel, a driving device is arranged inside the outer barrel, the lower end of the driving device is fixed to the bottom of the outer barrel through connecting pieces which are arranged in the radial direction, the upper end of an output shaft of the driving device is connected with a revolving shaft, two driving protrusions are arranged on the outer side face of the revolving shaft in the circumferential direction, and the upper end of the outer barrel is connected with a top cover; a cam jacking rod is arranged between the driving device and the outer barrel, the upper end face of the cam jacking rod is a concave-convex curved surface, long-strip holes are formed in the side wall of the cam jacking rod, the connecting pieces are placed in the long-strip holes so that the connecting pieces can be adapted to the axial motion of the cam jacking rod, a return spring is arranged in an inner chamber of the cam jacking rod, and the lower end of the cam jacking rod extends out of the outer barrel and is connected with a compression plate. The mechanical type external chest compression device is simple in structure, easy to machine and produce, low in cost, small in size, compact in structure, low in weight, convenient, fast, few in transmission components, high in transmission efficiency, low in energy loss and beneficial to battery life.