\(P=\dfrac{2\sqrt{x}}{\sqrt{x}+3}+\dfrac{\sqrt{x}}{\sqrt{x}-3}-\dfrac{3x+3}{x-9}:\dfrac{2\sqrt{x}-2-\sqrt{x}+3}{\sqrt{x}-3}\)
\(=\dfrac{2x-6\sqrt{x}+x+3\sqrt{x}}{x-9}+\dfrac{3x+3}{x-9}\cdot\dfrac{\sqrt{x}+3}{\sqrt{x}+1}\)
\(=\dfrac{\left(3x-3\sqrt{x}\right)\left(\sqrt{x}+1\right)+\left(3x+3\right)\left(\sqrt{x}+3\right)}{\left(x-9\right)\left(\sqrt{x}+1\right)}\)
\(=\dfrac{3x\sqrt{x}+3x-3x-3\sqrt{x}+3x\sqrt{x}+9x+3\sqrt{x}+9}{\left(x-9\right)\left(\sqrt{x}+1\right)}\)
\(=\dfrac{6x\sqrt{x}+9x+9}{\left(x-9\right)\left(\sqrt{x}+1\right)}\)