An ECG signal lossless compression system includes: a signal difference value generating module and a compression module. The signal difference value generating module performs an adaptive linear prediction encoding on an ECG signal, so as to generate a plurality of signal difference values corresponding to each datum of the ECG signal;he compression module divides the signal difference values into a plurality of groups and performs an adaptive linear lossless compression encoding on each group, so as to generate a plurality of window compression streams, wherein each group corresponds to a bit reference index configured to be a compression encoding parameter of the adaptive linear lossless compression encoding.