Rút gọn biểu thức $P$ ta được:

Điều kiện: $x > 0,x \ne 4,x \ne 9$

$\begin{array}{l}P = \left( {\dfrac{{4\sqrt x }}{{2 + \sqrt x }} + \dfrac{{8x}}{{4 - x}}} \right):\left( {\dfrac{{\sqrt x  - 1}}{{x - 2\sqrt x }} - \dfrac{2}{{\sqrt x }}} \right)\\ = \left( {\dfrac{{4\sqrt x }}{{2 + \sqrt x }} + \dfrac{{8x}}{{\left( {2 - \sqrt x } \right)\left( {2 + \sqrt x } \right)}}} \right):\left( {\dfrac{{\sqrt x  - 1}}{{\sqrt x \left( {\sqrt x  - 2} \right)}} - \dfrac{2}{{\sqrt x }}} \right)\\ = \dfrac{{4\sqrt x \left( {2 - \sqrt x } \right) + 8x}}{{\left( {2 - \sqrt x } \right)\left( {2 + \sqrt x } \right)}}:\dfrac{{\sqrt x  - 1 - 2\left( {\sqrt x  - 2} \right)}}{{\sqrt x \left( {\sqrt x  - 2} \right)}}\\ = \dfrac{{8\sqrt x  + 4x}}{{\left( {2 - \sqrt x } \right)\left( {2 + \sqrt x } \right)}}.\dfrac{{\sqrt x \left( {\sqrt x  - 2} \right)}}{{3 - \sqrt x }}\\ = \dfrac{{4\sqrt x \left( {2 + \sqrt x } \right)}}{{\left( {2 - \sqrt x } \right)\left( {2 + \sqrt x } \right)}}.\dfrac{{\sqrt x \left( {2 - \sqrt x } \right)}}{{\sqrt x  - 3}}\\ = \dfrac{{4x}}{{\sqrt x  - 3}}\end{array}$

Vậy $P = \dfrac{{4x}}{{\sqrt x  - 3}}$ với $x > 0,x \ne 4,x \ne 9$