a) Ta có: \(A=\left(\dfrac{2\sqrt{x}}{\sqrt{x}+3}+\dfrac{\sqrt{x}}{\sqrt{x}-3}-\dfrac{3x+3}{x-9}\right):\left(\dfrac{2\sqrt{x}-2}{\sqrt{x}-3}-1\right)\)
\(=\dfrac{2x-6\sqrt{x}+x+3\sqrt{x}-3x-3}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-3\right)}:\dfrac{2\sqrt{x}-2-\sqrt{x}+3}{\sqrt{x}-3}\)
\(=\dfrac{-3\left(\sqrt{x}+1\right)}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-3\right)}\cdot\dfrac{\sqrt{x}-3}{\sqrt{x}+1}\)
\(=\dfrac{-3}{\sqrt{x}+3}\)
b) Để \(A< -\dfrac{1}{3}\) thì \(A+\dfrac{1}{3}< 0\)
\(\Leftrightarrow\dfrac{-3}{\sqrt{x}+3}+\dfrac{1}{3}< 0\)
\(\Leftrightarrow\dfrac{-9+\sqrt{x}+3}{3\left(\sqrt{x}+3\right)}< 0\)
\(\Leftrightarrow\sqrt{x}-6< 0\)
\(\Leftrightarrow x< 36\)
Kết hợp ĐKXĐ, ta được: \(\left\{{}\begin{matrix}0\le x< 36\\x\ne9\end{matrix}\right.\)