中老年肺结核大咯血在内科急诊中常见因常伴有心脑血管疾病或伴有潜在肺动脉高压病加慢支肺气肿、肺心病等,使得垂体后叶素（以下简称垂体）使用受限或效果欠佳。本组病例在不直使用垂体或使用后效果不佳而换用一般止血药无效情况下,改用普鲁卡因治疗结果疗效满意,现报道如下:1 Pulmonary tuberculosis in hemoptysis in the elderly in the common emergency due to cardiovascular disease often accompanied by cardiovascular disease or with underlying pulmonary hypertension and chronic bronchiectasis emphysema, pulmonary heart disease, making pituitrin (hereinafter referred to as pituitary) limited use or Poor results. This group of patients in the direct use of the pituitary or after using the poor results in exchange for general hemostatic ineffective use of procaine treatment results were satisfactory, are reported as follows: 1