The invention relates to the field of medical instruments, in particular to an electronic stethoscope and an electronic stethoscopy system. The electronic stethoscope comprises an electronic sensor, a microcontroller unit (MCU), a signal selection circuit, a Bluetooth circuit, a display circuit, a storage circuit, a signal processing circuit and a power supply system. The signal selection circuit selects different stethoscopy frequencies through keys, signals are acquired through the electronic sensor, the acquired signals are transmitted to the signal processing circuit, and digital signals obtained after processing are transmitted to the MCU. The Bluetooth circuit, the display circuit, the storage circuit and the power supply system are connected with the MCU, and the Bluetooth circuit is further connected with a plurality of Bluetooth headsets, so that the multi-user stethoscopy function is achieved. The electronic stethoscope is combined with a local PC and a remote PC, has a wide stethoscopy range, a high signal processing capacity and the functions of user-friendly stethoscopy, recording and playback, intelligent stethoscopy, remote consultation and the like, and can be integrated in other medical software systems.