The invention relates to a domestic and medical two-purpose sound recording and fetal heart sound listening stethoscope, and belongs to the field of medical apparatuses. A stethoscope head (1), a sound conduction tube, a three-way tube and a listening tube protecting port are mutually connected, so that a pipeline stethoscope is constituted; a microphone, an amplifier (2), a recording-playing module (3), a transmission module (4), a power supply and the like are arranged in the stethoscope head, so that an electronic stethoscope, which is capable of recording and playing sound, is formed to listen two different stethoscopic sound effects. People can identify sounds from left side and right side through two ears, but the known stethoscopes are operated in a mode of communicating left and right ears, and subsequently, a listening habit is changed and a hearing threshold is narrowed; with the application of the stethoscope which adopts a novel dual-sound-track circuit, the listening habit is recovered and the hearing threshold is widened, so as to bring about benefits for doctors in auscultation. In addition, known fetal heart rate instruments cannot output original heartbeat sound, while by virtue of the novel stethoscope, actual fetal heartbeat sound can be listened, and meanwhile, the sound can be recorded or played; and when the sound is recorded, a voice catalog can be additionally annotated by virtue of the microphone, so that functions of searching and tracing an electronic medical record can be developed. Moreover, a carotid artery plaque detection method is more convenient and rapider than the known stethoscopes.