The invention discloses a pipe fitting pressing sleeve perforating machine. The pipe fitting pressing sleeve perforating machine comprises a pressing sleeve feeding vibration disc, a feeding mechanism and a pressing perforating device which are sequentially arranged; the pressing sleeve feeding vibration disc comprises a conical hopper, a spiral track is arranged in a spiral rising mode along the inner wall of the conical hopper, the feeding mechanism comprises a linear feeding track, an inlet of the linear feeding track is connected with an outlet of the spiral track, an outlet of the linear feeding track is lower than the inlet, and a push plate is arranged at the outlet of the linear feeding track; and the pressing perforating device comprises a pressing mechanism and a drilling device, the pressing mechanism is arranged on the pushing track of the pushing plate, and the drilling device is adjacent to the pressing mechanism. The invention further provides a using method of the pipe fitting pressing sleeve perforating machine. According to the invention, a reliable photoelectric sensor and delay control are adopted, sequential operation of a plurality of devices is realized, a complicated control device is prevented from being adopted, and the perforating machine has the characteristics of convenience and reliability.