The invention provides a perforating pressing machine. The perforating pressing machine comprises a needle rod switching device which is fixed to the foundation and used for switching the positions of an upsetting rod and a perforating needle. The needle rod switching device penetrates through the bottom of a machine frame fixed to the foundation through machine frame supports. A movable beam which is driven by a main cylinder to move in the vertical direction is arranged on the upper portion of the interior of the machine frame. The lower side of the movable beam faces the needle rod switching device, and the position, corresponding to the upsetting rod or the perforating needle, of the lower side of the movable beam is fixedly provided with an upsetting table. The perforating pressing machine is simple in structure, and the machining efficiency and safety can be effectively improved.